NPIMap

Individual provider Active NPI

Ryan Anthony Choplin, P.A.

  • Medical Physician Assistant
  • Tulsa, OK
National Provider Identifier
1760729610
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2174 Issued in OK
Practice address
4408 S Harvard Ave
Tulsa, OK 74135-2615
Phone
(918) 574-0350
Fax
(918) 745-0359
NPI assigned
Jan 12, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2174 OK Primary

Addresses

Primary practice location

4408 S Harvard Ave
Tulsa, OK 74135-2615

Mailing address

1145 S Utica Ave Ste 110
Tulsa, OK 74104-4013
Phone (918) 579-3825

Other identifiers 1

IdentifierTypeStateIssuer
200473880AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130326000094 OK Practitioner - Physician Assistant 5092950907 Reassigns benefits to 3 organizations
I20230306002341 TX Practitioner - Physician Assistant 5092950907

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ahs Oklahoma Physician Group LLCGroup PAC ID 9436122496, 314 clinicians

Practice addresses (Care Compare)

1245 S Utica Ave
Tulsa, OK 74104-4214

20 E 34TH St
Sand Springs, OK 74063-4001
Phone (918) 245-9675

4408 S Harvard Ave
Tulsa, OK 74135-2615
Phone (918) 574-0350

Hospital & facility affiliations

  • Choice Homecare of Oklahoma Home health agency, Broken Arrow, OK, CCN 377195
  • Elara Caring XXV Home health agency, Tulsa, OK, CCN 377667
  • Vitalcaring Group Home health agency, Tulsa, OK, CCN 377787
  • Hillcrest Hospital South Hospital, Tulsa, OK, CCN 370202
  • Hillcrest Medical Center Hospital, Tulsa, OK, CCN 370001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2174OKMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Ahs Oklahoma Physician Group LLC CurrentSince Nov 1, 2021 Accepting new patients
Ahs Hillcrest Medical Center, LLC Past Accepting new patients
Starks Medical Past Accepting new patients
Ahs Southcrest Hospital, LLC Past Accepting new patients

Locations

20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675

Dept 1206
Tulsa, OK 74182

1145 S Utica Ave
Ste 110
Tulsa, OK 74104
Phone (918) 579-3825

4408 S Harvard Ave
Tulsa, OK 74135
Phone (918) 574-0350

1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090

Interoperability endpoints

  • Direct secure messaging: rchoplin113475@ahs.direct-ci.com
  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4

Organizations & group practices 6

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 5

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": "1357948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1760729610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 S UTICA AVE STE 110",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044013",
            "telephone_number": "918-579-3825",
            "fax_number": "918-579-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4408 S HARVARD AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352615",
            "telephone_number": "918-574-0350",
            "fax_number": "918-745-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOPLIN",
        "first_name": "RYAN",
        "middle_name": "ANTHONY",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-12",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "2174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200473880A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.