Basic Information
| Provider Information | |||||||||
| NPI: | 1033551361 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GECI | ||||||||
| FirstName: | DONALD | ||||||||
| MiddleName: | RYAN | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | PA-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 761 JOHNSONBURG RD | ||||||||
| Address2: | SUITE 310 | ||||||||
| City: | SAINT MARYS | ||||||||
| State: | PA | ||||||||
| PostalCode: | 158573483 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8148347686 | ||||||||
| FaxNumber: | 8148346291 | ||||||||
| Practice Location | |||||||||
| Address1: | 45 N PINE ST | ||||||||
| Address2: | |||||||||
| City: | PORT ALLEGANY | ||||||||
| State: | PA | ||||||||
| PostalCode: | 167431238 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8146429655 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/29/2013 | ||||||||
| LastUpdateDate: | 03/29/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 03/29/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363AS0400X | MA056261 | PA | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Surgical |
No ID Information.