Individual provider Active NPI

Ryan Davis, PA

  • Surgical Physician Assistant
  • Springfield, MA
National Provider Identifier
1548632581
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
3466 Issued in CT
Practice address
50 Wason Ave FL 2
Springfield, MA 01107-1280
Phone
(413) 794-1800
NPI assigned
Oct 29, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA101950 MA
Surgical Physician Assistant 363AS0400X 3466 CT Primary

Addresses

Primary practice location

50 Wason Ave FL 2
Springfield, MA 01107-1280

Mailing address

225 Bridge St
Groton, CT 06340-3710
Phone (860) 917-8031

Other practice location 1

765 W Johnson Ave
Cheshire, CT 06410-1134
Phone (860) 378-8228

Other practice location 2

115 W Silver St
Westfield, MA 01085-3678
Phone (413) 571-0000

Other practice location 3

759 Chestnut St
Springfield, MA 01199-0001
Phone (413) 794-0000

Other identifiers 1

IdentifierTypeStateIssuer
004002358MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA101950MAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Stitch for Hire LLC Surgical CurrentSince Oct 12, 2025 Accepting new patients

Locations

765 W Johnson Ave
Cheshire, CT 06410
Phone (860) 378-8228

50 Wason Ave
Fl 2
Springfield, MA 01107
Phone (413) 286-1020

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

50 Wason Ave
Springfield, MA 01107
Phone (413) 794-2515

115 W Silver St
Westfield, MA 01085
Phone (413) 562-3444

Organizations & group practices 1

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": "1446076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1548632581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 BRIDGE ST",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063403710",
            "telephone_number": "860-917-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 WASON AVE FL 2",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071280",
            "telephone_number": "413-794-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "765 W Johnson Ave",
            "address_purpose": "LOCATION",
            "city": "Cheshire",
            "state": "CT",
            "postal_code": "064101134",
            "country_code": "US",
            "telephone_number": "860-378-8228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 W Silver St",
            "address_purpose": "LOCATION",
            "city": "Westfield",
            "state": "MA",
            "postal_code": "010853678",
            "country_code": "US",
            "telephone_number": "413-571-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "759 Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011990001",
            "country_code": "US",
            "telephone_number": "413-794-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "RYAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-29",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MA",
            "license": "PA101950",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": "3466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004002358",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.