Healthcare Provider Details

I. General information

NPI: 1760937056
Provider Name (Legal Business Name): RYAN ASTON PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2016
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 N 5TH ST STE 201
MARTINS FERRY OH
43935-1582
US

IV. Provider business mailing address

PO BOX 644118
PITTSBURGH PA
15264-4118
US

V. Phone/Fax

Practice location:
  • Phone: 304-217-2152
  • Fax: 304-217-2153
Mailing address:
  • Phone: 304-243-3070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number50.005917RX
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number50.005917RX
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: