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

Ryan Anthony Johnson

Individual provider Physician Assistant · NPI 1578371241

Ryan Anthony Johnson is a Physician Assistant in Peoria, Illinois. Works from 4 locations. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone: (309) 655-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 3333 N Seminary St, Galesburg, IL 61401-1251 — (309) 344-3161
  • 1100 E Norris Dr, Ottawa, IL 61350-1604 — (815) 433-3100
  • 2500 W Reynolds St, Pontiac, IL 61764-9784 — (815) 842-2828

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1578371241
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 26, 2024
Last updated in NPPESDecember 26, 2024
Certification dateDecember 26, 2024
Mailing address8731 Burr St, Crown Point, IN 46307-1519

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