NPIMap

Individual provider Active NPI

Ryan William Oden, D.O.

  • Family Medicine Physician
  • Sulphur, OK
National Provider Identifier
1659538734
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4673 Issued in OK
Practice address
2007 W Broadway Ave
Sulphur, OK 73086-4221
Phone
(580) 622-3511
Fax
(580) 622-3513
NPI assigned
May 17, 2008
Last updated
Oct 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4673 OK Primary

Addresses

Primary practice location

2007 W Broadway Ave
Sulphur, OK 73086-4221

Mailing address

2007 W Broadway Ave
Sulphur, OK 73086-4221
Phone (580) 622-3511

Other identifiers 1

IdentifierTypeStateIssuer
200199030AMedicaidOK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090304000629 OK Practitioner - Family Practice 3870659568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Adio/Pennsylvania Institute of Straight Chiropractic, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arbuckle Memorial HospitalGroup PAC ID 0840104956, 9 clinicians

Practice addresses (Care Compare)

2007 W Broadway Ave
Sulphur, OK 73086-4221
Phone (580) 622-3511

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue41
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arbuckle Memorial Hospital CurrentSince Jul 11, 2010 Accepting new patients
Arbuckle Memorial Hospital Current Accepting new patients
Arbuckle Memorial Hospital CurrentSince Jul 11, 2010 Accepting new patients
Summit Medical Center Past Accepting new patients
Davis Health and Rehabilitation, LLC Past Accepting new patients
Artesian Home, Inc. Past Accepting new patients

Locations

2007 W Broadway Ave
Sulphur, OK 73086
Phone (580) 622-3511

2011 W Broadway Ave
Sulphur, OK 73086
Phone (580) 622-2161

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Artesian HomeSulphur, OK, CCN 375289 Skilled nursing facility Corporate Officer
Operational/Managerial Control
Adp of the SNF		 Jul 1, 2023
Jul 1, 2023
Jul 1, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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.

Hospital & facility affiliations 12

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": "1210982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1659538734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 W BROADWAY AVE",
            "city": "SULPHUR",
            "state": "OK",
            "postal_code": "730864221",
            "telephone_number": "580-622-3511",
            "fax_number": "580-622-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 W BROADWAY AVE",
            "city": "SULPHUR",
            "state": "OK",
            "postal_code": "730864221",
            "telephone_number": "580-622-3511",
            "fax_number": "580-622-3513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODEN",
        "first_name": "RYAN",
        "middle_name": "WILLIAM",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-17",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "4673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200199030A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur, OK

Sources for this page

Verify at the official NPI Registry.