Individual provider Active NPI

Ryan Samuel Stepinoff, PA-C

  • Medical Physician Assistant
  • Fort Worth, TX
National Provider Identifier
1215255146
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
17487375 Issued in TX
Practice address
6913 Camp Bowie Blvd Ste 141
Fort Worth, TX 76116-7165
Phone
(817) 560-4540
Fax
(817) 560-4547
NPI assigned
May 17, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 17487375 TX Primary

Addresses

Primary practice location

6913 Camp Bowie Blvd Ste 141
Fort Worth, TX 76116-7165

Mailing address

6913 Camp Bowie Blvd Ste 141
Fort Worth, TX 76116-7165
Phone (817) 560-4540

Other practice location 1

800 W Airport Fwy # 959
Irving, TX 75062-6312
Phone (972) 445-4134

Other practice location 2

13112 Hwy 110 S
Tyler, TX 75707-6350
Phone (903) 597-8007

Other practice location 3

5610 Red Bird Center Dr Ste 500
Dallas, TX 75237-1916
Phone (972) 293-2717

Other practice location 4

6913 Camp Bowie Blvd Ste 173
Fort Worth, TX 76116-7169
Phone (817) 510-8880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17487375TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allen Health Systems PLLC Medical Past Accepting new patients
Blue Star Pain Center,LLC PastSince Jun 16, 2024 Accepting new patients
The Ortho Spine Clinic PastSince May 26, 2024 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1215255146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6913 CAMP BOWIE BLVD STE 141",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761167165",
            "telephone_number": "817-560-4540",
            "fax_number": "817-560-4547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6913 CAMP BOWIE BLVD STE 141",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761167165",
            "telephone_number": "817-560-4540",
            "fax_number": "817-560-4547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 W Airport Fwy # 959",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750626312",
            "country_code": "US",
            "telephone_number": "972-445-4134",
            "fax_number": "972-445-4135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13112 Hwy 110 S",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757076350",
            "country_code": "US",
            "telephone_number": "903-597-8007",
            "fax_number": "903-597-1222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5610 Red Bird Center Dr Ste 500",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752371916",
            "country_code": "US",
            "telephone_number": "972-293-2717",
            "fax_number": "972-296-2177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6913 Camp Bowie Blvd Ste 173",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761167169",
            "country_code": "US",
            "telephone_number": "817-510-8880",
            "fax_number": "817-510-8881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPINOFF",
        "first_name": "RYAN",
        "middle_name": "SAMUEL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-17",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "17487375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.