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

Ryan Halloran

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1851917561

Ryan Halloran is a Physician Assistant in Norwalk, Connecticut. Qualified in 2020, 6 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

8 Apple St
Norwalk, CT 06851-4104
Phone: (203) 803-8690
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1851917561
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 18, 2020
Last updated in NPPESDecember 22, 2021
Certification dateDecember 22, 2021
Mailing address8 Apple St, Norwalk, CT 06851-4104

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Norwalk