RYAN CAVANAUGH LADUKE PA-C NPI 1104222793

NPI Information

  • NPI: 1104222793
  • Provider Name: RYAN CAVANAUGH LADUKE, PA-C
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 601 ELMWOOD AVE
    ROCHESTER, NY
    ZIP 14642
  • Phone: (585) 275-2100

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NPI Details

Ryan Cavanaugh Laduke, PA-C is a physician assistant in Rochester, NY with 11 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Ryan Cavanaugh Laduke, PA-C NPI is 1104222793. 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:

601 ELMWOOD AVE
ROCHESTER, NY
ZIP 14642-001
Phone: (585) 275-2100

The NPI 1104222793 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.

  • Emergency department visit for life threatening or functioning severity (HCPCS:99285)
  • Emergency department visit for problem of high severity (HCPCS:99284)
  • Emergency department visit for problem of moderate severity (HCPCS:99283)

The enumeration date for this NPI number is 11/10/2014 and was last updated on 7/3/2023.

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
1207P00000XEmergency MedicinePA031095DISTRICT OF COLUMBIANo
2363A00000XPhysician AssistantPA031095DISTRICT OF COLUMBIANo
3363A00000XPhysician Assistant23917NEW YORKNo
4363A00000XPhysician Assistant023917NEW YORKYes

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
1023917OTHERNEW YORKTHE UNIVERSITY OF THE STATE OF NEW YORK EDUCATION DEPARTMENT
2CA1400053OTHERDISTRICT OF COLUMBIACONTROLLED SUBSTANCE LICESNE
3PA031095OTHERDISTRICT OF COLUMBIAPHYSICIAN ASSISTANT LICENSE

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: 3/30/2025

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