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
Brian Ogg 201 S Park Ln, Altus, OK 73521-5733 ORTHOPEDIC SURGERY
Ashish Masih 201 S Park Ln, Altus, OK 73521-5733 NEUROLOGY
Mark Wellington 201 S Park Ln, Altus, OK 73521-5733 FAMILY PRACTICE
Lawrence Kincheloe 3300 Nw Exspressway, Oklahoma City, OK 73112-4481 OBSTETRICS/GYNECOLOGY
Nathaniel Stetson 201 S Park Ln, Altus, OK 73521-5733 NEUROSURGERY
Peter Chan 201 S Park Ln, Altus, OK 73521-5733 FAMILY PRACTICE
Kristy Hill 201 S Park Ln, Altus, OK 73521-5733 NURSE PRACTITIONER
Emenike Uba 4401 S Western, Oklahoma City, OK 73109-3413 INTERNAL MEDICINE
Juli Johnson 5915 W Memorial Rd, Oklahoma City, OK 73142-2022 CLINICAL NURSE SPECIALIST
Larry Houk 201 S Park Ln, Altus, OK 73521-5733 OBSTETRICS/GYNECOLOGY
Cathy Burkett 3434 Nw, Oklahoma City, OK 73112-4415 SPEECH LANGUAGE PATHOLOGIST
Justin Sparkes 201 S Park Ln, Altus, OK 73521-5733 INTERNAL MEDICINE
Andy Nguyen 1201 Health Ctr Pkwy, Yukon, OK 73099-6381 ANESTHESIOLOGY
Randall Brady 201 S Park Ln, Altus, OK 73521-5733 CERTIFIED REGISTERED NURSE ANESTHETIST
Jami Benton 201 S Park Ln, Altus, OK 73521-5733 FAMILY PRACTICE
Nicholas Black 1201 Health Ctr Pkwy, Yukon, OK 73099-6381 CERTIFIED REGISTERED NURSE ANESTHETIST
Christi Dewitt 201 S Park Ln, Altus, OK 73521-5733 PHYSICIAN ASSISTANT
Elisa Depani-sparkes 201 S Park Ln, Altus, OK 73521-5733 OBSTETRICS/GYNECOLOGY
Jennifer Garner 201 S Park Ln, Altus, OK 73521-5733 PHYSICIAN ASSISTANT
Eric Dedeke 201 S Park Ln, Altus, OK 73521-5733 FAMILY PRACTICE

Zip 73521 · General Surgery · Medicare Physician

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

Zip 73521 · Medicare Physician

Name Address Specialty
Nancy Dantzler 304 S Park Ln, Altus, OK 73521-5754 NURSE PRACTITIONER
Sara Cousins 201 S Park Ln, Altus, OK 73521-5733 CERTIFIED REGISTERED NURSE ANESTHETIST
Elizabeth Montgomery 201 S Park Ln, Altus, OK 73521-5733 PHYSICIAN ASSISTANT
Geetika Verma 201 S Park Ln, Altus, OK 73521-5733 PSYCHIATRY
Donna Smela 201 S Park Ln, Altus, OK 73521-5733 CLINICAL SOCIAL WORKER
Edwin Chendra 201 S Park Ln, Altus, OK 73521-5733 PHYSICIAN ASSISTANT
George Katsantonis 201 S Park Ln, Altus, OK 73521-5733 OTOLARYNGOLOGY
Jessica Foxen 201 S Park Ln, Altus, OK 73521-5733 FAMILY PRACTICE
Ana Garcia 201 S Park Ln, Altus, OK 73521-5733 NURSE PRACTITIONER
James Osborn 201 S Park Ln, Altus, OK 73521-5733 FAMILY PRACTICE
Eric Ramos 201 S Park Ln, Altus, OK 73521-5733 PHYSICIAN ASSISTANT
Mark Stout 201 S Park Ln, Altus, OK 73521-5733 PHYSICIAN ASSISTANT
Scott Shadfar 201 S Park Ln, Altus, OK 73521-5733 OTOLARYNGOLOGY
Jack Butler 201 S Park Ln, Altus, OK 73521-5733 INTERNAL MEDICINE
Samantha Pollock 304 S Park Ln, Altus, OK 73521-5754 NURSE PRACTITIONER
Best Chen 201 S Park Ln, Altus, OK 73521-5733 FAMILY PRACTICE
Brett Horst 201 S Park Ln, Altus, OK 73521-5733 PHYSICIAN ASSISTANT
Genevieve Dulan 201 S Park Ln, Altus, OK 73521-5733 FAMILY PRACTICE
Bradley Martin 201 S Park Ln, Altus, OK 73521-5733 CLINICAL NURSE SPECIALIST
Barbara Carey 201 S Park Ln, Altus, OK 73521-5733 NURSE PRACTITIONER