Individual provider Active NPI

Ryan Von Stuckey

  • Pain Medicine (Anesthesiology) Physician
  • Chapel Hill, NC
National Provider Identifier
1629432588
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
E13980 Issued in AR
Practice address
N2198 Unc Hospitals Slot 7010
Chapel Hill, NC 27599-0001
Phone
(501) 831-6713
NPI assigned
Apr 7, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X E13980 AR Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

N2198 Unc Hospitals Slot 7010
Chapel Hill, NC 27599-0001

Mailing address

4301 W. Markham
Little Rock, AR 72205

Other practice location 1

4301 W. Markham
Little Rock, AR 72205
Phone (501) 831-6713

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210317000232 AR Practitioner - Anesthesiology 1850683756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Arkansas College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hot Springs Interventional Pain Management PAGroup PAC ID 8527158880, 13 clinicians

Practice addresses (Care Compare)

1 Mercy LN
Suite 304
Hot Springs, AR 71913-6440
Phone (501) 321-4772

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.86 of 100Reported as group
Quality
82.89
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E13980ARMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hot Springs Interventional Pain Management PA CurrentSince Mar 4, 2021 Accepting new patients
Advanced Interventional Pain Surgery Center LLC Past Accepting new patients

Locations

1717 Malvern Ave
Hot Springs, AR 71901
Phone (501) 321-4292

1 Mercy Ln
Ste 304
Hot Springs National Park, AR 71913
Phone (501) 321-4772

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.

Hospital & facility affiliations 6

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": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1629432588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 W. MARKHAM",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N2198 UNC HOSPITALS SLOT 7010",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275990001",
            "telephone_number": "501-831-6713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 W. Markham",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "72205",
            "country_code": "US",
            "telephone_number": "501-831-6713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUCKEY",
        "first_name": "RYAN",
        "middle_name": "VON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-07",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AR",
            "license": "E13980",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.