Ryan Carroll, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0008372 Issued in CO

Practice address

2500 E Prospect Rd
Fort Collins, CO 80525-9718

Phone

(970) 493-0112

Fax

(970) 493-0521

NPI assigned

Jul 25, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Healthone Clinic Services Orthopedic Specialists LLC

  • Orthopaedic Surgery Physician
  • Westminster, CO
  • NPI 1245556091
  Medicare reassignment
• Orthopaedic & Spine Center of the Rockies PC

  • Orthopaedic Surgery Physician
  • Fort Collins, CO
  • NPI 1770579385
  Medicare reassignment

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1952037871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 E PROSPECT RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805259718",
            "telephone_number": "970-493-0112",
            "fax_number": "970-493-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E PROSPECT RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805259718",
            "telephone_number": "970-493-0112",
            "fax_number": "970-493-0521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3470 E 15th St",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805388809",
            "country_code": "US",
            "telephone_number": "970-663-3975",
            "fax_number": "970-493-0521",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1926 61st Avenue",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "80634",
            "country_code": "US",
            "telephone_number": "970-573-3224",
            "fax_number": "970-493-0521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "RYAN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-25",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0008372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monae Breonna Carrillo
• Elizabeth Carrington
• Ashley Carroll, , LPCC, LAC
• Cory Douglas Carroll, MD
• Robert Carroll, RMT
• Ruth Carrothers, BA
• Aaron Scott Carson, MD
• Jana Marie Carson
• Jamie L Carta
• Anne Elizabeth Carter, RPH

• Physician Assistant in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.