Active NPI
Stephen Lee Ryder, PA
- Physician Assistant
- Biloxi, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA00168
- Practice address
- 1720A Medical Park Dr Ste 220
Biloxi, MS 39532-2127 - Phone
- (228) 230-2663
- Fax
- (228) 206-1192
- NPI assigned
- Jul 30, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA00168 | MS | Primary |
Addresses
Primary practice location
1720A Medical Park Dr Ste 220
Biloxi, MS 39532-2127
Mailing address
6300 E Lake Blvd
Ste. 301
Vancleave, MS 39565-6770
Phone (228) 230-2663
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15476 Dedeaux Rd
Suite B
Gulfport, MS 39503-2637
Phone (228) 230-2663
1720 A Medical Park Dr
Suite 220
Biloxi, MS 39532-2127
Phone (228) 392-9355
Hospital & facility affiliations
- Singing River Health System
- Singing River Gulfport
- Memorial Hospital at Gulfport
- Ochsner Medical Center-Hancock
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA00168 | MS | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bienville Orthopaedic Specialists, LLC | Current | Accepting new patients | |
| Bienville Orthopaedic Specialists, LLC | Current | Accepting new patients |
Locations
1720A Medical Park Dr
Ste 220
Biloxi, MS 39532
Phone (228) 392-9355
15476 Dedeaux Rd
Gulfport, MS 39503
Phone (228) 539-3232
6300 E Lake Blvd
Ste 201
Vancleave, MS 39565
Phone (228) 206-2263
6300 E Lake Blvd
Ste 301
Vancleave, MS 39565
Interoperability endpoints
- sryder@bienvilleortho.gwaydirect.com
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.
-
- Orthopaedic Surgery Physician
- Vancleave, MS
- NPI 1689605834
-
- Orthopaedic Surgery Physician
- Grand Bay, AL
- NPI 1659269454
Hospital & facility affiliations 64
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gulfport, MS
- NPI 1073606901
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Gulfport, MS
- NPI 1184956815
Hospital
-
- General Acute Care Hospital
- Biloxi, MS
- NPI 1215546635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575417600000",
"number": "1821344771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6300 E LAKE BLVD",
"address_2": "STE. 301",
"city": "VANCLEAVE",
"state": "MS",
"postal_code": "395656770",
"telephone_number": "228-230-2663",
"fax_number": "228-206-1192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720A MEDICAL PARK DR STE 220",
"city": "BILOXI",
"state": "MS",
"postal_code": "395322127",
"telephone_number": "228-230-2663",
"fax_number": "228-206-1192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYDER",
"first_name": "STEPHEN",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-30",
"last_updated": "2019-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MS",
"license": "PA00168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Biloxi, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.