Active NPI
Ryan C Van Woerkom, MD
- Cardiovascular Disease Physician
- Saint George, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 11619461-1205
- Practice address
- 1380 E Medical Center Dr Ste 1500
Saint George, UT 84790-2128 - Phone
- (801) 435-2500
- Fax
- (435) 251-2525
- NPI assigned
- May 5, 2010
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | R8283 | TX | |
| Cardiovascular Disease Physician | 207RC0000X | MD183201 | OR | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Cardiovascular Disease Physician | 207RC0000X | 11619461-1205 | UT | Primary |
Addresses
Primary practice location
1380 E Medical Center Dr Ste 1500
Saint George, UT 84790-2128
Mailing address
1380 E Medical Center Dr Ste 1500
Saint George, UT 84790-2128
Phone (435) 251-2500
Other practice location 1
13400 E Shea Blvd
Scottsdale, AZ 85259-5452
Phone (480) 301-8000
Other practice location 2
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-8311
Other practice location 3
5323 Harry Hines Blvd
Dallas, TX 75390-9257
Phone (214) 633-5555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of Utah School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ihc Health Services Inc
Practice addresses (Care Compare)
1301 Bertha Howe Ave
Suite 6
Mesquite, NV 89027-7503
Phone (435) 251-2500
1380 E Medical Ctr Dr
Suite 1500
St George, UT 84790-2128
Phone (435) 251-2500
2650 N Tenaya Way
Suite 201
Las Vegas, NV 89128-1110
Phone (702) 736-7154
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R8283 | TX | MD | Cardiovascular Disease Physician |
| 11619461-1205 | UT | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Interventional Cardiology | Current | Accepting new patients |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Past | Accepting new patients |
Locations
2650 N Tenaya Way
Ste 201
Las Vegas, NV 89128
Phone (702) 736-7154
110 W 1325 N
Ste 100
Cedar City, UT 84721
Phone (435) 251-2500
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
1380 E Medical Center Dr
Ste 1500
St George, UT 84790
Phone (435) 251-2500
1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- St George, UT
- NPI 1679854863
NV
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
- Urology Physician
- St George, UT
- NPI 1457671513
-
- Interventional Cardiology Physician
- St George, UT
- NPI 1477698223
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Multi-Specialty Clinic/Center
- Orem, UT
- NPI 1588601124
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Beaver, UT
- NPI 1174979108
-
- Critical Access Hospital
- Panguitch, UT
- NPI 1508836867
-
- General Acute Care Hospital
- St George, UT
- NPI 1366452880
-
- General Acute Care Hospital
- Cedar City, UT
- NPI 1538178801
-
- Critical Access Hospital
- Mesquite, NV
- NPI 1275588782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698624000000",
"number": "1477871192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1380 E MEDICAL CENTER DR STE 1500",
"city": "SAINT GEORGE",
"state": "UT",
"postal_code": "847902128",
"telephone_number": "435-251-2500",
"fax_number": "435-251-2525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1380 E MEDICAL CENTER DR STE 1500",
"city": "SAINT GEORGE",
"state": "UT",
"postal_code": "847902128",
"telephone_number": "801-435-2500",
"fax_number": "435-251-2525"
}
],
"practiceLocations": [
{
"address_1": "13400 E Shea Blvd",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852595452",
"country_code": "US",
"telephone_number": "480-301-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3181 SW Sam Jackson Park Rd",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972393011",
"country_code": "US",
"telephone_number": "503-494-8311",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5323 Harry Hines Blvd",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "753909257",
"country_code": "US",
"telephone_number": "214-633-5555",
"fax_number": "214-648-3088",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAN WOERKOM",
"first_name": "RYAN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-05",
"last_updated": "2023-10-30",
"certification_date": "2023-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TX",
"license": "R8283",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "OR",
"license": "MD183201",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "UT",
"license": "11619461-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.