Ryan James White

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

021703 Issued in NY

Practice address

8 Park PL
St Johnsville, NY 13452-1332

Phone

(518) 568-3403

NPI assigned

Sep 6, 2005

Last updated

Oct 2, 2020By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, NY2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Little Falls HospitalGroup PAC ID 3678550837, 17 clinicians

Mary Imogene Bassett HospitalGroup PAC ID 3779488325, 780 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• At Home Care Inc Chha Home health agency, Oneonta, NY, CCN 337233

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rwhite323717@bassett.direct-ci.net

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.

• Mary Imogene Bassett Hospital

  dba Bassett Medical Center

  • Multi-Specialty Clinic/Center
  • Cooperstown, NY
  • NPI 1083664221
  Medicare reassignment Care Compare group NPD
• Little Falls Hospital

  • Family Medicine Physician
  • Little Falls, NY
  • NPI 1467593202
  Medicare reassignment Care Compare group NPD (past)
• Senior Health Associates, P.a.

  • Internal Medicine Physician
  • Wilmington, NC
  • NPI 1396893640
  Medicare reassignment
• Little Falls Hospital

  • Critical Access Hospital
  • Little Falls, NY
  • NPI 1548220908
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• At Home Care Incorporated

  • Home Health Agency
  • Oneonta, NY
  • NPI 1003819806
  Care Compare affiliation

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1649264730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 BURWELL ST",
            "city": "LITTLE FALLS",
            "state": "NY",
            "postal_code": "133651716",
            "telephone_number": "315-823-4546",
            "fax_number": "315-823-4760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 PARK PL",
            "city": "ST JOHNSVILLE",
            "state": "NY",
            "postal_code": "134521332",
            "telephone_number": "518-568-3403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "RYAN",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "021703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Stewart, RN
• Bethany Straney
• Therapy Specialists, PLLC
• Andrew Lloyd Wheelock III
• Richard White, DPT
• Norma J Williams, RN
• Rebecca Worobey

• Physician Assistant in St Johnsville, NY
• Providers in St Johnsville, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.

Verify at the official NPI Registry.