Individual provider Active NPI

Stephen M Ryan, PA-C

  • Medical Physician Assistant
  • Easton, PA
National Provider Identifier
1114082971
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MD051024 Issued in PA
Practice address
2401 Northampton St Ste 140
Easton, PA 18045-2764
Phone
(484) 591-7430
Fax
(484) 591-7431
NPI assigned
Dec 22, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MD051024 PA Primary

Addresses

Primary practice location

2401 Northampton St Ste 140
Easton, PA 18045-2764

Mailing address

2100 Mack Blvd FL 4
Allentown, PA 18103-5622
Phone (484) 884-0469

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040903000090 PA Practitioner - Physician Assistant 3072590272 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

101 W 7TH St
Pennsburg, PA 18073-1512

1210 S Cedar Crest Blvd
Allentown, PA 18103-6235
Phone (610) 402-3888

14351 Kutztown Rd
Fleetwood, PA 19522-9273
Phone (610) 944-8800

1791 Airport Rd
Allentown, PA 18109-9528
Phone (484) 240-8195

200 Schuylkill Medical PLZ
Pottsville, PA 17901-3660
Phone (570) 621-9270

2100 Mack Blvd
FL 4
Allentown, PA 18103-5622

2101 Emerick Blvd
100 LVPG Family and Internal Medicine
Bethlehem, PA 18020-8040
Phone (610) 868-4000

2741 Macarthur Rd
Whitehall, PA 18052-3632
Phone (610) 434-9561

320 W Pumping Station Rd
Quakertown, PA 18951-2345

320 W Pumping Station Road
3 LVPG Family Medicine Richland Township
Quakertown, PA 18951-2345
Phone (215) 529-4240

5649 Wynnewood Dr
Laurys Station, PA 18059-1124

6451 Village LN
Macungie, PA 18062-8484
Phone (610) 967-2772

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MD051024PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Schuylkill Health System Medical Group, Inc. CurrentSince Jul 1, 2021 Accepting new patients
Lehigh Valley Physician Group CurrentSince Sep 11, 2017 Accepting new patients
Lehigh Valley Physician Group CurrentSince Sep 11, 2017 Accepting new patients
Tri-County Emergency Physicians LLC CurrentSince Oct 1, 2010 Accepting new patients
Family Care Centers Inc CurrentSince Sep 12, 2023 Accepting new patients
Performance Spine & Sports Physicians, PC CurrentSince Aug 1, 2016 Accepting new patients
Tri-County Emergency Physicians Inc Past Accepting new patients
Tri-County Emergency Physicians, Inc Past Accepting new patients

Locations

2100 Mack Blvd
Fl 4
Allentown, PA 18103

500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330

2401 Northampton St
Ste 140
Easton, PA 18045
Phone (484) 591-7420

110 W Wissahickon Ave
Flourtown, PA 19031
Phone (215) 248-7801

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

1600 E High St
Pottstown, PA 19464
Phone (610) 327-7485

1603 E High St
Ste A
Pottstown, PA 19464
Phone (610) 327-2400

700 Schuylkill Manor Rd
Ste 3
Pottsville, PA 17901
Phone (570) 621-4440

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1114082971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MACK BLVD FL 4",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181035622",
            "telephone_number": "484-884-0469",
            "fax_number": "484-884-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 NORTHAMPTON ST STE 140",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180452764",
            "telephone_number": "484-591-7430",
            "fax_number": "484-591-7431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "STEPHEN",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MD051024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.