Individual provider Active NPI

Ryan S Marovich, MPAS, PA-C

  • Physician Assistant
  • Erie, PA
National Provider Identifier
1366779357
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA054123 Issued in PA
Practice address
5040 W Ridge Rd Ste 200
Erie, PA 16506-1261
Phone
(814) 480-8220
Fax
(814) 480-8224
NPI assigned
Nov 11, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3472 SC
Physician Assistant 363A00000X MA054123 PA Primary
Surgical Physician Assistant 363AS0400X MA054123 PA
Medical Physician Assistant 363AM0700X MA054123 PA

Addresses

Primary practice location

5040 W Ridge Rd Ste 200
Erie, PA 16506-1261

Mailing address

5040 W Ridge Rd Ste 200
Erie, PA 16506-1261
Phone (814) 480-8220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100203000861 PA Practitioner - Physician Assistant 8628111366 Reassigns benefits to 3 organizations
I20200406000890 SC Practitioner - Physician Assistant 8628111366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OB-GYN Associates of Erie, PCGroup PAC ID 9133028616, 60 clinicians
Plastic Surgery Center of PAGroup PAC ID 2567369689, 2 clinicians

Practice addresses (Care Compare)

100 Peach St
Erie, PA 16507-1423
Phone (814) 459-1851

2861 W 26TH St
Suite 1
Erie, PA 16506-3064
Phone (814) 480-7760

410 Cranberry St
Suite 310
Erie, PA 16507-1069
Phone (814) 480-8009

5040 W Ridge Rd
Erie, PA 16506-1261
Phone (814) 480-8009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3472SCMDPhysical Therapist
MA054123PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Associates of the Medical University of South Carol Physician Assistant CurrentSince Jan 28, 2020 Accepting new patients
University of Pittsburgh Physicians CurrentSince Mar 25, 2012 Accepting new patients
University of Pittsburgh Physicians CurrentSince Mar 25, 2012 Accepting new patients

Locations

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

200 Lothrop St
Ste 300
Pittsburgh, PA 15213
Phone (412) 647-2100

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

Interoperability endpoints

  • Direct secure messaging: ryan.marovich.1@28732.direct.athenahealth.com
  • Direct secure messaging: rmarovich@directaddress.net

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1366779357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 W RIDGE RD STE 200",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165061261",
            "telephone_number": "814-480-8220",
            "fax_number": "814-480-8224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 W RIDGE RD STE 200",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165061261",
            "telephone_number": "814-480-8220",
            "fax_number": "814-480-8224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAROVICH",
        "first_name": "RYAN",
        "middle_name": "S",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-11",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "3472",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA054123",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA054123",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA054123",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.