Ryan C Mogadam
Physician Assistant, Medical in Chicopee, Massachusetts
1558964445- Practice location
- 1176 Memorial Dr, Chicopee, MA 01020-3958
- Phone
- 703-618-3116
- Fax
- —
- Last updated
- October 5, 2021
Ryan Christopher Mogadam is a Physician Assistant, Medical based in Chicopee, MA. Ryan Christopher Mogadam practices in Chicopee, MA. The NPI Number for Ryan Christopher Mogadam is 1558964445. The current practice location address for Ryan Christopher Mogadam is 1176 Memorial Dr, Chicopee, MA 01020-3958 and can be reached out via phone at 703-618-3116.
Provider Profile Details
- NPI Number
- 1558964445
- Provider Name
- Ryan Christopher Mogadam
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1176 Memorial Dr, Chicopee, MA 01020-3958
- Phone Number
- 703-618-3116
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 21, 2020
- Last Update Date
- October 5, 2021
- Certification Date
- October 5, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1176 Memorial Dr
Chicopee, MA 01020-3958 - City
- Chicopee
- State
- Massachusetts
- Zip
- 01020-3958
- Phone Number
- 703-618-3116
Provider Business Mailing Address Details
- Address
- 19 Lockhouse RD Apt 2-4
Westfield, MA 01085-1202 - City
- Westfield
- State
- MA
- Zip
- 01085-1202
- Phone Number
- 703-618-3116
License Information
- Taxonomy
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Ryan C Mogadam?
The NPI number of Ryan C Mogadam is 1558964445. It was assigned on November 21, 2020 and is currently active in the NPPES registry.
What is the specialty of Ryan C Mogadam?
Ryan C Mogadam is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X).
Where does Ryan C Mogadam practice?
The practice location is 1176 Memorial Dr, Chicopee, MA 01020-3958. The office can be reached at 703-618-3116 (phone).
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 1558964445 directly on the NPPES registry website.