Ryan Mayle, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

016048 Issued in NY

Practice address

138 East Main St.,
Westfield Family Physicians
Westfield, NY 14787

Phone

(716) 326-4678

Fax

(716) 326-4641

NPI assigned

Sep 30, 2012

Last updated

Nov 30, 2015By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ryan.mayle.1@30520.direct.athenahealth.com

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.

• Westfield Familyphysicians

  • Primary Care Clinic/Center
  • Westfield, NY
  • NPI 1487743498
  NPD (past)

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

{
    "created_epoch": "1348963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448841600000",
    "number": "1699026658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10, 138 EAST MAIN ST.",
            "address_2": "WESTFIELD FAMILY PHYSICIANS",
            "city": "WESTFIELD",
            "state": "NY",
            "postal_code": "14787",
            "telephone_number": "716-326-4678",
            "fax_number": "716-326-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 EAST MAIN ST.,",
            "address_2": "WESTFIELD FAMILY PHYSICIANS",
            "city": "WESTFIELD",
            "state": "NY",
            "postal_code": "14787",
            "telephone_number": "716-326-4678",
            "fax_number": "716-326-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYLE",
        "first_name": "RYAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-30",
        "last_updated": "2015-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "016048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Westfield, NY
• Providers in Westfield, 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 Nov 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.