Ryan Edward Groth, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001004408 Issued in NC

Practice address

2561 Hendersonville Rd
Arden, NC 28704-9577

Phone

(828) 676-3234

Fax

(828) 676-3238

NPI assigned

Aug 20, 2010

Last updated

Feb 20, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mission Medical Associates, Inc

  dba Asheville Orthopedics Associates

  • Orthopaedic Surgery Physician
  • Hendersonville, NC
  • NPI 1649772583
  NPD
• MH Blue Ridge Medical Center, LLLP

  dba Blue Ridge Medical Center - Yancey Campus

  • Rural Health Clinic/Center
  • Burnsville, NC
  • NPI 1881161347
  NPD (past)
• Mission Health Community Multispecialty Providers, LLC

  • Internal Medicine Physician
  • Arden, NC
  • NPI 1366912586

  Physician Assistant

  NPD (past)
• Zen Psychiatric Services PLLC

  • Psychiatry Physician
  • Morganton, NC
  • NPI 1023643384
  NPD (past)

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1629384268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 484",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296410484",
            "telephone_number": "864-546-4497",
            "fax_number": "864-546-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2561 HENDERSONVILLE RD",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287049577",
            "telephone_number": "828-676-3234",
            "fax_number": "828-676-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROTH",
        "first_name": "RYAN",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-20",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001004408",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "1604",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629384268",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam Greene
• Lisa M Greene, O.D
• Steven Thomas Greene, MD
• Jennifer Lynn Griffith, AGPCNP-BC
• Riley Groenewoud, PT, DPT
• Leah Alexa Guarino, LCMHC, NCC
• Elizabeth Katherine Guesdon, MS, OTR/L
• Lucas Penaloza Gutierrez
• Alma Hachey
• Molly Elyse Hahn-Floyd, OTD, OTR/L

• Physician Assistant in Arden, NC
• Providers in Arden, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.