Active NPI
Ryan Michael Laplace, M.D.
- General Practice Physician
- Fort Wainwright, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- NE-28863
- Practice address
- 4076 Neely Road
Fort Wainwright, AK 99703 - Phone
- (907) 361-5893
- NPI assigned
- Jul 23, 2014
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | NE-28863 | NE | Primary |
Addresses
Primary practice location
4076 Neely Road
Fort Wainwright, AK 99703
Mailing address
4076 Neely Road
Fort Wainwright, AK 99703
Phone (907) 361-5893
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- University of Cincinnati College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
215 Chisholm TRL
Jacksboro, TX 76458-1403
Phone (940) 567-6633
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NE-28863 | NE | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord Medical Group PLLC | Current | Accepting new patients | |
| Concord Medical Group of Texas PLLC | Current | Accepting new patients |
Locations
200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241
310 W South St
Henrietta, TX 76365
Phone (806) 647-2191
215 Chisholm Trl
Jacksboro, TX 76458
Phone (940) 567-5528
305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1750790762
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1083630610
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Gatesville, TX
- NPI 1780823021
-
- Critical Access Hospital
- Henrietta, TX
- NPI 1437156361
-
- Critical Access Hospital Clinic/Center
- Henrietta, TX
- NPI 1881175776
-
- Ambulatory Surgical Clinic/Center
- Jacksboro, TX
- NPI 1154419612
Hospital
-
- General Acute Care Hospital
- Jacksboro, TX
- NPI 1790777696
-
- General Acute Care Hospital
- Mineral Wells, TX
- NPI 1972590602
-
- Critical Access Hospital
- Groesbeck, TX
- NPI 1861487779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529020800000",
"number": "1568870418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4076 NEELY ROAD",
"city": "FORT WAINWRIGHT",
"state": "AK",
"postal_code": "99703",
"telephone_number": "907-361-5893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4076 NEELY ROAD",
"city": "FORT WAINWRIGHT",
"state": "AK",
"postal_code": "99703",
"telephone_number": "907-361-5893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAPLACE",
"first_name": "RYAN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-23",
"last_updated": "2018-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NE",
"license": "NE-28863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wainwright, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; 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.