Active NPI
Ryan Davis, PA
- Surgical Physician Assistant
- Springfield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 3466
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004002358 | Medicaid | CT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PA101950 | MA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stitch for Hire LLC | Surgical | Current | 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.
-
- Surgical Physician Assistant
- Springfield, MA
- NPI 1629943550
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.