Ryan T Lahey, PA-C
Individual provider Active NPI Physician Assistant · Ellsworth, KS
NPI 1780242032 · NPPES record last updated Oct 1, 2019
Key facts
- NPI
- 1780242032
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 1502245 (KS)
- Practice address
- 1602 Aylward Ave
Ellsworth, KS 67439-2541 - Phone
- (785) 472-5029
- Fax
- (785) 472-5731
- NPI assigned
- Jun 2, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ellsworth County Medical Center
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
- Ellsworth County Medical Center
- Salina Regional Health Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190924001008 | KS | Practitioner - Physician Assistant | 1153651880 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | 50869 | KS | |
| Athletic Trainer | 2255A2300X | |||
| Physician Assistant | 363A00000X | 1502245 | KS | Yes |
Addresses
Primary practice location
1602 Aylward Ave
Ellsworth, KS 67439-2541
Mailing address
1602 Aylward Ave
Ellsworth, KS 67439-2541
Phone (785) 472-5029
Other providers in Ellsworth, KS
- Ashley Marie Hlad
- Sheri Jonsson
- Savannah Dawn Kelley
- Dennis Joseph Kepka
- Kyle Gwinner OD LLC
- Emily S Lindsley
- Trevor Benjamin Lowe
- Kourtney Maisog
- Mark a.Herzog
- Joseph Duane McBeain
All providers in Ellsworth, KS · Physician Assistant in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.