Active NPI
Stacy R Ryan, PA
- Medical Physician Assistant
- Sellersville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA051060
- Practice address
- 915 Lawn Ave
Suite 203
Sellersville, PA 18960-1551 - Phone
- (215) 257-3697
- Fax
- (215) 453-3410
- NPI assigned
- Jun 5, 2006
- Last updated
- Dec 24, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA051060 | PA | Primary |
Addresses
Primary practice location
915 Lawn Ave
Suite 203
Sellersville, PA 18960-1551
Mailing address
PO Box 1111
Harleysville, PA 19438-0907
Phone (215) 257-3697
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
Enrollment records 1
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
Practice addresses (Care Compare)
1200 S Cedar Crest Blvd
Allentown, PA 18103-6202
1200 S Cedar Crest Blvd 3Rd FL Kasych
LVPG Burn Surgery
Allentown, PA 18103-6202
Phone (610) 402-8355
1200 S Cedar Crest Blvd FL
1 LVPG Nephrology
Allentown, PA 18103-6202
Phone (610) 402-8510
1210 S Cedar Crest Blvd
Allentown, PA 18103-6235
Phone (610) 402-3888
1701 Innovation Dr
York, PA 17408-8815
Phone (717) 843-8623
1703 Innovation Dr
York, PA 17408-8815
2100 Mack Blvd
FL 4
Allentown, PA 18103-5622
2501 N 3Rd St
Kline Health Center Foot and Ankle
Harrisburg, PA 17110-1904
Phone (717) 782-2100
2501 N 3Rd St 2ND FL Kline HC
Reach Program
Harrisburg, PA 17110-1904
Phone (717) 782-2363
2501 N 3Rd St FL
2 Kline Health Center
Harrisburg, PA 17110-1904
Phone (717) 782-2100
2501 N 3Rd Street 2ND Floor
Pinnaclehealth Psychological Associates
Harrisburg, PA 17110-1904
Phone (717) 782-2143
2545 Schoenersville Rd
Bethlehem, PA 18017-7300
600 Commerce Blvd
Stroudsburg, PA 18360-6214
Phone (570) 424-7390
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA051060 | PA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| St. Luke's Quakertown Hospital | Current | Accepting new patients | |
| St. Luke's Quakertown Hospital | Current | Accepting new patients | |
| St Luke's Physician Group Inc | Current | Accepting new patients | |
| St Lukes Hospital | Current | Accepting new patients | |
| St Luke's Hospital | Current | Accepting new patients | |
| Family Care Centers Inc | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| St. Luke's Physician Group, Inc. | Current | Accepting new patients |
Locations
500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330
801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200
409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049
2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100
1104 North St
Jim Thorpe, PA 18229
Phone (570) 325-2400
5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641
700 Lawn Ave
Sellersville, PA 18960
Phone (215) 453-4000
915 Lawn Ave
Ste 201
Sellersville, PA 18960
Phone (215) 453-3360
915 Lawn Ave
Ste 203
Sellersville, PA 18960
Phone (215) 257-3697
Organizations & group practices 17
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.
-
dba LVPG Developmental Pediatrics
- Developmental - Behavioral Pediatrics Physician
- Allentown, PA
- NPI 1780155689
-
- Family Medicine Physician
- Harrisburg, PA
- NPI 1932143427
-
dba Lehigh Valley Physician Group - Pocono
- Internal Medicine Physician
- E Stroudsburg, PA
- NPI 1669563037
-
dba St. Luke's Care Now - Bethlehem
- Urgent Care Clinic/Center
- Bethlehem, PA
- NPI 1740232719
-
dba South Mountain Family Practice
- Family Medicine Physician
- Bethlehem, PA
- NPI 1700984622
-
dba St. Luke's Quakertown Hospital - Pathology
- Anatomic Pathology & Clinical Pathology Physician
- Quakertown, PA
- NPI 1225052616
-
dba LVPG ExpressCare Pocono
- Family Medicine Physician
- East Stroudsburg, PA
- NPI 1316409626
-
dba LVPG Family and Internal Medicine - East Stroudsburg
- Family Medicine Physician
- East Stroudsburg, PA
- NPI 1245093368
-
dba LVPG Family Medicine - Emrick Blvd
- Family Medicine Physician
- Bethlehem, PA
- NPI 1962123885
-
dba UPMC Gastroenterology Associates of Central PA
- Gastroenterology Physician
- Mechanicsburg, PA
- NPI 1295552073
-
dba Sports Medicine of Central PA-UPMC
- Sports Medicine (Family Medicine) Physician
- Harrisburg, PA
- NPI 1821408261
-
dba St. Luke's Hospital - Anderson Campus
- General Acute Care Hospital
- Easton, PA
- NPI 1376339226
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Allentown, PA
- NPI 1164400131
-
- Psychiatric Hospital Unit
- Bethlehem, PA
- NPI 1609834001
-
- Children's Hospital
- Allentown, PA
- NPI 1952954307
-
- General Acute Care Hospital
- East Stroudsburg, PA
- NPI 1568459436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356307200000",
"number": "1235178278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1111",
"city": "HARLEYSVILLE",
"state": "PA",
"postal_code": "194380907",
"telephone_number": "215-257-3697",
"fax_number": "215-453-3410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 LAWN AVE",
"address_2": "SUITE 203",
"city": "SELLERSVILLE",
"state": "PA",
"postal_code": "189601551",
"telephone_number": "215-257-3697",
"fax_number": "215-453-3410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "STACY",
"middle_name": "R",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-05",
"last_updated": "2012-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA051060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sellersville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.