Ryan D Wilson, DO

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

4123 Issued in OK

Practice address

800 24TH Ave
Norman, OK 73069

Phone

(405) 321-7100

NPI assigned

Sep 23, 2005

Sex

Male

Sole proprietor

No

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 OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Oklahoma State University College of Osteopathic Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Physicians Group, LLCGroup PAC ID 8325950603, 107 clinicians

Achieve Health Family Medicine PLLCGroup PAC ID 8123412087, 2 clinicians

Norman Regional Hospital AuthorityGroup PAC ID 2769395185, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Integris Home Care Oklahoma City Home health agency, Oklahoma City, OK, CCN 377051
• Norman Regional Hospital, Norman, OK, CCN 370008
• Community Hospital, LLC Hospital, Oklahoma City, OK, CCN 370203
• Integris Southwest Medical Center Hospital, Oklahoma City, OK, CCN 370106

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rwilson543625@direct.integrisok.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.

• Achieve Health Family Medicine PLLC

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1164181244
  Medicare reassignment Care Compare group NPD Authorized official
• Norman Regional Hospital Authority

  • Emergency Medicine Physician
  • Norman, OK
  • NPI 1912563727
  Medicare reassignment Care Compare group NPD
• The Physicians Group LLC

  • General Practice Physician
  • Oklahoma City, OK
  • NPI 1487620381

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Emergency Services of Oklahoma PC

  • Emergency Medicine Physician
  • Norman, OK
  • NPI 1215249891
  Medicare reassignment NPD
• Immediate Care of Oklahoma LLC

  • Urgent Care Clinic/Center
  • Oklahoma City, OK
  • NPI 1164697694
  Medicare reassignment NPD
• Oklahoma Emergency Services PC

  • Emergency Medicine Physician
  • Lawton, OK
  • NPI 1114239795
  Medicare reassignment NPD
• Immediate Care of Oklahoma

  • Urgent Care Clinic/Center
  • Choctaw, OK
  • NPI 1881448710
  NPD
• Norman Regional Hospital Authority

  • Ambulatory Surgical Clinic/Center
  • Norman, OK
  • NPI 1508419474
  NPD
• Community Hospital LLC

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1275593337
  NPD (past)
• Norman Regional Hospital Authority

  • General Acute Care Hospital
  • Norman, OK
  • NPI 1700882578
  NPD (past)
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

• Community Hospital LLC

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1275593337
  Care Compare affiliation
• Integris Baptist Medical Center, Inc

  • Home Health Agency
  • Oklahoma City, OK
  • NPI 1174542195
  Care Compare affiliation
• Integris South Oklahoma City Hospital Corporation

  • Mammography Clinic/Center
  • Oklahoma City, OK
  • NPI 1336155779

  Hospital

  Care Compare affiliation
• Integris South Oklahoma City Hospital Corporation

  • Rehabilitation Hospital Unit
  • Oklahoma City, OK
  • NPI 1336252717
  Care Compare affiliation
• Integris South Oklahoma City Hospital Corporation

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1457372625
  Care Compare affiliation
• Norman Regional Hospital Authority

  • General Acute Care Hospital
  • Norman, OK
  • NPI 1700882578
  Care Compare affiliation

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1922094184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 SE 74TH ST",
            "address_2": "SUITE E",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731351106",
            "telephone_number": "405-600-6869",
            "fax_number": "405-600-6978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 24TH AVE",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "73069",
            "telephone_number": "405-321-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "RYAN",
        "middle_name": "D",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "4123",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "OK",
            "license": "4123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200022310A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joi Wilson
• Joshua Alan Wilson, MD
• Pamela L Wilson, DO
• Patrick S Wilson
• Rebecca Wilson
• Shane Ray Wilson, LPC,LADC
• Sharita Renee Wilson
• Stephanie L Wilson, MS, LBP
• Stephanie Lee Wilson, DPT
• Tonya Gayle Wilson, LPN

• Emergency Medical Services (Emergency Medicine) Physician in Norman, OK
• Providers in Norman, OK by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.
• 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.