Active NPI
Ryan C. Arnold, MD
- Obstetrics & Gynecology Physician
- Minocqua, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 64619
- Practice address
- 9601 Townline Rd
Minocqua, WI 54548 - Phone
- (715) 358-1000
- NPI assigned
- Mar 24, 2010
- Last updated
- Oct 5, 2020
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 64619 | WI | Primary |
Addresses
Primary practice location
9601 Townline Rd
Minocqua, WI 54548
Mailing address
2518 E Dupont Rd
Fort Wayne, IN 46825-1675
Phone (260) 432-4400
Other practice location 1
219 Bryant St
Buffalo, NY 14222-2006
Phone (716) 878-7750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- 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
- Obstetrics/Gynecology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2518 E Dupont Rd
Womens Health Advantage
Fort Wayne, IN 46825-1675
Phone (260) 432-4400
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64619 | WI | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Surgeons and Physicians, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Associated Surgeons and Physicians, LLC | Current | Accepting new patients | |
| Delbello, LLC | Past | Accepting new patients |
Locations
2518 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 969-6882
7988 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 436-0259
1275 Provident Dr
Warsaw, IN 46580
Phone (574) 269-4026
Interoperability endpoints
- rarnold@asap.emadirect.md
Organizations & group practices 3
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.
-
- Obstetrics & Gynecology Physician
- Fort Wayne, IN
- NPI 1083868269
-
- Foot & Ankle Surgery Podiatrist
- Auburn, IN
- NPI 1649720301
-
- Internal Medicine Physician
- Fort Wayne, IN
- NPI 1902946494
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lutheran Hospital of Indiana
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1306897335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601856000000",
"number": "1598089278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2518 E DUPONT RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468251675",
"telephone_number": "260-432-4400",
"fax_number": "260-969-6898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9601 TOWNLINE RD",
"city": "MINOCQUA",
"state": "WI",
"postal_code": "54548",
"telephone_number": "715-358-1000"
}
],
"practiceLocations": [
{
"address_1": "219 Bryant St",
"address_purpose": "LOCATION",
"city": "Buffalo",
"state": "NY",
"postal_code": "142222006",
"country_code": "US",
"telephone_number": "716-878-7750",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ARNOLD",
"first_name": "RYAN",
"middle_name": "C.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-24",
"last_updated": "2020-10-05",
"certification_date": "2020-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WI",
"license": "64619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minocqua, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.