RYAN ALEXANDER NELSON PA-C NPI 1134655152

NPI Information

NPI: 1134655152
Provider Name: RYAN ALEXANDER NELSON, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: ORTHOPEDIC SPECIALISTS OF SW

PECOS Registration: Yes

Address:
2531 CLEVELAND AVE STE 1
FORT MYERS, FL
ZIP 33901
Phone: (239) 334-7000
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Ryan Alexander Nelson, PA-C is a surgical physician assistant in Fort Myers, FL with 7 years of experience. Ryan Alexander Nelson, PA-C NPI is 1134655152. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2531 CLEVELAND AVE STE 1
FORT MYERS, FL
ZIP 33901-900
Phone: (239) 334-7000
Fax: (239) 334-7070

The NPI 1134655152 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/11/2017 and was last updated on 12/15/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		12496	MINNESOTA	No
2	363A00000X	Physician Assistant		PA9113002	FLORIDA	No
3	363AS0400X	Physician Assistant	Surgical	PA9113002	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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