Individual provider Active NPI

Ryan D Farley, PA-C

  • Surgical Physician Assistant
  • State College, PA
National Provider Identifier
1699224014
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
164 Greenview Dr
State College, PA 16803-2106
Phone
(814) 237-4321
Fax
(814) 235-0484
NPI assigned
Sep 27, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA058762 PA
Surgical Physician Assistant 363AS0400X Primary

Addresses

Primary practice location

164 Greenview Dr
State College, PA 16803-2106

Mailing address

1800 E Park Ave
State College, PA 16803-6701
Phone (814) 231-7000

Other practice location 1

2913 Spooky Nook Rd Ste 100
Manheim, PA 17545-9149
Phone (717) 299-4871

Other practice location 2

1701 Cornwall Rd Ste 200
Lebanon, PA 17042-7480
Phone (717) 299-4871

Other practice location 3

212 Willow Valley Lakes Dr Ste 201
Willow Street, PA 17584-9668
Phone (717) 299-4871

Other practice location 4

170 N Pointe Blvd
Lancaster, PA 17601-4132
Phone (717) 299-4871

Other practice location 5

3120 Highland Rd
Hermitage, PA 16148-4512
Phone (724) 342-2663

Other practice location 6

1800 E Park Ave
State College, PA 16803-6701
Phone (814) 237-4321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20170330000957 PA Practitioner - Physician Assistant 8921383175 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Nittany Medical Center Health Services Inc 366 clinicians
Keystone Rehabilitation Systems Inc 750 clinicians

Practice addresses (Care Compare)

129 Medical Park LN
Bellefonte, PA 16823-9112
Phone (814) 355-3626

141 Medical Park LN
Bellefonte, PA 16823-9112
Phone (814) 355-7322

143 Hospital Dr
State College, PA 16803-5500
Phone (814) 237-3470

155 Wellness Way
State College, PA 16803-6702

164 Greenview Dr
State College, PA 16803-2106
Phone (844) 278-4600

1700 Old Gatesburg Rd
State College, PA 16803-2276

526 Westerly Pkwy
Suite 160
State College, PA 16801-5905
Phone (814) 996-1150

Hospital & facility affiliations

  • Mount Nittany Medical Center Hospital, State College, PA, CCN 390268

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA058762PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Nittany Medical Center CurrentSince Jun 8, 2024 Accepting new patients
Mount Nittany Medical Center CurrentSince Jun 8, 2024 Accepting new patients
Centre Pathology Associates, PC Current Accepting new patients
Mount Nittany Medical Center Health Services Inc CurrentSince Nov 1, 2024 Accepting new patients
Mount Nittany Medical Center Past Accepting new patients
Mount Nittany Medical Center Health Services Inc Past Accepting new patients

Locations

141 Medical Park Ln
Bellefonte, PA 16823
Phone (814) 355-7322

164 Greenview Dr
Ste 200
State College, PA 16803
Phone (814) 237-4321

164 Greenview Dr
State College, PA 16803
Phone (814) 237-4321

155 Wellness Way
State College, PA 16803
Phone (800) 367-0179

1850 E Park Ave
Ste 201
State College, PA 16803
Phone (814) 234-8800

Interoperability endpoints

  • Direct secure messaging: ryanfarley@sopc.allscriptsdirect.net

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1699224014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 E PARK AVE",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168036701",
            "telephone_number": "814-231-7000",
            "fax_number": "814-238-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 GREENVIEW DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168032106",
            "telephone_number": "814-237-4321",
            "fax_number": "814-235-0484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2913 Spooky Nook Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Manheim",
            "state": "PA",
            "postal_code": "175459149",
            "country_code": "US",
            "telephone_number": "717-299-4871",
            "fax_number": "717-391-2494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 Cornwall Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170427480",
            "country_code": "US",
            "telephone_number": "717-299-4871",
            "fax_number": "717-391-2494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "212 Willow Valley Lakes Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Willow Street",
            "state": "PA",
            "postal_code": "175849668",
            "country_code": "US",
            "telephone_number": "717-299-4871",
            "fax_number": "717-391-2494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "170 N Pointe Blvd",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176014132",
            "country_code": "US",
            "telephone_number": "717-299-4871",
            "fax_number": "717-391-2494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3120 Highland Rd",
            "address_purpose": "LOCATION",
            "city": "Hermitage",
            "state": "PA",
            "postal_code": "161484512",
            "country_code": "US",
            "telephone_number": "724-342-2663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 E Park Ave",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168036701",
            "country_code": "US",
            "telephone_number": "814-237-4321",
            "fax_number": "814-235-0484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARLEY",
        "first_name": "RYAN",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-27",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA058762",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

Verify at the official NPI Registry.