Individual provider Active NPI

Warren S Ryan, PA

  • Medical Physician Assistant
  • Wichita, KS
National Provider Identifier
1770727760
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1500172 Issued in KS
Practice address
9350 E 35TH St N
Suite 101
Wichita, KS 67226-2019
Phone
(316) 265-1308
NPI assigned
Apr 22, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1500172 KS Primary

Addresses

Primary practice location

9350 E 35TH St N
Suite 101
Wichita, KS 67226-2019

Mailing address

9350 E 35TH St N Ste 101
Wichita, KS 67226-2022
Phone (316) 265-1308

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct.cardiovascularconsultantsofks@ccme.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1500172KSMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1770727760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9350 E 35TH ST N STE 101",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262022",
            "telephone_number": "316-265-1308",
            "fax_number": "316-265-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 E 35TH ST N",
            "address_2": "SUITE 101",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262019",
            "telephone_number": "316-265-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "WARREN",
        "middle_name": "S",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-22",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KS",
            "license": "1500172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct.cardiovascularconsultantsofks@ccme.com",
            "affiliation": "N",
            "address_1": "9350 E 35th St N",
            "address_2": "Suite 101",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672262019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.