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

Individual provider Physician Assistant · NPI 1679540470

Ryan J Cerny, PA is a Physician Assistant in Grand Rapids, Michigan. Qualified in 2002, 24 years ago. Practices with Advantage Health/Saint Mary's Medical Group, a 494-clinician group and accepts Medicare assignment. Licensed in Illinois and Michigan.

Years since qualifying
24
Licensed in
IL, MI
In the registry since
2006
Specialties on file
2
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

220 Cherry St SE
Grand Rapids, MI 49503
Phone: (616) 685-5050
Fax: (616) 685-8962
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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 5601005608 (MI)
Physician Assistant Taxonomy 363A00000X · Licence 085001941 (IL)

Record details

NPI number1679540470
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 1, 2006
Last updated in NPPESNovember 3, 2009

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Advantage Health/Saint Mary'S Medical Group — 494 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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