Ryan Angelo

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

905 Braemar Cir
North Canton, OH 44720-8293

Phone

(801) 726-0617

NPI assigned

Aug 17, 2022

Last updated

Aug 17, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1660694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1902524705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 BRAEMAR CIR",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447208293",
            "telephone_number": "801-726-0617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 BRAEMAR CIR",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447208293",
            "telephone_number": "801-726-0617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELO",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-17",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0500346",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Home",
            "affiliation": "N",
            "address_1": "905 Braemar Cir",
            "city": "North Canton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "447208293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amber Jo Anderson, DO
• Meghan K Anderson, PTA
• Stanley R Anderson, MD
• Rita L Andrus
• Pattie M Angelo, COTA/L
• Kristin Anger, PTA
• Elizabeth E Antal, COTA/L
• Samuel Justin Antonacci, PT, DPT
• Apollo Medical Group of Ohio LLC
• Julia Appleby, LPCC

• Home Health Aide in North Canton, OH
• Providers in North Canton, OH by specialty
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.