Active NPI
Ryan T Lahey, PA-C
- Physician Assistant
- Ellsworth, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1502245
- Practice address
- 1602 Aylward Ave
Ellsworth, KS 67439-2541 - Phone
- (785) 472-5029
- Fax
- (785) 472-5731
- NPI assigned
- Jun 2, 2019
- Last updated
- Oct 1, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | 50869 | KS | |
| Athletic Trainer | 2255A2300X | |||
| Physician Assistant | 363A00000X | 1502245 | KS | Primary |
Addresses
Primary practice location
1602 Aylward Ave
Ellsworth, KS 67439-2541
Mailing address
1602 Aylward Ave
Ellsworth, KS 67439-2541
Phone (785) 472-5029
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1602 Aylward Ave
Ellsworth, KS 67439-2541
Phone (785) 810-1177
1604 Aylward Ave
Ellsworth, KS 67439-2541
Phone (785) 472-3111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50869 | KS | MD | Basic Emergency Medical Technician |
| 1502245 | KS | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ellsworth County Medical Center | Current | Accepting new patients | |
| Ellsworth County Medical Center | Current | Accepting new patients | |
| Ellsworth County Medical Center | Past | Accepting new patients |
Locations
1602 Aylward Ave
Ellsworth, KS 67439
Phone (785) 472-3111
1604 Aylward Ave
Ellsworth, KS 67439
Phone (785) 472-3111
Organizations & group practices 3
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.
-
- Critical Access Hospital
- Ellsworth, KS
- NPI 1083614028
-
dba ECMC Rural Health Clinic Ellsworth
- Rural Health Clinic/Center
- Ellsworth, KS
- NPI 1972504546
-
- Interventional Pain Medicine Physician
- Ellsworth, KS
- NPI 1457998593
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Ellsworth, KS
- NPI 1083614028
-
- General Acute Care Hospital
- Salina, KS
- NPI 1689635138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569888000000",
"number": "1780242032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1602 AYLWARD AVE",
"city": "ELLSWORTH",
"state": "KS",
"postal_code": "674392541",
"telephone_number": "785-472-5029",
"fax_number": "785-472-5731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1602 AYLWARD AVE",
"city": "ELLSWORTH",
"state": "KS",
"postal_code": "674392541",
"telephone_number": "785-472-5029",
"fax_number": "785-472-5731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAHEY",
"first_name": "RYAN",
"middle_name": "T",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-02",
"last_updated": "2019-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "KS",
"license": "50869",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KS",
"license": "1502245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellsworth, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.