Ryan Dane Teichelman, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA05297 Issued in TX

Practice address

7000 W 9TH Ave
Amarillo, TX 79106-1709

Phone

(806) 350-2663

Fax

(806) 350-2664

NPI assigned

Aug 27, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bsa Physicians Group IncGroup PAC ID 3971748146, 121 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bsa Hospital Hospital, Amarillo, TX, CCN 450231

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rteichelman82182@ahs.direct-ci.com

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.

• Bsa Physicians Group Inc

  • Internal Medicine Physician
  • Amarillo, TX
  • NPI 1457696916

  TX

  Medicare reassignment Care Compare group
• Bsa Physicians Group Inc

  • Family Medicine Physician
  • Amarillo, TX
  • NPI 1144668765
  NPD
• Wesley Bradley Dosher PLLC

  • Orthopaedic Surgery Physician
  • Amarillo, TX
  • NPI 1710554100
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bsa Hospital LLC

  • General Acute Care Hospital
  • Amarillo, TX
  • NPI 1407191984

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1750574372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 52230",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79159",
            "telephone_number": "806-350-2663",
            "fax_number": "806-350-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 W 9TH AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061709",
            "telephone_number": "806-350-2663",
            "fax_number": "806-350-2664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4510 Bell St",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791095714",
            "country_code": "US",
            "telephone_number": "806-212-4835",
            "fax_number": "806-212-0900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEICHELMAN",
        "first_name": "RYAN",
        "middle_name": "DANE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-27",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "PA05297",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA05297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8U9290",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jada L Teafatiller
• April Tebeest, RN
• Ted M. Nicklaus
• Charles Sloan Teeple, MD
• Jon Tegtmeier
• Sarah E Teichelman, NP
• Shayne R Teichelman, NP
• Terresa Teig
• Nishit Tejani, DDS
• Hagos Tekeste, M.D.

• Surgical Physician Assistant in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.

Verify at the official NPI Registry.