Ryan Wicks General Surgery
201 S Park Ln, Integris Family Care Altus, Altus, OK 73521-5733


Ryan Wicks is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1477874394. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 6608189535. The primary specialty is GENERAL SURGERY. The organization is INTEGRIS AMBULATORY CARE CORPORATION. The address is 201 S Park Ln, Integris Family Care Altus, Altus, OK 73521-5733. The zip code is 73521.


Ryan Wicks · 201 S Park Ln, Integris Family Care Altus, Altus, OK 73521-5733

Nation Provider ID 1477874394
PAC ID by PECOS 6608189535
Professional Enrollment ID I20150721000908
Last Name WICKS
First Name RYAN
Gender M
Medical School Name UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduation Year 2010
Primary Specialty GENERAL SURGERY
Primary Specialty INTEGRIS AMBULATORY CARE CORPORATION
Phone Number 5804829020
Group Practice PAC ID 2365408465
Number of Group Practice Members 441
Address 201 S PARK LN
INTEGRIS FAMILY CARE ALTUS
ALTUS, OK 735215733
Claims Based Hospital Affiliation Claim Control Number (CCN): 370028
Legal Business Name: INTEGRIS BAPTIST MEDICAL CENTER
Claims Based Hospital Affiliation Claim Control Number (CCN): 370236
Legal Business Name: INTEGRIS HEALTH EDMOND
Professional accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

street_number: 201
route: South Park Lane (S Park Ln)
locality, political: Altus
admin_level_2, political: Jackson County
admin_level_1, political: Oklahoma (OK)
country, political: United States (US)
postal_code: 73521
postal_code_suffix: 5733
types : premise
latitude: 34.6356689
longitude: -99.3169814
latlng: (34.6356689, -99.3169814)


Integris Ambulatory Care Corporation · Medicare Physician

Name Address Specialty
Matthew Moore 201 S Park Ln, Altus, OK 73521-5733 PHYSICIAN ASSISTANT
Jack Butler 201 S Park Ln, Altus, OK 73521-5733 INTERNAL MEDICINE
Leah Sitton 201 S Park Ln, Altus, OK 73521-5733 PHYSICIAN ASSISTANT
Best Chen 201 S Park Ln, Altus, OK 73521-5733 FAMILY PRACTICE
David Deschamps 201 S Park Ln, Altus, OK 73521-5733 OBSTETRICS/GYNECOLOGY
John Andrus 201 S Park Ln, Altus, OK 73521-5733 PSYCHIATRY
Irim Yasin 5915 W Memorial Rd, Oklahoma City, OK 73142-2022 HEMATOLOGY/ONCOLOGY
Elisa Depani-sparkes 201 S Park Ln, Altus, OK 73521-5733 OBSTETRICS/GYNECOLOGY
Naveena Boindala 201 S Park Ln, Altus, OK 73521-5733 PSYCHIATRY
Athena Friese 201 S Park Ln, Altus, OK 73521-5733 FAMILY PRACTICE
Elizabeth Lauterbach 201 S Park Ln, Altus, OK 73521-5733 PHYSICIAN ASSISTANT
Michael Davoli 201 S Park Ln, Altus, OK 73521-5733 ORTHOPEDIC SURGERY
Charlotte Coyner Gregory 201 S Park Ln, Altus, OK 73521-5733 FAMILY PRACTICE
Jacob Carman 1205 Health Ctr Pkwy, Yukon, OK 73099-6396 ANESTHESIOLOGY
Amy Dedeke 201 S Park Ln, Altus, OK 73521-5733 RHEUMATOLOGY
Trevor Kitchens 201 S Park Ln, Altus, OK 73521-5733 FAMILY PRACTICE
Kelly Dennis 201 S Park Ln, Altus, OK 73521-5733 PHYSICIAN ASSISTANT
Loyal Stierlen 201 S Park Ln, Altus, OK 73521-5733 GENERAL SURGERY
Rene Galan 201 S Park Ln, Altus, OK 73521-5733 OBSTETRICS/GYNECOLOGY
Christopher Lentz 201 S Park Ln, Altus, OK 73521-5733 GENERAL SURGERY

