Active NPI
Ryan Van Dam, PA
- Physician Assistant
- Westford, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.PA.60730273
- Practice address
- 3 Thistle LN
Westford, MA 01886-4034 - Phone
- (978) 302-8217
- NPI assigned
- Jan 24, 2017
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.PA.60730273 | WA | Primary |
| Physician Assistant | 363A00000X | 2271480 | ID |
Addresses
Primary practice location
3 Thistle LN
Westford, MA 01886-4034
Mailing address
PO Box 31001-4141
Pasadena, CA 91110-0001
Phone (888) 227-3312
Other practice location 1
718 91st Ave NE
Lake Stevens, WA 98258-2420
Phone (888) 227-3312
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
15870 1St Ave S
Suite 101
Burien, WA 98148-1301
Phone (206) 242-2501
222 State Ave N
Kent, WA 98030-4544
Phone (253) 372-7788
4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Express Care Or PC | Past | Accepting new patients |
Locations
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
Interoperability endpoints
- rvandam355139@direct.multicare.org
Organizations & group practices 5
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.
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Physician Assistant
- Arlington, WA
- NPI 1275567919
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Diagnostic Radiology Physician
- Spokane, WA
- NPI 1679042188
-
- General Practice Physician
- Portland, OR
- NPI 1205499126
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786579200000",
"number": "1639616949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31001-4141",
"city": "PASADENA",
"state": "CA",
"postal_code": "911100001",
"telephone_number": "888-227-3312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 THISTLE LN",
"city": "WESTFORD",
"state": "MA",
"postal_code": "018864034",
"telephone_number": "978-302-8217"
}
],
"practiceLocations": [
{
"address_1": "718 91st Ave NE",
"address_purpose": "LOCATION",
"city": "Lake Stevens",
"state": "WA",
"postal_code": "982582420",
"country_code": "US",
"telephone_number": "888-227-3312",
"fax_number": "425-259-8630",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAN DAM",
"first_name": "RYAN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-24",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA.PA.60730273",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ID",
"license": "2271480",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.