Ryan D Wilson

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.006955RX Issued in OH

Practice address

335 Township Road 1026
South Point, OH 45680-7842

Phone

(740) 744-4055

NPI assigned

Apr 19, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mercy Health Physicians Youngstown, LLC

  • Family Medicine Physician
  • Youngstown, OH
  • NPI 1154636066

  Physician Assistant

  Medicare reassignment NPD
• Ohio Valley Physicians Inc

  dba Access Care

  • Family Medicine Physician
  • Huntington, WV
  • NPI 1962433177

  OH, Physician Assistant

  Medicare reassignment NPD
• Holzer Clinic, LLC

  • Multi-Specialty Clinic/Center
  • Gallipolis, OH
  • NPI 1508817248
  Medicare reassignment
• Hospitalist Medicine Physicians of Ohio - Cincinnati Professional Corp

  • Emergency Medicine Physician
  • Chillicothe, OH
  • NPI 1508698739
  Medicare reassignment
• Mercy Health Physicians Youngstown Specialty Care LLC

  • Surgery Physician
  • Youngstown, OH
  • NPI 1649892225
  Medicare reassignment
• Mercy Health Physicians Youngstown LLC

  dba Mercy Health - Boardman Orthopaedics

  • Durable Medical Equipment & Medical Supplies
  • Boardman, OH
  • NPI 1750920245
  NPD
• Mercy Health Physicians Youngstown Specialty Care LLC

  dba MHPY SPC - Howland Imaging

  • Diagnostic Radiology Physician
  • Warren, OH
  • NPI 1255009601
  NPD
• Mercy Health Physicians Youngstown Specialty Care LLC

  • Durable Medical Equipment & Medical Supplies
  • Boardman, OH
  • NPI 1386316107
  NPD
• Ohio Valley Physicians Inc

  dba OVP Health

  • Rural Health Clinic/Center
  • Eastern, KY
  • NPI 1164129599
  NPD
• Ohio Valley Physicians Inc

  dba OVP Health

  • Community/Behavioral Health Agency
  • Huntington, WV
  • NPI 1639683725
  NPD (past)

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1932780251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041006",
            "telephone_number": "330-743-1928",
            "fax_number": "330-744-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 TOWNSHIP ROAD 1026",
            "city": "SOUTH POINT",
            "state": "OH",
            "postal_code": "456807842",
            "telephone_number": "740-744-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "RYAN",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-19",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.006955RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Wilburn
• Eric Shane Williams
• Matthew Anthony Williams, RN
• Deborah Willis
• Alicia K Wilson
• Gavin Winter
• Misty M Wisenberger, CDCA
• Sandra Wood
• Emily Woods
• Adrienne A Worden

• Physician Assistant in South Point, OH
• Providers in South Point, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.