Karolyn Ryan, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

010467 Issued in NY

Practice address

4545 Heritage Trace Pkwy Ste 1500
Fort Worth, TX 76244-8938

Phone

(817) 337-6604

Fax

(817) 337-6866

NPI assigned

Oct 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Medspring of Texas, PA

  • Urgent Care Clinic/Center
  • Austin, TX
  • NPI 1811286354
  NPD (past)
• The Radiology Group of New Jersey, LLC

  • Multi-Specialty Clinic/Center
  • Hackettstown, NJ
  • NPI 1174010540
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1780773341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 HERITAGE TRACE PKWY STE 1500",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762448938",
            "telephone_number": "817-337-6604",
            "fax_number": "817-337-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 HERITAGE TRACE PKWY STE 1500",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762448938",
            "telephone_number": "817-337-6604",
            "fax_number": "817-337-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "KAROLYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA10231",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9104967",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "010467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL LICENSE",
            "identifier": "PA9104967",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "010467",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Lloyd Ruxer Jr., MD
• Edita Ruzgyte, PHD
• RW Boss Health Masters Homecare Inc
• RX.Com Pharmacy
• Brian D Ryals, MD
• Langston Ray Ryan, MD
• Lauren Ryan, LCSW
• Mark Anthony Ryan, LPA
• Tara Ryan
• Sally Rye, LPC

• Physician Assistant in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.