Ryan D Wilson (NPI# 1922094184, PAC ID# 5294649380) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1922094184 |
| PAC ID by PECOS | 5294649380 |
| Professional Enrollment ID | I20031113000413 |
| Full Name | Ryan D Wilson |
| Organization Legal Name | IMMEDIATE CARE OF OKLAHOMA LLC |
| Address |
11808 S May Ave Oklahoma City OK 73170-2560 |
| Phone Number | 4057352370 |
| Gender | M |
| Credential | DO |
| Medical School | OKLAHOMA COLLEGE OF OSTEOPATHIC MEDICINE AND SURGERY |
| Graduation Year | 2002 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 2668540774 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370008 | NORMAN REGIONAL |
| Address | Phone | Organization |
|---|---|---|
| 11808 S May Ave, Oklahoma City, OK 73170-2560 | 4057352370 | IMMEDIATE CARE OF OKLAHOMA LLC |
| Organization Legal Name | IMMEDIATE CARE OF OKLAHOMA LLC |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie V Badaroux | Physician Assistant | Immediate Care of Oklahoma LLC | 800 24th Ave Nw, Norman, OK 73069-6314 |
| Roy Slootheer | Nurse Practitioner | Immediate Care of Oklahoma LLC | 11808 S May Ave, Oklahoma City, OK 73170-2560 |
| Anthony Eugene Johnson | Nurse Practitioner | Immediate Care of Oklahoma LLC | 800 24th Ave Nw, Norman, OK 73069-6314 |
| Richard D Brock | Family Medicine | Immediate Care of Oklahoma LLC | 11808 S May Ave, Oklahoma City, OK 73170-2560 |
| Ralph J Nelson | Emergency Medicine | Immediate Care of Oklahoma LLC | 800 24th Ave Nw, Norman, OK 73069-6314 |
| Brian M Herb | Physician Assistant | Immediate Care of Oklahoma LLC | 800 24th Ave Nw, Norman, OK 73069-6314 |
| Charles M Braden | Physician Assistant | Immediate Care of Oklahoma LLC | 800 24th Ave Nw, Norman, OK 73069-6314 |
| Cindy L Hudspeth | Physician Assistant | Immediate Care of Oklahoma LLC | 3400 W Tecumseh Rd, Suite 100, Norman, OK 73072-1810 |
| Robert Arnold Todd Jr. | Emergency Medicine | Immediate Care of Oklahoma LLC | 800 24th Ave Nw, Norman, OK 73069-6314 |
| Jana L Thornton | Physician Assistant | Immediate Care of Oklahoma LLC | 800 24th Ave Nw, Norman, OK 73069-6314 |
| Street Address |
11808 S MAY AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip | 73170-2560 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roy Slootheer | Nurse Practitioner | Immediate Care of Oklahoma LLC | 11808 S May Ave, Oklahoma City, OK 73170-2560 |
| Richard D Brock | Family Medicine | Immediate Care of Oklahoma LLC | 11808 S May Ave, Oklahoma City, OK 73170-2560 |
| Kyle E Hollingsworth | Physician Assistant | Immediate Care of Oklahoma LLC | 11808 S May Ave, Oklahoma City, OK 73170-2560 |
| Amanda A Bodine | Physician Assistant | Immediate Care of Oklahoma LLC | 11808 S May Ave, Oklahoma City, OK 73170-2560 |
| Cassie Mcintosh | Nurse Practitioner | Immediate Care of Oklahoma LLC | 11808 S May Ave, Oklahoma City, OK 73170-2560 |
| Cassandra M Gentry | Physician Assistant | Immediate Care of Oklahoma LLC | 11808 S May Ave, Oklahoma City, OK 73170-2560 |
| Jessi M Siler | Physician Assistant | Immediate Care of Oklahoma LLC | 11808 S May Ave, Oklahoma City, OK 73170-2560 |
| Brandon S. Drabek | Family Practice | Immediate Care of Oklahoma LLC | 11808 S May Ave, Oklahoma City, OK 73170-2560 |
| Jeremy George Tanner | Nurse Practitioner | Immediate Care of Oklahoma LLC | 11808 S May Ave, Oklahoma City, OK 73170-2560 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pritish S Patel | Optometry | 10740 S May Ave, Suite 115, Oklahoma City, OK 73170-2562 | |
| Larhonda K Sims | Family Medicine | Norman Regional Providers-primary Care | 2605 Sw 119th St A, Primary Care South Okc, Oklahoma City, OK 73170-2601 |
| Thomas Alan Jarvis | Family Medicine | Norman Regional Providers-primary Care | 2605 Sw 119th St A, Primary Care South Okc, Oklahoma City, OK 73170-2601 |
| Shrilekha C Parikh | Internal Medicine | Norman Regional Providers-primary Care | 2605 Sw 119th St A, Primary Care South Okc, Oklahoma City, OK 73170-2601 |
| Nicole M Oweis | Nurse Practitioner | Donald H Kim Md PC | 2815 Sw 119th St, Oklahoma City, OK 73170-2605 |
| Donald H Kim | Internal Medicine | Donald H Kim Md PC | 2815 Sw 119th St, Oklahoma City, OK 73170-2605 |
| Julie M Shelley | Family Practice | Mercy Clinic Oklahoma Communities | 2601 Sw 119th St, Oklahoma City, OK 73170-2625 |
| James Matthew Gentry | Optometry | 2601 Sw 119th St B, The Eye Gallery, Oklahoma City, OK 73170-2625 | |
| John A Koontz | Family Medicine | Mercy Clinic Oklahoma Communities | 2603 Sw 119th St, Oklahoma City, OK 73170-2628 |
| Valerie Manning | Family Medicine | Norman Regional Providers-primary Care | 2625 Sw 119th St A, Primary Care Waterview, Oklahoma City, OK 73170-2655 |
| Find all physicians in zip 73170 | |||
| City | OKLAHOMA CITY |
| Zip Code | 73170 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | OKLAHOMA CITY + EMERGENCY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.