Active NPI
Ryan L Thueson, PA-C
- Physician Assistant
- Murray, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 8528275-1206
- Practice address
- 5171 S Cottonwood St Ste 210
Murray, UT 84107-5718 - Phone
- (801) 507-3380
- NPI assigned
- Mar 14, 2013
- Last updated
- Apr 8, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 8528275-1206 | UT | Primary |
| Physician Assistant | 363A00000X | 5369 | AZ |
Addresses
Primary practice location
5171 S Cottonwood St Ste 210
Murray, UT 84107-5718
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRReguestService | Other | Bluemark LLC / Office Ally |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, ID, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3277 E Louise Dr
Suite 150
Meridian, ID 83642-9373
Phone (208) 706-8346
5121 S Cottonwood St
Murray, UT 84107-5701
5171 S Cottonwood St
Suite 210
Murray, UT 84107-5718
Phone (801) 507-3380
608 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970
610 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970
8 TH Ave and C St
LDS Hosp Eeg Phys GRP
Salt Lake City, UT 84143
Phone (801) 507-7000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5369 | AZ | MD | Physical Therapist |
| 8528275-1206 | UT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| St Lukes Clinic-Treasure Valley LLC | Internal Medicine | Current | Accepting new patients |
| Ihc Health Services Inc | Internal Medicine | Current | Accepting new patients |
| After Hours Medical LLC, Dba Medallus Medical | Current | Accepting new patients | |
| Ihc Health Services Inc | Past | Accepting new patients | |
| St Lukes Regional Medical Center | Past | Accepting new patients |
Locations
190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378
610 W Hays St
Boise, ID 83702
Phone (208) 345-3530
3277 E Louise Dr
Ste 100
Meridian, ID 83642
Phone (208) 706-5217
444 Hospital Way
Pocatello, ID 83201
Phone (208) 232-6214
2650 N Tenaya Way
Ste 201
Las Vegas, NV 89128
Phone (702) 736-7154
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
1915 W 5950 S
Roy, UT 84067
Phone (801) 387-8100
5171 S Cottonwood St
Ste 210
Salt Lake City, UT 84107
400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080
5121 S Cottonwood St
Salt Lake Cty, UT 84107
Phone (801) 408-8998
1380 E Medical Center Dr
Ste 4500
St George, UT 84790
Phone (435) 251-2501
1300 SE Cardinal Ct
Ste 190
Vancouver, WA 98683
Phone (360) 448-4479
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba IMED Physicians Billing
- Multi-Specialty Clinic/Center
- Murray, UT
- NPI 1629260880
Internal Medicine
-
- Family Medicine Physician
- Boise, ID
- NPI 1326336058
Internal Medicine
-
dba Dixie Endo-Diabetes Clinic
- Endocrinology, Diabetes & Metabolism Physician
- St George, UT
- NPI 1679854863
NV
-
dba CRMC Family Medicine
- Multi-Specialty Clinic/Center
- Burley, ID
- NPI 1710156922
-
dba After Hours Medical- West Valley Clinic
- Urgent Care Clinic/Center
- West Valley, UT
- NPI 1679675417
-
dba Park City Physicians Billing
- Multi-Specialty Clinic/Center
- Park City, UT
- NPI 1316178478
-
dba Intermountain Cardiovascular and Thoracic Surgery - St. George
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- St George, UT
- NPI 1326173394
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
dba Orem Community Hospital Physicians
- Multi-Specialty Clinic/Center
- Orem, UT
- NPI 1588601124
-
dba St Lukes Meridian Medical Center
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Intermountain Health Intermountain Medical Center
- General Acute Care Hospital
- Murray, UT
- NPI 1043220650
-
dba St Lukes Meridian Medical Center
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
-
dba St Lukes Nampa Medical Center
- General Acute Care Hospital
- Nampa, ID
- NPI 1831590660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775606400000",
"number": "1023359080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27128",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5171 S COTTONWOOD ST STE 210",
"city": "MURRAY",
"state": "UT",
"postal_code": "841075718",
"telephone_number": "801-507-3380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THUESON",
"first_name": "RYAN",
"middle_name": "L",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-14",
"last_updated": "2026-04-08",
"certification_date": "2026-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "UT",
"license": "8528275-1206",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "5369",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRReguestService",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.2019.3",
"affiliationName": "Bluemark LLC / Office Ally",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "1300 SE Cardinal Ct Ste 190",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986839683",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.