Charles H Ryan, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2699 Issued in AZ

Practice address

1270 W Silverlake Rd
Tucson, AZ 85713-2728

Phone

(520) 547-8344

Fax

(520) 351-8142

NPI assigned

Aug 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Uhs of Tucson LLC

  • Psychiatry Physician
  • Tucson, AZ
  • NPI 1700207651
  Medicare reassignment
• Tri-City Express Care, PLLC

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1649554940
  NPD
• Uhs of Tucson LLC

  • Mental Health Counselor
  • Tucson, AZ
  • NPI 1952757866
  NPD
• Nextcare Arizona I JV LLC

  • Urgent Care Clinic/Center
  • Tempe, AZ
  • NPI 1114798071
  NPD (past)
• Pinnacle Medicine Inc.

  • Urgent Care Clinic/Center
  • Mesa, AZ
  • NPI 1326000597
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334793600000",
    "number": "1568479764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13803 E FIERY DAWN DR",
            "city": "VAIL",
            "state": "AZ",
            "postal_code": "856416457",
            "telephone_number": "520-721-0997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 W SILVERLAKE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857132728",
            "telephone_number": "520-547-8344",
            "fax_number": "520-351-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "CHARLES",
        "middle_name": "H",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2012-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "2699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "886103",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rogelio Ruvalcaba, RD
• Denis Ruzdija, DO
• Jon J Ruzich, PT
• Rxo2 Oxygen & Medical Equipment Supply Co., Inc.
• Alexander Michael Ryan, MD
• Ciara Ryan
• Diane Ryan, MA, LPC
• Frank Gerard Ryan, EDD LPC
• Kerri Pullo Ryan
• Kristin Ryan

• Physician Assistant in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.