Active NPIIndividual provider

Aubrey Ryan, PA

Physician Assistant in Oak Bluffs, Massachusetts

NPI Number1124257803
Practice location
1 Hospital RD, Oak Bluffs, MA 02557-1406
Fax
508-693-5971
Last updated
February 5, 2021

Aubrey Ryan is a Physician Assistant based in Oak Bluffs, MA. Aubrey Ryan practices in Oak Bluffs, MA and has the professional credentials of PA. The NPI Number for Aubrey Ryan is 1124257803 and holds a License No. 013352 (NY). The current practice location address for Aubrey Ryan is 1 Hospital RD, Oak Bluffs, MA 02557-1406 and can be reached out via phone at 508-693-0410 and via fax at 508-693-5971.

Provider Profile Details

NPI Number
1124257803
Provider Name
Aubrey Ryan
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1 Hospital RD, Oak Bluffs, MA 02557-1406
Phone Number
508-693-0410
Fax Number
508-693-5971
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Other Names
-- Aubrey Stimola, PA (Former Name)
Provider Enumeration Date
July 2, 2009
Last Update Date
February 5, 2021
Certification Date
February 5, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Hospital RD
Oak Bluffs, MA 02557-1406
Zip
02557-1406
Phone Number
508-693-0410
Fax Number
508-693-5971
Oak Bluffs, MA 02557Get directions →

Provider Business Mailing Address Details

Address
1 Hospital RD
Oak Bluffs, MA 02557-1406
City
Oak Bluffs
State
MA
Zip
02557-1406
Phone Number
508-693-0410
Fax Number
508-693-5971

License Information

License Number (1)
013352
License State (1)
NY
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
PA7906
License State (2)
MA
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Aubrey Ryan, PA?

The NPI number of Aubrey Ryan, PA is 1124257803. It was assigned on July 2, 2009 and is currently active in the NPPES registry.

What is the specialty of Aubrey Ryan, PA?

Aubrey Ryan, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NY under license number 013352.

Where does Aubrey Ryan, PA practice?

The practice location is 1 Hospital RD, Oak Bluffs, MA 02557-1406. The office can be reached at 508-693-0410 (phone) or 508-693-5971 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124257803 directly on the NPPES registry website.

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