Individual provider Active NPI

Ryan Marinone, PA-C

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1962776294
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4981 Issued in AZ
Practice address
5355 E High St Unit 113
Phoenix, AZ 85054-5481
Phone
(602) 648-5444
Fax
(602) 772-3801
NPI assigned
Mar 5, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 4981 AZ
Physician Assistant 363A00000X 4981 AZ Primary

Addresses

Primary practice location

5355 E High St Unit 113
Phoenix, AZ 85054-5481

Mailing address

PO Box 80217
Phoenix, AZ 85060-0217
Phone (602) 385-2115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20120523000108 AZ Practitioner - Physician Assistant 6002079415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Specialists of North America PLLCGroup PAC ID 7719014505, 310 clinicians

Practice addresses (Care Compare)

5355 E High St
Unit 113
Phoenix, AZ 85054-5481
Phone (602) 648-5444

5620 E Bell Rd
Scottsdale, AZ 85254-5950
Phone (602) 385-2115

8405 N Pima Ctr Pkwy
Suite 101
Scottsdale, AZ 85258-4638
Phone (602) 493-9361

Hospital & facility affiliations

  • Honorhealth Scottsdale Thompson Peak Med Ctr Hospital, Scottsdale, AZ, CCN 030123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4981AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Specialists of North America, PLLC CurrentSince Oct 29, 2013 Accepting new patients
Orthopedic Specialists of North America, PLLC CurrentSince Oct 29, 2013 Accepting new patients
Orthopedic Specialists of North America, PLLC Past Accepting new patients

Locations

3033 N 44th St
Ste 360
Phoenix, AZ 85018

5355 E High St
Unit 113
Phoenix, AZ 85054

2355 E Camelback Rd
Ste 325
Phoenix, AZ 85016
Phone (602) 772-3795

9327 N 3rd St
Ste 300
Phoenix, AZ 85020
Phone (602) 631-3166

8405 N Pima Center Pkwy
Ste 101
Scottsdale, AZ 85258
Phone (480) 860-1322

5620 E Bell Rd
Scottsdale, AZ 85254
Phone (602) 485-3050

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1962776294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80217",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850600217",
            "telephone_number": "602-385-2115",
            "fax_number": "480-418-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5355 E HIGH ST UNIT 113",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850545481",
            "telephone_number": "602-648-5444",
            "fax_number": "602-772-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINONE",
        "first_name": "RYAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-05",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "4981",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "4981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.