Active NPI
Jodi E Ryan, PA
- Physician Assistant
- Saco, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA 164
- Practice address
- 13 Industrial Park Rd
Saco, ME 04072-1804 - Phone
- (207) 283-8800
- Fax
- (207) 294-3562
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA 164 | ME | Primary |
Addresses
Primary practice location
13 Industrial Park Rd
Saco, ME 04072-1804
Mailing address
13 Industrial Park Rd
Saco, ME 04072-1804
Phone (207) 283-8800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13 Industrial Park Rd
Saco, ME 04072-1804
Phone (207) 283-8800
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905
Hospital & facility affiliations
- Mainehealth Maine Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients |
Locations
1 Medical Dr
Biddeford, ME 04005
Phone (207) 283-7000
3 Shape Dr
Kennebunk, ME 04043
Phone (207) 467-8930
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
13 Industrial Park Rd
Saco, ME 04072
Phone (207) 283-8800
25A June St
Ste 111
Sanford, ME 04073
Phone (207) 324-5968
25 June St
Sanford, ME 04073
Phone (207) 324-4310
Interoperability endpoints
- jryan157056@direct.mmc.mainehealth.org
Organizations & group practices 4
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.
-
- Psychiatric Hospital
- Westbrook, ME
- NPI 1790265502
-
- General Acute Care Hospital
- Biddeford, ME
- NPI 1659392819
-
- Skilled Nursing Facility
- Sanford, ME
- NPI 1447342209
-
- Critical Access Hospital
- Norway, ME
- NPI 1447730247
Hospital & facility affiliations 36
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Scarborough, ME
- NPI 1053647024
-
- General Acute Care Hospital
- Portland, ME
- NPI 1346267879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664496000000",
"number": "1972525095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 INDUSTRIAL PARK RD",
"city": "SACO",
"state": "ME",
"postal_code": "040721804",
"telephone_number": "207-283-8800",
"fax_number": "207-294-3662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 INDUSTRIAL PARK RD",
"city": "SACO",
"state": "ME",
"postal_code": "040721804",
"telephone_number": "207-283-8800",
"fax_number": "207-294-3562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "JODI",
"middle_name": "E",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2022-09-30",
"certification_date": "2022-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ME",
"license": "PA 164",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saco, ME
- Heather Rowe, LMSW-CC
- Amber Lee Roy, FNP
- Rsu # 23
- Rudolph Skowronski LCSW LLC
- Kimberly G. Rutherford
- Molly Katherine Sabia
- Saco Bay Dental Wellness LLC
- Saco Bay Orthopaedic and Sports Physical Therapy, Inc
- Saco Bay Orthopaedic and Sports Physical Therapy, Inc.
- Saco Bay Orthopaedic and Sports Physical Therapy, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.