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

Individual provider Surgical Physician Assistant · NPI 1457121097

Ryan Odiorne, PA-C is a Physician Assistant in Las Vegas, Nevada. Graduated from Touro Un Col of Osteopathic Medicine, Henderson in 2020, 6 years ago. Licensed in Nevada.

Years since qualifying
6
Trained at
Touro Un Col of Osteopathic Medicine, Henderson
Licensed in
NV
In the registry since
2024
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

2800 E Desert Inn Rd Ste 100
Las Vegas, NV 89121-3609
Phone: (702) 731-1616
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA2922 (NV)

Record details

NPI number1457121097
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 4, 2024
Last updated in NPPESJanuary 4, 2024
Certification dateJanuary 4, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolTOURO UN COL OF OSTEOPATHIC MEDICINE, HENDERSON
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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