Ryan C Pock, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2000150990 Issued in MO

Practice address

545 Branson Landing Blvd
Suite 408
Branson, MO 65616

Phone

(417) 335-7022

Fax

(417) 334-6459

NPI assigned

Aug 21, 2006

Sex

Male

Sole proprietor

Yes

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 MO

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

Specialty

Physician Assistant

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Citizens Memorial HealthcareGroup PAC ID 4183528169, 144 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Citizens Memorial Hospital Hospital, Bolivar, MO, CCN 260195

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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 and National Provider Directory roles.

• Citizens Memorial Healthcare

  • Surgery Physician
  • Bolivar, MO
  • NPI 1568566131

  MO, Physician Assistant

  Medicare reassignment Care Compare group NPD
• Citizens Memorial Healthcare

  • Rural Health Clinic/Center
  • Willard, MO
  • NPI 1568127397
  Care Compare group NPD
• Citizens Memorial Healthcare

  • Rural Health Clinic/Center
  • Bolivar, MO
  • NPI 1063588960
  Care Compare group
• Citizens Memorial Healthcare

  • Rural Health Clinic/Center
  • Bolivar, MO
  • NPI 1407141153
  Care Compare group
• Citizens Memorial Healthcare

  • Rural Health Clinic/Center
  • Ash Grove, MO
  • NPI 1417161449
  Care Compare group
• Citizens Memorial Healthcare

  • Rural Health Clinic/Center
  • Stockton, MO
  • NPI 1447464227
  Care Compare group
• Citizens Memorial Healthcare

  • Rural Health Clinic/Center
  • Humansville, MO
  • NPI 1508070269
  Care Compare group
• Citizens Memorial Healthcare

  • Rural Health Clinic/Center
  • Osceola, MO
  • NPI 1578961454
  Care Compare group
• Citizens Memorial Healthcare

  • Rural Health Clinic/Center
  • Buffalo, MO
  • NPI 1609080571
  Care Compare group
• Citizens Memorial Healthcare

  • Rural Health Clinic/Center
  • Greenfield, MO
  • NPI 1699989350
  Care Compare group
• Citizens Memorial Healthcare

  • Rural Health Clinic/Center
  • Pleasant Hope, MO
  • NPI 1740494541
  Care Compare group
• Citizens Memorial Healthcare

  • Rural Health Clinic/Center
  • Bolivar, MO
  • NPI 1831303502
  Care Compare group

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

• Citizens Memorial Hospital District

  • General Acute Care Hospital
  • Bolivar, MO
  • NPI 1003981549

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992810485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 BRANSON LANDING BLVD",
            "address_2": "SUITE 408",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "65616",
            "telephone_number": "417-335-7022",
            "fax_number": "417-334-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 BRANSON LANDING BLVD",
            "address_2": "SUITE 408",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "65616",
            "telephone_number": "417-335-7022",
            "fax_number": "417-334-6459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POCK",
        "first_name": "RYAN",
        "middle_name": "C",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2000150990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Todd Pierson, OD
• Jared Philip Pingleton, PSY,D,
• Nikki Elaine Pinkley, LPC
• Alexandria N Placencia, CRNA
• Amy Eileen Plott, FNP-C
• Micaela Lindsey Poe, SLP-A
• Robert Wayne Poe, M.D.
• Dean M Porter, MD
• Tarna Katricia Potter, PLPC
• Meagan Powers, DNAP-CRNA

• All providers in Branson, MO
• Physician Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.