RYAN MICHAEL TULLIS (NPI# 1992331334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992331334 |
| Entity Type | Individual |
| Full Name | RYAN MICHAEL TULLIS |
| Practice Address |
2055 N Main St Tooele UT 84074-9819 |
| Practice Telephone | 4358419651 |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2020-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146L00000X | Emergency Medical Technician, Paramedic | 2011906001 | UT | Emergency Medical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114538980 | Ryan Tullis | Durable Medical Equipment & Medical Supplies | 923 Vernon Odom Blvd, Akron, OH 44307-1315 | 2020-08-13 |
| 1881161883 | Ryan Tullis | Counselor | 8915 Sw Center St, Tigard, OR 97223-6307 | 2018-10-28 |
| Street Address |
2055 N MAIN ST |
| City | TOOELE |
| State | UT |
| Zip Code | 84074-9819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467459479 | James Thomas Webber | Radiology | 2055 N Main St, Tooele, UT 84074-9819 | 2005-07-05 |
| 1568908929 | Breann Nicole Banford | Registered Nurse | 2055 N Main St, Tooele, UT 84074-9819 | 2017-01-10 |
| 1467693473 | Cory Ann Hansen | Dietitian, Registered | 2055 N Main St, Tooele, UT 84074-9819 | 2009-03-20 |
| 1013107838 | Tooele Hospital Corporation | Clinic/Center | 2055 N Main St, Tooele, UT 84074-9819 | 2007-07-27 |
| 1477753705 | Tooele Hospital Corporation Inc | Ambulance | 2055 N Main St, Tooele, UT 84074-9819 | 2007-07-24 |
| 1841401155 | Mir-mustafa Mir-kasimov | Internal Medicine | 2055 N Main St, Tooele, UT 84074-9819 | 2007-05-25 |
| 1568597763 | Ronald Scott Overy | Pharmacist | 2055 N Main St, Tooele, UT 84074-9819 | 2007-02-21 |
| 1942345764 | Alan M. Layton | Pharmacist | 2055 N Main St, Tooele, UT 84074-9819 | 2007-02-20 |
| 1730233735 | Tooele Hospital Corporation | Clinic/Center | 2055 N Main St, Tooele, UT 84074-9819 | 2007-01-23 |
| 1972683498 | Dean Dennis Severson | Nurse Anesthetist, Certified Registered | 2055 N Main St, Tooele, UT 84074-9819 | 2006-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689233397 | Leah Elizabeth Harper I | Behavior Technician | 39 Millpond Stansbury Park, Tooele, UT 84074 | 2019-06-07 |
| 1245710789 | Tanna Marie Shelley | Community Health Worker | 27 So Main St, Tooele, UT 84074 | 2018-08-15 |
| 1528548062 | Barbara T Cederlof | Community Health Worker | 27 South Main St., Tooele, UT 84074 | 2018-08-15 |
| 1235615600 | Ashley Christine Wilson | Case Manager/Care Coordinator | 27 South Main, Tooele, UT 84074 | 2018-07-18 |
| 1174016976 | Makenzie Green | Case Manager/Care Coordinator | 27 S Main, Tooele, UT 84074 | 2018-06-07 |
| 1386151835 | Monica Lee | Physical Therapist | 6727 Ut-36 #300, Stansbury Park, UT 84074 | 2018-01-05 |
| 1871976183 | Pagnani Physical Therapy | Physical Therapist | 6727 North State Hwy 36, Suite 300, Stansbury Park, UT 84074 | 2015-07-06 |
| 1407248222 | Pebble Creek Counseling Center | Counselor | 494 E 2400 N Ste B, Tooele, UT 84074 | 2015-03-03 |
| 1528496221 | Emily Carlson | Case Manager/Care Coordinator | 220 North Millpond Rd, Suite 100, Stansbury Park, UT 84074 | 2013-10-16 |
| 1710327218 | Angela Michelle Demoss | Nurse Practitioner | 682 Country Club, Stansbury Park, UT 84074 | 2013-06-28 |
| Find all providers in zip 84074 | ||||
| Taxonomy Code | 146L00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Paramedic |
| An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821638255 | Brandon Nicholas Heimberg | Emergency Medical Technician, Paramedic | 2500 S Lake Park Blvd, West Valley City, UT 84120-8218 | 2020-01-14 |
| 1629543517 | Nathan Ferreira | Emergency Medical Technician, Paramedic | 265 E 900 S, Layton, UT 84041-4149 | 2018-10-08 |
| 1619392586 | Alton Giles | Emergency Medical Technician, Paramedic | 9567 S Misty Oaks Cir, South Jordan, UT 84095-3303 | 2014-02-28 |
Please comment or provide details below to improve the information on RYAN MICHAEL TULLIS.
| 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.