Jeffrey Allan Rysdam, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

15-01524 Issued in KS

Practice address

823 SW Mulvane St
Suite 275
Topeka, KS 66606-1764

Phone

(785) 270-4355

Fax

(785) 270-4356

NPI assigned

Jan 18, 2012

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

Medicare fee-for-service enrollment

Enrolled in KS, MO2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

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.

• Emergency Medicine Care LLC

  • Emergency Medicine Physician
  • Olathe, KS
  • NPI 1356455752
  Medicare reassignment
• Carbon Health Medical Group of Kansas PA

  • Urgent Care Clinic/Center
  • Kansas City, MO
  • NPI 1497357396

  KS

  Medicare reassignment
• Emergency Medicine Services of Mo, LLC

  • Emergency Medicine Physician
  • Independence, MO
  • NPI 1023715182
  Medicare reassignment
• Stormont-Vail Healthcare Inc

  • General Acute Care Hospital
  • Topeka, KS
  • NPI 1194782409
  NPD (past)
• Missouri Emergency Services, P.C.

  • Emergency Medicine Physician
  • Pleasanton, CA
  • NPI 1134499049
  NPD (past)

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337299200000",
    "number": "1912278383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 SW MULVANE ST",
            "address_2": "SUITE 275",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061764",
            "telephone_number": "785-270-4355",
            "fax_number": "785-270-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 SW MULVANE ST",
            "address_2": "SUITE 275",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061764",
            "telephone_number": "785-270-4355",
            "fax_number": "785-270-4356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYSDAM",
        "first_name": "JEFFREY",
        "middle_name": "ALLAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-18",
        "last_updated": "2012-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "068002161",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan J. McCalla, DPM, PA
• Falan Ryan
• Kelly Michelle Ryan, PHARM. D.
• Christopher Josiah Ryherd, LPN
• Sophia Juliet Rylko, OTR/L
• S.T.E.P.S. (Standing Together Equals Positive Success)
• Lindsay Sabala
• Sabates Eye Centers, PA
• Ann M Sachs, MD
• Courtney Sachs, ARNP

• Physician Assistant in Topeka, KS
• Providers in Topeka, KS by specialty
• Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.