Ryan Mark Wohlrabe, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

4511 Horizon Hill Blvd Ste 150
San Antonio, TX 78229-2449

Phone

(210) 477-2626

Fax

(210) 477-2650

NPI assigned

Sep 17, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Premier Pain Consultants, PLLC

  • Interventional Pain Medicine Physician
  • San Antonio, TX
  • NPI 1003835133
  Medicare reassignment
• Premier Pain Consultants, PLLC

  • Interventional Pain Medicine Physician
  • San Antonio, TX
  • NPI 1336584093
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1710313135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 HORIZON HILL BLVD STE 150",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292449",
            "telephone_number": "210-477-2626",
            "fax_number": "210-477-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 HORIZON HILL BLVD STE 150",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292449",
            "telephone_number": "210-477-2626",
            "fax_number": "210-477-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOHLRABE",
        "first_name": "RYAN",
        "middle_name": "MARK",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-17",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Joseph Wodkins, LPC
• Thor Cord Woerner, DC
• Matthew Brien Wofford
• Shari Elaine Wofford, LCSW
• Nicole Wohlfort, OD
• Lilia P Wojcik, MD
• W Gregory Wojcik, M.D.
• John R. Wojtek, ATP
• Robert Wojtow
• Jamey P Wolbert, O.D.

• Physician Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.