Active NPI
Ryan W McDonald, CRNA
- Certified Registered Nurse Anesthetist
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP30007531
- Practice address
- 3209 S 23Rd St
Suite 340
Tacoma, WA 98405-1602 - Phone
- (253) 272-5127
- NPI assigned
- Oct 19, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | AP30007531 | WA | Primary |
Addresses
Primary practice location
3209 S 23Rd St
Suite 340
Tacoma, WA 98405-1602
Mailing address
2420 S Union Ave
Ste 200
Tacoma, WA 98405-1323
Phone (253) 503-2598
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G8862912 | Other | WA | MDCR PTAN (P) |
| 9651118 | Medicaid | WA | |
| G8914633 | Other | WA | MDCR PTAN (K) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1105 Dale Ave
Benton City, WA 99320-8872
Phone (509) 588-4075
200 Prosser Health Dr
Prosser, WA 99350-7832
Phone (509) 788-6022
723 Memorial St
Prosser, WA 99350-1524
Phone 50978655995599
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.73 of 100
- Quality
- 80.23
- Promoting interoperability
- 82
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prosser Public Hospital District of Benton County | Current | Accepting new patients | |
| Prosser Public Hospital District of Benton County | Current | Accepting new patients | |
| Prosser Public Hospital District of Benton County | Current | Accepting new patients | |
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Yakima Hma Physician Management LLC | Past | Accepting new patients |
Locations
1105 Dale Ave
Benton City, WA 99320
Phone (509) 588-4075
900 S Auburn St
Kennewick, WA 99336
Phone (509) 586-5111
3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000
723 Memorial St
Prosser, WA 99350
Phone (509) 786-2222
Organizations & group practices 5
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.
-
- Critical Access Hospital
- Prosser, WA
- NPI 1306897681
-
- Anesthesiology Physician
- Richardson, TX
- NPI 1649616160
Nurse Anesthetist, Certified Registered, WA
-
- Critical Access Hospital
- Prosser, WA
- NPI 1013956259
-
- Specialist
- Walla Walla, WA
- NPI 1518770155
-
- Family Medicine Physician
- Yakima, WA
- NPI 1730139510
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Prosser, WA
- NPI 1306897681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483574400000",
"number": "1245312552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2420 S UNION AVE",
"address_2": "STE 200",
"city": "TACOMA",
"state": "WA",
"postal_code": "984051323",
"telephone_number": "253-503-2598",
"fax_number": "253-404-0506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3209 S 23RD ST",
"address_2": "SUITE 340",
"city": "TACOMA",
"state": "WA",
"postal_code": "984051602",
"telephone_number": "253-272-5127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "RYAN",
"middle_name": "W",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2017-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP30007531",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDCR PTAN (P)",
"identifier": "G8862912",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9651118",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDCR PTAN (K)",
"identifier": "G8914633",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.