NPIMap

Individual provider Active NPI

Ryan Vincent

  • Pain Medicine (Anesthesiology) Physician
  • Oklahoma City, OK
National Provider Identifier
1376986604
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
30777 Issued in OK
Practice address
401 SW 80TH St
BLDG D, Ste. 200
Oklahoma City, OK 73139-8123
Phone
(405) 619-4470
Fax
(405) 900-5363
NPI assigned
Apr 17, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 30777 OK Primary
Anesthesiology Physician 207L00000X 30777 OK

Addresses

Primary practice location

401 SW 80TH St
BLDG D, Ste. 200
Oklahoma City, OK 73139-8123

Mailing address

2420 NW 43Rd Cir
Oklahoma City, OK 73112-8722

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190813002139 OK Practitioner - Interventional Pain ManagementPractitioner - Pain Management 7517294531 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
University of Oklahoma College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southwest Orthopaedic Specialists, PLLCGroup PAC ID 9931180346, 21 clinicians

Practice addresses (Care Compare)

8100 S Walker Ave BLDG a
Southwest Orthopaedic and Reconstructive
Oklahoma City, OK 73139-9475
Phone (405) 632-4468

Hospital & facility affiliations

  • Oklahoma Center for Orthopaedic & Multi-SP Hospital, Oklahoma City, OK, CCN 370212
  • Integris Southwest Medical Center Hospital, Oklahoma City, OK, CCN 370106
  • Mercy Hospital Oklahoma City, Inc Hospital, Oklahoma City, OK, CCN 370013
  • Integris Baptist Medical Center, Inc Hospital, Oklahoma City, OK, CCN 370028

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Orthopaedic Specialists, PLLC CurrentSince May 1, 2023 Accepting new patients
Southwest Orthopaedic Specialists, P.L.L.C. CurrentSince May 1, 2023 Accepting new patients
Mercy Clinic Oklahoma Communities CurrentSince Jul 29, 2019 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Summit Medical Center Past Accepting new patients
Oklahoma Center for Orthopaedic & Multi-Specialty Surgery, LLC Past Accepting new patients

Locations

2017 W I 35 Frontage Rd
Ste 130
Edmond, OK 73013
Phone (405) 757-3630

2017 W I 35 Frontage Rd
Edmond, OK 73013
Phone (405) 509-2800

8100 S Walker Ave
Bldg A
Oklahoma City, OK 73139

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

6001 NW 139th St
Ste A
Oklahoma City, OK 73142
Phone (405) 635-3511

401 SW 80th St
Ste 200
Oklahoma City, OK 73139
Phone (405) 601-4227

8100 S Walker Ave
Oklahoma City, OK 73139
Phone (405) 602-6500

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

2506 N Harrison St
Shawnee, OK 74804
Phone (405) 214-0300

1805 Commons Cir
Ste 100C
Yukon, OK 73099
Phone (405) 265-0165

Interoperability endpoints

  • Direct secure messaging: rvincent1031402@directc.mercy.net
  • Direct secure messaging: rvincent394611@direct.integrisok.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/ed29dd2e-7f6b-4b48-93ba-6ba78c79cd2d/

Organizations & group practices 6

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.

Hospital & facility affiliations 9

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": "1366156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1376986604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 NW 43RD CIR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731128722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SW 80TH ST",
            "address_2": "BLDG D, STE. 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731398123",
            "telephone_number": "405-619-4470",
            "fax_number": "405-900-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-17",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OK",
            "license": "30777",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "30777",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.