Zip 73521 · General Surgery · Medicare Physician

Name Address Specialty
Kevin Dare 201 S Park Ln, Altus, OK 73521-5733 GENERAL SURGERY
Kyle Wooderson 201 S Park Ln, Altus, OK 73521-5733 GENERAL SURGERY
Sara Collier 201 S Park Ln, Altus, OK 73521-5733 GENERAL SURGERY
Patrick Bell 201 S Park Ln, Altus, OK 73521-5733 GENERAL SURGERY
Loyal Stierlen 201 S Park Ln, Altus, OK 73521-5733 GENERAL SURGERY
Eugene Chen 201 /2 S Park Ln, Altus, OK 73521-5733 GENERAL SURGERY
Edwin Cole 201 S Park Ln, Altus, OK 73521-5733 GENERAL SURGERY
Stephen Morrison 201 S Park Ln, Altus, OK 73521-5733 GENERAL SURGERY
Robert Cooke 201 S Park Ln, Altus, OK 73521-5733 GENERAL SURGERY
Christopher Carey 201 S Park Ln, Altus, OK 73521-5733 GENERAL SURGERY
Gary Cole 201 /2 S Park Ln, Altus, OK 73521-5733 GENERAL SURGERY
John Goulart 201 S Park Ln, Altus, OK 73521-5733 GENERAL SURGERY
Douglas Ohlstrom 201 S Park Ln, Altus, OK 73521-5733 GENERAL SURGERY
Hamilton Le 201 S Park Ln, Altus, OK 73521-5733 GENERAL SURGERY
Christopher Lentz 201 S Park Ln, Altus, OK 73521-5733 GENERAL SURGERY
Jeffrey Stewart 201 S Park Ln, Altus, OK 73521-5733 GENERAL SURGERY

Zip 73521 · Medicare Physician

Name Address Specialty
Shawnaree Beeson 201 S Park Ln, Altus, OK 73521-5733 OBSTETRICS/GYNECOLOGY
Don Carnahan 201 S Park Ln, Altus, OK 73521-5733 PEDIATRIC MEDICINE
Shelly Boston 201 S Park Ln, Altus, OK 73521-5733 NURSE PRACTITIONER
Kevin Wood 201 S Park Ln, Altus, OK 73521-5733 NEUROLOGY
Janet Fletcher 201 S Park Ln, Altus, OK 73521-5733 PHYSICIAN ASSISTANT
Nichole Bateman 201 S Park Ln, Altus, OK 73521-5733 PHYSICIAN ASSISTANT
James Lackey 201 S Park Ln, Altus, OK 73521-5733 OBSTETRICS/GYNECOLOGY
Ashley Taylor 201 S Park Ln, Altus, OK 73521-5733 PHYSICIAN ASSISTANT
Eric Ramos 201 S Park Ln, Altus, OK 73521-5733 PHYSICIAN ASSISTANT
Brett Cunningham 201 S Park Ln, Altus, OK 73521-5733 PSYCHIATRY
Genevieve Dulan 201 S Park Ln, Altus, OK 73521-5733 FAMILY PRACTICE
Latisha Heinlen 201 S Park Ln, Altus, OK 73521-5733 RHEUMATOLOGY
Romeo Obsequio 201 S Park Ln, Altus, OK 73521-5733 INTERNAL MEDICINE
Loni Pearish 201 S Park Ln, Altus, OK 73521-5733 FAMILY PRACTICE
Noble Ballard 201 /2 S Park Ln, Altus, OK 73521-5733 FAMILY PRACTICE
Surinder Randhawa 201 S Park Ln, Altus, OK 73521-5733 PSYCHIATRY
Daniel Nicoll 201 S Park Ln, Altus, OK 73521-5733 FAMILY PRACTICE
Randall Brady 201 S Park Ln, Altus, OK 73521-5733 CERTIFIED REGISTERED NURSE ANESTHETIST
Lara Theobald 201 S Park Ln, Altus, OK 73521-5733 MEDICAL ONCOLOGY
Bob Schank 201 S Park Ln, Altus, OK 73521-5733 FAMILY PRACTICE