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

Individual provider Physician Assistant · NPI 1205238870

Mr. Ryan Wells Penrod, PA-C is a Physician Assistant in Phoenix, Arizona. Works from 3 locations. Licensed in Arizona.

Licensed in
AZ
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

19841 N 27th Ave Ste 403
Phoenix, AZ 85027-4007
Phone: (602) 439-0274
Fax: (480) 900-8625
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 7312 E Deer Valley Rd Ste 100, Scottsdale, AZ 85255-7452 — (480) 454-4185
  • 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 — (480) 301-8000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5814 (AZ)

Record details

NPI number1205238870
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 25, 2014
Last updated in NPPESNovember 8, 2024
Certification dateNovember 8, 2024

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