| Ryan D Wilson, DO | |
|
800 24th Ave, Norman, OK 73069 | |
| (405) 321-7100 | |
| Not Available |
| Full Name | Ryan D Wilson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine - Emergency Medical Services |
| Location | 800 24th Ave, Norman, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922094184 | NPI | - | NPPES |
| 200022310A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4123 (Oklahoma) | Secondary |
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 4123 (Oklahoma) | Primary |
| Entity Name | Norman Regional Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912563727 PECOS PAC ID: 2769395185 Enrollment ID: O20031111000299 |
| Entity Name | Immediate Care Of Oklahoma Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164697694 PECOS PAC ID: 2668540774 Enrollment ID: O20081002000355 |
| Entity Name | Emergency Services Of Oklahoma Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215249891 PECOS PAC ID: 8123209012 Enrollment ID: O20110225000085 |
| Entity Name | Oklahoma Emergency Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114239795 PECOS PAC ID: 3678757010 Enrollment ID: O20110411000211 |
| Entity Name | Achieve Health Family Medicine Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164181244 PECOS PAC ID: 8123412087 Enrollment ID: O20220218001993 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan D Wilson, DO 5701 Se 74th St, Suite E, Oklahoma City, OK 73135-1106 Ph: (405) 600-6869 | Ryan D Wilson, DO 800 24th Ave, Norman, OK 73069 Ph: (405) 321-7100 |
Jonathan Wright I, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 N Porter Ave, Attention Physician Residency, Norman, OK 73071 Phone: 405-307-5340 | |
Dr. Spencer Robert Baird, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 N Porter Ave, Norman, OK 73071 Phone: 706-296-1258 | |
Dr. Dylan Rommel, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 N Porter Ave, Norman, OK 73071 Phone: 405-307-1000 | |
Arthur Maduabia, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 N Porter Ave, Norman, OK 73071 Phone: 405-307-5340 | |
Crystal Helena Goree, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 901 N Porter Ave, Norman, OK 73071 Phone: 405-307-1392 | |
Breanna Jacobitz, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 901 N Porter Ave, Norman, OK 73071 Phone: 405-307-1000 | |
Robert Francisco Sanchez, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 901 N Porter Ave, Norman, OK 73071 Phone: 405-307-1392 |