Individual provider Active NPI

Ryan Williams, PA

  • Physician Assistant
  • Butler, PA
National Provider Identifier
1770075616
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA059876 Issued in PA
Practice address
480 E Jefferson St
Butler, PA 16001-4780
Phone
(724) 968-5300
NPI assigned
Jun 6, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA059876 PA Primary

Addresses

Primary practice location

480 E Jefferson St
Butler, PA 16001-4780

Mailing address

480 E Jefferson St Ste B
Butler, PA 16001-4780
Phone (724) 968-5300

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
I20180907000218 PA Practitioner - Physician Assistant 3173873460 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Butler Medical ProvidersGroup PAC ID 7416840160, 355 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

127 Oneida Valley Rd
Suite 400
Butler, PA 16001-2251
Phone (833) 995-0118

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

480 E Jefferson St
Butler, PA 16001-4780

480 E Jefferson St B
BHS Orthopedic Associates
Butler, PA 16001-4780
Phone (833) 604-7214

Hospital & facility affiliations

  • Independence Health System Butler Memorial Hospita Hospital, Butler, PA, CCN 390168

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Medical Providers CurrentSince Aug 1, 2018 Accepting new patients
Butler Medical Providers CurrentSince Aug 1, 2018 Accepting new patients

Locations

1 Hospital Way
#D
Butler, PA 16001
Phone (724) 284-4550

480 E Jefferson St
Ste B
Butler, PA 16001
Phone (724) 968-5300

127 Oneida Valley Rd
Ste 400
Butler, PA 16001
Phone (724) 431-0550

480 E Jefferson St
Butler, PA 16001
Phone (724) 282-1530

1 Hospital Way
#4S
Butler, PA 16001
Phone (724) 284-4309

1 Hospital Way
Butler, PA 16001
Phone (412) 492-0800

24 Doctors Ln
Ste 201
Clarion, PA 16214
Phone (833) 684-1898

Interoperability endpoints

  • Direct secure messaging: ryan.williams@direct-address.net

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1770075616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 E JEFFERSON ST STE B",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160014780",
            "telephone_number": "724-968-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 E JEFFERSON ST",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160014780",
            "telephone_number": "724-968-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "RYAN",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-06",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA059876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

Verify at the official NPI Registry.