Ryan D Barker

Individual provider Active NPI Chiropractor · Oswego, NY

NPI 1912239302 · NPPES record last updated Feb 17, 2021

Key facts

NPI
1912239302
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
011970 (NY)
Practice address
113 W Albany St
Oswego, NY 13126-2410
Phone
(315) 326-0440
Fax
(315) 291-8062
NPI assigned
Feb 9, 2010
Sex
Male
Sole proprietor
No

Organizations & group practices 5

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.

Medicare Care Compare profile

Specialty
Chiropractic
Education
New York Chiropractic College, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

113 W Albany St
Oswego, NY 13126-2410
Phone (315) 326-0440

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20110201000039 NY Practitioner - Chiropractic 5395924732 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan D Barker DC PC Chiropractor Current
since Dec 15, 2020
Accepting new patients
Chase E. Izyk, DC PC Chiropractor Current
since Feb 21, 2021
Accepting new patients
Anthony V. Licatese , DC, P.C. Chiropractor Current
since Sep 24, 2012
Accepting new patients
Highland Hospital of Rochester Past Accepting new patients
Goshorn Chiropractic P.C. Chiropractor Past
since Mar 31, 2000
Accepting new patients

Locations

55 E Bridge St
Oswego, NY 13126
Phone (315) 342-6300

113 W Albany St
Oswego, NY 13126
Phone (315) 326-0440

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X 011970 NY
Chiropractor 111N00000X 011970 NY Yes

Addresses

Primary practice location

113 W Albany St
Oswego, NY 13126-2410

Mailing address

113 W Albany St
Oswego, NY 13126-2410
Phone (315) 326-0440

Other providers in Oswego, NY

All providers in Oswego, NY · Chiropractor in New York

Sources for this page

Verify at the official NPI Registry.