DR. PATRICK MICHAEL RYAN (NPI# 1730406349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730406349 |
| Entity Type | Individual |
| Full Name | DR. PATRICK MICHAEL RYAN |
| Credential | MD |
| Practice Address |
4502 E. 41st Street University of Oklahoma, College of Community Medicine Tulsa OK 74135 |
| Mailing Address |
3112 Crestwood Lane Glenview IL 60025 |
| Practice Telephone | 9186603416 |
| Mailing Telephone | 8479985859 |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2015-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | Q5554 | TX | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | Q5554 | TX | Allopathic & Osteopathic Physicians |
| N | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
Q5554 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285271908 | Patrick Gerard Ryan | Nurse Practitioner | 100 Carlyle Dr # 6a-south, Cliffside Park, NJ 07010-3501 | 2019-12-01 |
| 1922667062 | Patrick Ryan | Counselor | 1335 Wyoming St, Missoula, MT 59801-1725 | 2019-06-12 |
| 1013491737 | Patrick Alvin Ryan | Social Worker | 602 Crossett St, Syracuse, NY 13207-1250 | 2018-09-18 |
| 1336324169 | Patrick Keith Ryan | Family Medicine | 4600 Oleander Dr Ste C, Agape Physicians Care, Myrtle Beach, SC 29577-5897 | 2007-12-28 |
| 1306041645 | Patrick Bendon Ryan | Dentist | 2516 Forum Blvd, Suite 200, Columbia, MO 65203-5405 | 2007-06-18 |
| 1013035765 | Patrick J Ryan | Technician/Technologist | 351 Orondo Ave, Wenatchee, WA 98801-2826 | 2007-03-27 |
| 1538286273 | Patrick E Ryan | Dentist | 324 21st Ave, Paterson, NJ 07501-3656 | 2007-03-26 |
| 1174677512 | Patrick Timothy Ryan | Chiropractor | 961 Route 10 East, Box 6, Randolph, NJ 07869 | 2007-01-23 |
| 1386663888 | Patrick Dennis Ryan | Social Worker | 2041 Slabtown Rd, Lima, OH 45801-3307 | 2006-07-18 |
| 1497748016 | Patrick W.a. Ryan | Optometrist | 3410 Pump Rd, Richmond, VA 23233-1111 | 2005-08-30 |
| Street Address |
4502 E. 41ST STREET UNIVERSITY OF OKLAHOMA, COLLEGE OF COMMUNITY MEDICINE |
| City | TULSA |
| State | OK |
| Zip Code | 74135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184821548 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Pediatrics | 4502 E. 41st Street, Ou Bedlam Mobile Clinic, Tulsa, OK 74135-2553 | 2007-06-29 |
| 1003203662 | Thao Tran | Internal Medicine | 4502 E. 41st Street, Tulsa, OK 74135-2512 | 2015-04-22 |
| 1326304296 | Katrina Maria Crader | Psychiatry & Neurology | 4502 E. 41st Street, Schusterman Centre - University of Oklahoma - Tulsa, Tulsa, OK 74135-2512 | 2012-04-05 |
| 1629206941 | Fausat A Adediji | Pediatrics | 4502 E. 41st Street, Ou Department of Pediatrics, Tulsa, OK 74135 | 2009-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761590 | Dr. Whitney M. Ellsworth, Dpt, Pllc | Physical Therapist | 4185 S Harvard Ave, Suite E-1, Tulsa, OK 74135 | 2020-08-20 |
| 1942839089 | Kimberly Renee Gillens | Student in an Organized Health Care Education/Training Program | 4502 E 41st Street Obgyn Department, Tulsa, OK 74135 | 2020-04-01 |
| 1528525524 | Everest Pain Management | Clinic/Center | 4134 S Harvard Ave Suite B1, Tulsa, OK 74135 | 2019-02-26 |
| 1326524216 | Shelley Deeann Anderson | Technician | 7359 S 68th, Tulsa, OK 74135 | 2018-07-14 |
| 1811489065 | Taylor Diane Spears | Behavioral Analyst | 4835 S Fulton Ave Suite 104, Tulsa, OK 74135 | 2018-06-04 |
| 1225547821 | Heather Nicole Freed | Counselor | 4363 S Harvard Ave, Tulsa, OK 74135 | 2017-09-26 |
| 1306363924 | Danielle Walker | Case Manager/Care Coordinator | 3244 S Lakewood Ave Apt 4e, Tulsa, OK 74135 | 2017-08-24 |
| 1346766078 | Angels Place | Day Training, Developmentally Disabled Services | 3919 S. Oswego Avenue, Tulsa, OK 74135 | 2017-08-15 |
| 1659800019 | Welena-phay Kamamma Boren | Counselor | 4636 S Harvard Avenue, Tulsa, OK 74135 | 2017-06-08 |
| 1346774197 | Brandie Herren | Registered Nurse | 6333 E Skelly Drive, Tulsa, OK 74135 | 2017-04-19 |
| Find all providers in zip 74135 | ||||
| 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 |
|---|---|---|---|---|
| 1679067664 | Laurie Ann Alfrey | Pediatrics | 1025 E 18th St, Tulsa, OK 74120-7406 | 2018-06-21 |
| 1114468436 | Vanessa Boshuizen | Pediatrics | 12020 E 31st St, Tulsa, OK 74146-2001 | 2017-03-20 |
| 1407390115 | Empower Pediatrics | Pediatrics | 9659 Riverside Pkwy, Tulsa, OK 74137-7398 | 2016-12-14 |
| 1346660834 | Amber Lee Shipman | Pediatrics | 3516 E 31st Street South, Suite B, Tulsa, OK 74135 | 2014-04-23 |
| 1811239569 | Sara Mcdonald | Pediatrics | 1919 S Wheeling Ave Ste 304, Tulsa, OK 74104-5632 | 2013-03-20 |
| 1265782338 | Milestones Pediatric Urgent Care | Pediatrics | 3863 South 103rd E Avenue, Tulsa, OK 74146 | 2012-09-14 |
| 1588982219 | Mary Emlyn Garber Baird | Pediatrics | 4444 East 41st Street, Ou Pediatrics, Tulsa, OK 74135-2512 | 2010-05-05 |
| 1982859963 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Pediatrics | 4502 E 41st Street, 2g08, Ou Physicians Tulsa Community Health, Tulsa, OK 74135-2529 | 2008-11-18 |
| 1184872004 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Pediatrics | 619 S. Quincy Ave., Ouptch-laura Dester Shelter, Tulsa, OK 74120 | 2008-09-04 |
| 1437307550 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Pediatrics | 8811 E. 31st Street South, Ouptch-skelly, Tulsa, OK 74145 | 2008-09-03 |
| Find all providers in TULSA | ||||
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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.