| Ryan D Wilson, | |
|
335 Township Road 1026, South Point, OH 45680-7842 | |
| (740) 744-4055 | |
| Not Available |
| Full Name | Ryan D Wilson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 335 Township Road 1026, South Point, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932780251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 50.006955RX (Ohio) | Primary |
| Entity Name | Holzer Clinic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508817248 PECOS PAC ID: 5890606008 Enrollment ID: O20031215000746 |
| Entity Name | Ohio Valley Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962433177 PECOS PAC ID: 8729032966 Enrollment ID: O20050422000921 |
| Entity Name | Mercy Health Physicians Youngstown, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154636066 PECOS PAC ID: 9234318270 Enrollment ID: O20110124000753 |
| Entity Name | Mercy Health Physicians Youngstown Specialty Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649892225 PECOS PAC ID: 3476950296 Enrollment ID: O20210921003835 |
| Entity Name | Hospitalist Medicine Physicians of Ohio - Cincinnati Professional Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508698739 PECOS PAC ID: 1850824400 Enrollment ID: O20241104002904 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan D Wilson, 1044 Belmont Ave, Youngstown, OH 44504-1006 Ph: (330) 743-1928 | Ryan D Wilson, 335 Township Road 1026, South Point, OH 45680-7842 Ph: (740) 744-4055 |
Maggie Waggoner, Physician Assistant Medicare: Medicare Enrolled Practice Location: 335 Township Road 1026, South Point, OH 45680 Phone: 740-744-4055 |