| Kim A Ryan, PA | |
|
6908 E Reno Ave, Midwest City, OK 73110-2128 | |
| (405) 737-7000 | |
| (405) 737-7700 |
| Full Name | Kim A Ryan |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 28 Years |
| Location | 6908 E Reno Ave, Midwest City, Oklahoma |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396927760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 898 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health St Anthony Hospital - Shawnee | Shawnee, OK | Hospital |
| Ssm Health St Anthony Hospital - Oklahoma City | Oklahoma city, OK | Hospital |
| Ssm Health St Anthony Hospital - Midwest | Midwest city, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saints Medical Group, Llc | 7012914898 | 430 |
| Entity Name | Saints Medical Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437195922 PECOS PAC ID: 7012914898 Enrollment ID: O20061109000189 |
| Mailing Address | Practice Location Address |
|---|---|
| Kim A Ryan, PA Po Box 269064, Oklahoma City, OK 73126-9064 Ph: (405) 231-3857 | Kim A Ryan, PA 6908 E Reno Ave, Midwest City, OK 73110-2128 Ph: (405) 737-7000 |
Julie Anne Meritt, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1380 S Douglas Blvd, Midwest City, OK 73130 Phone: 405-737-0881 Fax: 405-737-0899 |
Kelle R Christianson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9917 Se 15th St, Midwest City, OK 73130 Phone: 405-622-2070 |
Mr. Chad N Hudson, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2825 Parklawn Dr, Midwest City, OK 73110 Phone: 405-610-4411 |
Madison Lynn Sparks, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8900 Se 15th St, Midwest City, OK 73110 Phone: 405-737-3278 |
Jayci L Purvis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9917 Se 15th St, Midwest City, OK 73130 Phone: 405-622-2070 |
Morgan Bell, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2825 Parklawn Dr, Midwest City, OK 73110 Phone: 405-610-4411 |
Caroline Sitton, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2825 Parklawn Dr, Midwest City, OK 73110 Phone: 405-610-4411 |