Individual provider Active NPI

Kenan James Ryan, CRNA

  • Certified Registered Nurse Anesthetist
  • Tulsa, OK
National Provider Identifier
1609107820
Registry record updated May 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R97817 Issued in OK
Practice address
6839 S Canton
Associated Anesthesiologists, Inc.
Tulsa, OK 74136-3402
Phone
(918) 494-0612
Fax
(918) 481-5170
NPI assigned
Jan 28, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R97817 OK Primary
Certified Registered Nurse Anesthetist 367500000X AP120333 TX

Addresses

Primary practice location

6839 S Canton
Associated Anesthesiologists, Inc.
Tulsa, OK 74136-3402

Mailing address

6839 S Canton
Associated Anesthesiologists, Inc.
Tulsa, OK 74136-3402
Phone (918) 494-0612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110825000106 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 9537295472 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians

Practice addresses (Care Compare)

600 Elizabeth St
Christus Spohn Hospital Corpus Christi SH
Corpus Christi, TX 78404-2235
Phone (361) 881-3657

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
R97817OKMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia II PA Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2018 Accepting new patients
Northstar Anesthesia III PA Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2020 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 21, 2019 Accepting new patients
Permian Anesthesia Associates, Inc Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

2500 E Main St
Alice, TX 78332
Phone (361) 664-4376

1500 E Houston St
Beeville, TX 78102
Phone (361) 354-2000

11801 South Fwy
Burleson, TX 76028
Phone (817) 551-2738

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400

7101 S Padre Island Dr
#D
Corpus Christi, TX 78412
Phone (361) 761-1400

7101 S Padre Island Dr
Corpus Christi, TX 78412
Phone (361) 761-1400

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

1311 Gen Cvazos Blvd
Kingsville, TX 78363
Phone (361) 595-1661

520 E 6th St
Odessa, TX 79761
Phone (432) 332-0929

500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000

401 W Campbell Rd
Richardson, TX 75080
Phone (940) 384-3535

7909 Fredericksburg Rd
San Antonio, TX 78229
Phone (210) 437-0884

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

Organizations & group practices 5

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 1

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": "1264636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525824000000",
    "number": "1609107820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6839 S CANTON",
            "address_2": "ASSOCIATED ANESTHESIOLOGISTS, INC.",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363402",
            "telephone_number": "918-494-0612",
            "fax_number": "918-481-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6839 S CANTON",
            "address_2": "ASSOCIATED ANESTHESIOLOGISTS, INC.",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363402",
            "telephone_number": "918-494-0612",
            "fax_number": "918-481-5170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "KENAN",
        "middle_name": "JAMES",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-28",
        "last_updated": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "R97817",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP120333",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.