Susan M Ryan, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9101850 Issued in FL

Practice address

1349 South International Parkway
Suite 1411
Lake Mary, FL 32746

Phone

(407) 333-3360

Fax

(407) 333-2920

NPI assigned

Jun 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Charles H Moorefield III MD PA

  • General Practice Physician
  • Orlando, FL
  • NPI 1740402999
  NPD (past)
• Seminole Primary Care Physicians PA

  • Family Medicine Physician
  • Longwood, FL
  • NPI 1386785202
  NPD (past)

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234828800000",
    "number": "1528095718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 S INTERNATIONAL PKWY",
            "address_2": "SUITE 1411",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461697",
            "telephone_number": "407-333-3360",
            "fax_number": "407-333-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 SOUTH INTERNATIONAL PARKWAY",
            "address_2": "SUITE 1411",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "32746",
            "telephone_number": "407-333-3360",
            "fax_number": "407-333-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "SUSAN",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2009-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9101850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruk Holdings
• Taylor Marie Rungeling
• Ryan C. W. Hall, MD, PA
• John F Ryan, M.D.
• Lindsay Ryan, PTA
• Sachs Pharmacy LLC
• Christina Saffen
• Sage Dental of Lake Mary PLLC
• Michael Saint Antonio Augustine, PHARM.D.
• Nailla Saintyl

• Medical Physician Assistant in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.