DR. RYAN THOMAS BLUCKER (NPI# 1720302003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720302003 |
| Entity Type | Individual |
| Full Name | DR. RYAN THOMAS BLUCKER |
| Practice Address |
1200 Childrens Ave Oklahoma City OK 73104 |
| Mailing Address |
1100 Ne 13th St Oklahoma City OK 73117-1039 |
| Practice Telephone | 4052714407 |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2018-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
1188 | OK | Behavioral Health & Social Service Providers |
| Street Address |
1200 CHILDRENS AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477546679 | Harold M Burkhart | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1200 Childrens Ave, Ste 2e, Oklahoma City, OK 73104-4637 | 2005-08-24 |
| 1841814241 | Trista Anne Vancuren | Student in an Organized Health Care Education/Training Program | 1200 Childrens Ave, Oklahoma City, OK 73104-4637 | 2020-06-01 |
| 1568086965 | Kaleb Evan Fuller | Student in an Organized Health Care Education/Training Program | 1200 Childrens Ave, Oklahoma City, OK 73104-4637 | 2020-06-01 |
| 1366065377 | Caroline Blakley | Student in an Organized Health Care Education/Training Program | 1200 Childrens Ave, Oklahoma City, OK 73104-4637 | 2020-05-26 |
| 1356964514 | Rebecca Mary Varkey | Student in an Organized Health Care Education/Training Program | 1200 Childrens Ave, Oklahoma City, OK 73104-4637 | 2020-05-22 |
| 1821611419 | Nicholas Reede Hoffsommer | Student in an Organized Health Care Education/Training Program | 1200 Childrens Ave, Oklahoma City, OK 73104-4637 | 2020-05-19 |
| 1699398172 | Daniel Joseph Moore | Student in an Organized Health Care Education/Training Program | 1200 Childrens Ave, Oklahoma City, OK 73104-4637 | 2020-05-19 |
| 1982227419 | Huan Pham | Student in an Organized Health Care Education/Training Program | 1200 Childrens Ave, Oklahoma City, OK 73104-4637 | 2020-05-19 |
| 1053934570 | Raj Patel | Student in an Organized Health Care Education/Training Program | 1200 Childrens Ave, Oklahoma City, OK 73104-4637 | 2020-05-19 |
| 1750903449 | Naseem Alammar | Student in an Organized Health Care Education/Training Program | 1200 Childrens Ave, Oklahoma City, OK 73104-4637 | 2020-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356979645 | Kayla Campbell | Dietitian, Registered | Stephenson Cancer Center, 800 Ne 10th Street, Oklahoma City, OK 73104 | 2020-03-31 |
| 1447715453 | Roman Michael Garcia | Dentist | Ou Children's Physicians - Dental Clinic, 1200 Children's Ave, 8f, Oklahoma City, OK 73104 | 2019-02-04 |
| 1265902340 | Jenna Lyn Celii | Registered Nurse | 920 Sl Young Blvd Ste 1140, Oklahoma City, OK 73104 | 2018-11-30 |
| 1407337462 | Opus Medical, LLC | Psychiatry & Neurology | 4 Ne 10th St Suite 467, Oklahoma City, OK 73104 | 2018-08-27 |
| 1316433295 | Syed Muhammad Shakaib Quadri | Pathology | 940 Stanton L. Young Blvd., Bmsb 451, Oklahoma City, OK 73104 | 2018-07-03 |
| 1447746417 | Nimrah Bader | Internal Medicine | 800 Stanton L. Young Blvd., Aat 6300, Oklahoma City, OK 73104 | 2018-07-02 |
| 1417440793 | Helen Judith Turkson Apetor | Nurse Practitioner | 700 Ne 13th, Oklahoma City, OK 73104 | 2018-06-11 |
| 1003307935 | Mary Katlin Nixon | Obstetrics & Gynecology | 800 Stanton L Young Blvd Ste 2319, Oklahoma City, OK 73104 | 2018-05-26 |
| 1558851220 | Bryce Yohannan | Student in an Organized Health Care Education/Training Program | 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 | 2018-05-17 |
| 1346746690 | Kacy Anne Richburg | Orthopaedic Surgery | 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 | 2018-04-04 |
| Find all providers in zip 73104 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891212551 | Mary Elizabeth Mohon | Psychologist | Oklahoma Vamc 921 Ne 13th Street, 11g, Oklahoma City, OK 73104 | 2017-08-24 |
| 1255855110 | Christopher Thomas Copeland | Psychologist | 920 Stanton L Young Blvd # Wp3445, Oklahoma City, OK 73104-5036 | 2017-08-01 |
| 1588063085 | La'queion Ballard | Psychologist | 2221 Ne 24th St, Oklahoma City, OK 73111-3421 | 2014-08-20 |
| 1285915710 | Gloria P Okelley | Psychologist | 4400 Hemingway Dr., # 221, Oklahoma City, OK 73118 | 2011-08-29 |
| 1023214392 | Robert J. Powitzky | Psychologist | 4710 Hemlock Cir, Oklahoma City, OK 73162-1938 | 2007-06-25 |
| 1497877765 | Omar Wr Muhammad | Psychologist | 3312 E Maxwell Dr, Oklahoma City, OK 73121-2246 | 2007-04-05 |
| 1063037604 | Sinqanice D Archer | Psychologist | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5104 | 2020-06-09 |
| 1235684499 | Arthur Randall | Psychologist | 6501 N Broadway Extension, Suite 180, Oklahoma City, OK 73116 | 2016-08-17 |
| 1508236787 | Jonathan Hart | Psychologist | 3035 Nw 63rd St, Ste 227, Oklahoma City, OK 73116-3632 | 2015-10-01 |
| 1831528678 | Assessment and Consultation Services, PC | Psychologist | 6003 N Robinson Ave, Oklahoma City, OK 73118-7425 | 2013-11-02 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73104 |
Please comment or provide details below to improve the information on DR. RYAN THOMAS BLUCKER.
| 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.