MR. RYAN JOSEPH HOUSNER PA-C NPI 1205942539

NPI Information

  • NPI: 1205942539
  • Provider Name: MR. RYAN JOSEPH HOUSNER, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 890 GARFIELD AVE
    SUITE 101
    LIBERTYVILLE, IL
    ZIP 60048
  • Phone: (847) 990-5636

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NPI Details

MR. Ryan Joseph Housner, PA-C is a surgical physician assistant in Libertyville, IL with 20 years of experience. MR. Ryan Joseph Housner, PA-C NPI is 1205942539. 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:

890 GARFIELD AVE
SUITE 101
LIBERTYVILLE, IL
ZIP 60048-723
Phone: (847) 990-5636
Fax: (847) 676-1549

The NPI 1205942539 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Harvest of vein using an endoscope (HCPCS:33508)
  • Coronary artery bypass using artery graft, 1 graft (HCPCS:33533)
  • Coronary artery bypass using vein or artery graft, 2 grafts (HCPCS:33518)
  • Removal of blood clot and portion of chest, neck, or brain artery (HCPCS:35301)

The enumeration date for this NPI number is 8/21/2006 and was last updated on 12/17/2021.

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
1363AS0400XPhysician AssistantSurgical2680-023WISCONSINNo
2363AS0400XPhysician AssistantSurgical10000873AINDIANANo
3363AS0400XPhysician AssistantSurgical085002765ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11205942539MEDICAIDWISCONSIN

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: 11/21/2025

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