Ryan Freemyer MD PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

M3551 Issued in TX

Legal business name

RYAN FREEMYER MD PA

Practice address

214 Southwest 26TH Avenue
Suite a
Mineral Wells, TX 76067

Phone

(940) 859-3374

NPI assigned

Jun 13, 2007

Last updated

Aug 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ryan Freemyer, MD

Title

Owner

Phone

(940) 859-3374

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218758400000",
    "number": "1427252469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 OAKMONT DRIVE",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "76088",
            "telephone_number": "940-859-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 SOUTHWEST 26TH AVENUE",
            "address_2": "SUITE A",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "76067",
            "telephone_number": "940-859-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN FREEMYER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2008-08-15",
        "status": "A",
        "authorized_official_last_name": "FREEMYER",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-859-3374",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "M3551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "00Y849",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Resort Lodge, Inc.
• Richard W Hoefelmann MD PA
• Robert C Allensworth MD,PA
• Janet L Rounsville, FNP-C
• Ryan Freemyer
• Taryn Powell Sandvig
• Santo Isd
• Serenity Estates LLC
• Meng Seth, CRNA
• Simply Health Mobile Clinic PLLC (Simply Health Mobile Clinic)

• Surgery Physician in Mineral Wells, TX
• Providers in Mineral Wells, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; 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.