Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Ryan Crowder, PA-C

Individual provider Physician Assistant · NPI 1558784728

Mr. Ryan Crowder, PA-C is a Physician Assistant in Fayetteville, Arkansas. Qualified in 2013, 13 years ago. Practices with Advanced Dermatology and Skin Cancer Center, LLC, a 9-clinician group and accepts Medicare assignment.

Years since qualifying
13
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1444 E Stearns St
Fayetteville, AR 72703-6243
Phone: (479) 718-7546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1558784728
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 24, 2014
Last updated in NPPESJanuary 24, 2014
Mailing address1444 E Stearns St, Fayetteville, AR 72703-6243

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Advanced Dermatology And Skin Cancer Center, Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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