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

Ryan Shane Tighe

Individual provider Anesthesiologist Assistant · NPI 1366952095

Ryan Shane Tighe is an Anesthesiology Assistant in Fort Wayne, Indiana. Qualified in 2017, 9 years ago. Practices with University of Toledo Physicians LLC, a 395-clinician group. Licensed in Indiana and Ohio.

Years since qualifying
9
Licensed in
IN, OH
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

11141 Parkview Plaza Dr Ste 200
Fort Wayne, IN 46845-1714
Phone: (260) 425-6030
Fax: (260) 425-6028
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 75000153A (IN)
Anesthesiologist Assistant Taxonomy 367H00000X · Licence 67.000312 (OH)

Record details

NPI number1366952095
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 9, 2017
Last updated in NPPESJanuary 2, 2024
Certification dateJanuary 2, 2024
Mailing address11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice University Of Toledo Physicians Llc — 395 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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