Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Ryan Glynn Goodman

Individual provider Medical Physician Assistant · NPI 1053860387

Mr. Ryan Glynn Goodman is a Physician Assistant in Grand Junction, Colorado. Qualified in 2016, 10 years ago. Practices with Community Medical Group LLC, a 108-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
10
Licensed in
CO
In the registry since
2016
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Practice location Address checks out

1060 Orchard Ave
Grand Junction, CO 81501-2997
Phone: (970) 644-3740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA.0004792 (CO)

Record details

NPI number1053860387
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 28, 2016
Last updated in NPPESSeptember 28, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Community Medical Group Llc — 108 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Grand Junction