RYAN T MUNDY (NPI# 1447488762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447488762 |
| Entity Type | Individual |
| Full Name | RYAN T MUNDY |
| Credential | M.D. |
| Practice Address |
2009 N Main St Premier Pediatrics Muskogee OK 74401-4131 |
| Practice Telephone | 9188164024 |
| Practice Fax Number | 9188164025 |
| Mailing Telephone | 9188164024 |
| Mailing Fax Number | 9188164025 |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2020-08-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 27222 | OK | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7814 E 121st St S, Bixby, OK 740082304 | 9189435777 |
| Street Address |
2009 N MAIN ST PREMIER PEDIATRICS |
| City | MUSKOGEE |
| State | OK |
| Zip Code | 74401-4131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568660728 | Tracy A Hoos II | Pediatrics | 2009 N Main St, Muskogee, OK 74401-4131 | 2007-07-10 |
| 1710445747 | Ashton Deone Lindsey | Nurse Practitioner | 2009 N Main St, Muskogee, OK 74401-4131 | 2019-03-08 |
| 1730560699 | Premier Pediatric and Adolescent Care | Clinic/Center | 2009 N Main St, Muskogee, OK 74401 | 2015-06-16 |
| 1568841286 | Amy Jones | Nurse Practitioner | 2009 N Main St, Muskogee, OK 74401 | 2015-05-27 |
| 1124413075 | Osu Center for Health Sciences | Clinic/Center | 2009 N Main St, Muskogee, OK 74401-4131 | 2015-03-30 |
| 1306031505 | Jennifer Reigh Denton | Nurse Practitioner | 2009 N Main St, Muskogee, OK 74401-4131 | 2007-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508486978 | Economy Pharmacy | Pharmacy | 3414 W. Okmulgee, Muskogee, OK 74401 | 2020-04-25 |
| 1831678390 | Jaclyn Drass | Nurse Practitioner | 201 N 32nd St, Muskogee, OK 74401 | 2018-08-07 |
| 1225530710 | Cliffetta J Harrison | Case Management | 619 N Main St., Muskogee, OK 74401 | 2018-03-01 |
| 1255700720 | Wesley B Higgs | Physical Therapist | 151 Eco-friendly Drive, Suite 101, Muskogee, OK 74401 | 2015-09-15 |
| 1699163626 | Dependable Medical Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 122 S. 38th, Muskoqee, OK 74401 | 2014-12-29 |
| 1134529928 | Mednow Urgent Care Center LLC | Clinic/Center | 550 W Shawnee St, Muskogee, OK 74401 | 2014-08-28 |
| 1447676770 | Ruby Johns | Counselor | 403 N 24th, Muskogee, OK 74401 | 2014-03-11 |
| 1417393380 | Andreka Pace | Counselor | 223 W Southside Boulevard, Muskogee, OK 74401 | 2013-05-17 |
| 1730438342 | Gordon Keith Harlin | Social Worker | 619 N Main, Muskogee, OK 74401 | 2012-08-29 |
| 1740565928 | Channing Kathleen Burke | Counselor | 741 South 32nd Street, Muskogee, OK 74401 | 2011-10-19 |
| Find all providers in zip 74401 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841504362 | Tracy Hoos Do Pllc | Pediatrics | 3101 Chandler Rd Ste 101, Muskogee, OK 74403-4955 | 2010-07-27 |
| 1568660728 | Tracy A Hoos II | Pediatrics | 2009 N Main St, Muskogee, OK 74401-4131 | 2007-07-10 |
| 1841202298 | Jason Randall Graham | Pediatrics | 1805 N York St Ste A, Muskogee, OK 74403-1442 | 2006-08-13 |
| 1235107814 | Therese M.b. Amigo | Pediatrics | 401 S York St, Ccom Medical Group, Inc., Muskogee, OK 74403-5955 | 2006-03-09 |
| 1962475558 | Wade Pediatrics PC | Pediatrics | 3505 W Broadway, Muskogee, OK 74401 | 2006-02-13 |
| 1720633571 | Children's Clinic, Pllc | Pediatrics | 3101 Chandler Rd Ste 101, Muskogee, OK 74403-4955 | 2019-08-08 |
| 1689771735 | Elizabeth Ijeoma Uche | Pediatrics | 401 S York St, Muskogee, OK 74403-5955 | 2006-09-20 |
| 1679595037 | Michael F Stratton | Pediatrics | 3101 Chandler Rd, #101, Muskogee, OK 74403-4954 | 2006-07-24 |
| 1790703130 | Di Wilkinson | Pediatrics | 3101 Chandler Rd, #101, Muskogee, OK 74403-4954 | 2006-07-17 |
| 1104897719 | Thomas A Kincade | Pediatrics | 1001 S 41st St E, Muskogee, OK 74403-6253 | 2006-01-31 |
| Find all providers in MUSKOGEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.