MR. RYAN DANE TEICHELMAN (NPI# 1750574372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750574372 |
| Entity Type | Individual |
| Full Name | MR. RYAN DANE TEICHELMAN |
| Credential | PA-C |
| Practice Address |
7000 W 9th Ave Amarillo TX 79106-1709 |
| Mailing Address |
P O Box 52230 Amarillo TX 79159 |
| Practice Telephone | 8063502663 |
| Practice Fax Number | 8063502664 |
| Mailing Telephone | 8063502663 |
| Mailing Fax Number | 8063502664 |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2019-09-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA05297 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
PA05297 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 8U9290 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4510 Bell St, Amarillo, TX 791095714 | 8062124835 | 8062120900 |
| Street Address |
7000 W 9TH AVE |
| City | AMARILLO |
| State | TX |
| Zip Code | 79106-1709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891737979 | James Robert Parker | Specialist | 7000 W 9th Ave, Amarillo, TX 79106-1709 | 2006-06-12 |
| 1821446865 | Michelle Breaux | Specialist/Technologist | 7000 W 9th Ave, Amarillo, TX 79106 | 2016-06-01 |
| 1235433780 | Angela Catherine Trogus | Physician Assistant | 7000 W 9th Ave, Amarillo, TX 79106-1709 | 2010-12-26 |
| 1851614010 | Carlos Lee Flores | Physician Assistant | 7000 W 9th Ave, Amarillo, TX 79106-1709 | 2010-03-02 |
| 1669654570 | Marshall Chad Coleman | Nurse Practitioner | 7000 W 9th Ave, Amarillo, TX 79106-1709 | 2007-12-03 |
| 1780866020 | James R Parker M.d. | Durable Medical Equipment & Medical Supplies | 7000 W 9th Ave, Amarillo, TX 79106-1709 | 2007-11-28 |
| 1023225984 | