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

Individual provider Surgical Physician Assistant · NPI 1356900591

Ryan O'Kelly, PA-C is a Physician Assistant in Warwick, Rhode Island. Qualified in 2019, 7 years ago. Practices with Southcoast Physicians Group Inc, a 872-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
7
Licensed in
RI
In the registry since
2019
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

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone: (401) 273-1122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 285 Promenade St, Providence, RI 02908 — (401) 777-7000
  • 77 Service Rd, West Warwick, RI 02893-7714 — (401) 500-2509

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA01154 (RI)

Record details

NPI number1356900591
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 11, 2019
Last updated in NPPESFebruary 17, 2022
Certification dateFebruary 17, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Southcoast Physicians Group Inc — 872 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Warwick