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

Ryan Chris Moellenkamp, PA

Individual provider Surgical Physician Assistant · NPI 1740673920

Ryan Chris Moellenkamp, PA is a Physician Assistant in Oak Ridge, Tennessee. Qualified in 2014, 12 years ago. Practices with Southeastern Emergency Physicians LLC, a 786-clinician group and accepts Medicare assignment. Licensed in North Carolina and Tennessee.

Years since qualifying
12
Licensed in
NC, TN
In the registry since
2015
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

90 Vermont Ave Ste 300
Oak Ridge, TN 37830-6478
Phone: (865) 481-2541
Fax: (865) 483-8151
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2928 (TN)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 2928 (TN)
Physician Assistant Taxonomy 363A00000X · Licence 0010-05615 (NC)

Record details

NPI number1740673920
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 11, 2015
Last updated in NPPESJuly 3, 2019
Mailing address90 Vermont Ave Ste 300, Oak Ridge, TN 37830-6478

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Southeastern Emergency Physicians Llc — 786 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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