Individual provider Active NPI

Ryan Atwood, PA-C

  • Physician Assistant
  • Emmett, ID
National Provider Identifier
1023656782
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1824 Issued in ID
Practice address
207 E 12TH St
Emmett, ID 83617-3626
Phone
(208) 365-1065
Fax
(208) 365-1068
NPI assigned
Dec 12, 2019
Last updated
Jan 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1824 ID Primary
Physician Assistant 363A00000X PA207 OR

Addresses

Primary practice location

207 E 12TH St
Emmett, ID 83617-3626

Mailing address

1441 NE 10TH Ave
Payette, ID 83661-5420
Phone (208) 642-9376

Other identifiers 1

IdentifierTypeStateIssuer
500810620MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200529002635 ID Practitioner - Physician Assistant 7416388863 Reassigns benefits to 2 organizations
I20250703003470 OR Practitioner - Physician Assistant 7416388863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Walter Knox Memorial HospitalGroup PAC ID 7012907785, shared by 3 NPIs, 21 clinicians
Valley Family Health Care IncGroup PAC ID 0547169591, 45 clinicians

Practice addresses (Care Compare)

1102 E Locust St
Emmett, ID 83617-2713
Phone (208) 365-6004

1441 NE 10TH Ave
Payette, ID 83661-5420
Phone (208) 642-9376

207 E 12TH St
Emmett, ID 83617-3626
Phone (208) 365-1065

2327 SW 4TH Ave
Ontario, OR 97914-1851
Phone (541) 889-2340

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA1824IDMDPhysician Assistant
PA207ORMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Walter Knox Memorial Hospital CurrentSince Jan 1, 2022 Accepting new patients
Valley Family Health Care Inc Family Medicine CurrentSince Apr 21, 2025 Accepting new patients
Walter Knox Memorial Hospital Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
Valley Family Health Care, Inc Family Medicine CurrentSince Nov 1, 2021 Accepting new patients
Walter Knox Memorial Hospital Past Accepting new patients
Valley Family Health Care, Inc Family Medicine Past Accepting new patients
Valley Family Health Care, Inc Past Accepting new patients
Walter Knox Memorial Hospital Past Accepting new patients
Valley Family Health Care, Inc Family Medicine Past Accepting new patients

Locations

1102 E Locust St
Emmett, ID 83617
Phone (208) 365-6004

1202 E Locust St
Emmett, ID 83617
Phone (208) 365-2338

207 E 12th St
Emmett, ID 83617
Phone (208) 365-1065

1441 NE 10th Ave
Payette, ID 83661
Phone (208) 642-9376

17 S 3rd St
Nyssa, OR 97913
Phone (541) 372-5738

896 Fortner St
Ontario, OR 97914
Phone (541) 709-2038

789 Washington St W
Vale, OR 97918
Phone (503) 473-2101

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/eb237299-e2be-4fd4-aca6-5fa7adcd28c1/
  • Direct secure messaging: ratwood367471@direct.ochin.org

Organizations & group practices 9

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1023656782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 NE 10TH AVE",
            "city": "PAYETTE",
            "state": "ID",
            "postal_code": "836615420",
            "telephone_number": "208-642-9376",
            "fax_number": "208-642-9376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 E 12TH ST",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836173626",
            "telephone_number": "208-365-1065",
            "fax_number": "208-365-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATWOOD",
        "first_name": "RYAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-12",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA1824",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA207",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500810620",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Emmett, ID

Sources for this page

Verify at the official NPI Registry.