Individual provider Active NPI

Ryan Daniel Gholson, MD

  • Obstetrics Physician
  • Owasso, OK
National Provider Identifier
1285951186
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
390200000X Issued in OK
Practice address
8422 N 123Rd East Ave
Owasso, OK 74055-2130
Phone
(918) 212-4848
NPI assigned
May 1, 2010
Last updated
Jul 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 390200000X OK Primary

Addresses

Primary practice location

8422 N 123Rd East Ave
Owasso, OK 74055-2130

Mailing address

8422 N 123Rd East Ave
Owasso, OK 74055-2130
Phone (918) 212-4848

Other practice location 1

8803 S 101st East Ave Ste 210
Tulsa, OK 74133-5730
Phone (918) 294-3430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, AR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140826000963 OK Practitioner - Obstetrics/Gynecology 5991928202 Reassigns benefits to 2 organizations
I20220426001617 AR Practitioner - Obstetrics/Gynecology 5991928202 Reassigns benefits to 8 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
390200000XOKMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Fort Smith Communities CurrentSince Mar 23, 2023 Accepting new patients
Springdale- Bentonville HBP Services, LLC CurrentSince Jan 20, 2025 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Mar 23, 2023 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Dec 19, 2023 Accepting new patients
Mercy Health Northwest Arkansas Communities Current Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Dec 19, 2023 Accepting new patients
Washington Regional Medical System CurrentSince Dec 1, 2023 Accepting new patients
Washington Regional Medical System CurrentSince Dec 1, 2023 Accepting new patients
Obhg Arkansas West PA CurrentSince Feb 1, 2023 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Dec 19, 2023 Accepting new patients
Washington Regional Medical System Current Accepting new patients
Northeastern Oklahoma Community Health Centers Inc CurrentSince Jun 5, 2023 Accepting new patients
Northeastern Oklahoma Community Health Centers Inc Current Accepting new patients
Obhg Oklahoma, P.C. CurrentSince May 28, 2023 Accepting new patients
Obhg Arkansas, PA CurrentSince Jan 20, 2022 Accepting new patients
Northeastern Oklahoma Community Health Centers, Inc. CurrentSince Jun 5, 2023 Accepting new patients
Washington Regional Medical System Past Accepting new patients
Oklahoma State University Past Accepting new patients
Oklahoma State University Past Accepting new patients

Locations

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

3000 Medical Center Pkwy
Bentonville, AR 72712
Phone (479) 553-2524

3215 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 463-1000

114 E Sunbridge Dr
Fayetteville, AR 72703
Phone (479) 463-2597

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

7001 Rogers Ave
Ste 403
Fort Smith, AR 72903
Phone (479) 573-3101

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-8000

3333 S Pinnacle Hills Pkwy
Ste 300B
Rogers, AR 72758
Phone (479) 338-4600

603 N Progress Ave
Siloam Springs, AR 72761
Phone (479) 215-3000

4301 Willow Creek Dr
Springdale, AR 72762
Phone (479) 684-3104

124 E Main St
Hulbert, OK 74441
Phone (918) 772-2879

1500 E Downing St
Ste 201
Tahlequah, OK 74464
Phone (918) 772-3390

1500 E Downing St
Ste 208
Tahlequah, OK 74464
Phone (918) 456-2496

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

Interoperability endpoints

  • Direct secure messaging: rgholson23114@washingtonregional.direct-ci.com
  • Direct secure messaging: ryan.gholson@direct.stjohnhealthsystem.com

Organizations & group practices 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1272672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1285951186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8422 N 123RD EAST AVE",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740552130",
            "telephone_number": "918-212-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8422 N 123RD EAST AVE",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740552130",
            "telephone_number": "918-212-4848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8803 S 101st East Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741335730",
            "country_code": "US",
            "telephone_number": "918-294-3430",
            "fax_number": "918-294-3910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHOLSON",
        "first_name": "RYAN",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-01",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "OK",
            "license": "390200000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owasso, OK

Sources for this page

Verify at the official NPI Registry.