Lisa Ryan

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601007877 Issued in MI

Practice address

411 W Lake Lansing Rd Ste C120
East Lansing, MI 48823-8483

Phone

(517) 337-0957

NPI assigned

Sep 19, 2016

Sex

Female

Sole proprietor

No

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 MI, TX, CA, AK4 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 4

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: lryan@direct.nshcorp.org

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.

• Aspirus Ironwood Hospital & Clinics, Inc.

  • Family Medicine Physician
  • Ironwood, MI
  • NPI 1992704753
  Medicare reassignment
• Alaska Medical Clinics, LLC

  • Urgent Care Clinic/Center
  • Wasilla, AK
  • NPI 1316015480
  Medicare reassignment
• Alaska Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Anchorage, AK
  • NPI 1518389303
  Medicare reassignment
• Eagle Butte Indian Health Service Hospital

  • Public Health or Welfare Agency
  • Eagle Butte, SD
  • NPI 1558395848

  TX

  Medicare reassignment
• Solano Gateway Medical Group Inc

  • Emergency Medicine Physician
  • Fairfield, CA
  • NPI 1952344293
  Medicare reassignment
• Norton Sound Health Corporation

  • Critical Access Hospital
  • Nome, AK
  • NPI 1154358232

  Physician Assistant

  NPD
• Medical Observation Services, PLLC

  • Emergency Medicine Physician
  • Lansing, MI
  • NPI 1346503158
  NPD (past)

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474243200000",
    "number": "1972051019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W LAKE LANSING RD STE C120",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238483",
            "telephone_number": "517-337-0957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W LAKE LANSING RD STE C120",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238483",
            "telephone_number": "517-337-0957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-19",
        "last_updated": "2016-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601007877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chrissy Rust, BA
• Brian A Ruster, D.D.S.
• Nicole Marie Ruster, O.T.R.
• Anne Corinne Rutledge
• Justin Michael Rutt, D.O.
• Patricia Ann Ryan, DO
• Hailey Rykse
• Aiya Saad, PHARMD
• Hanna Yacoub Saad, M.D.
• Amit Sachdev, M.D., MS

• Physician Assistant in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; 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.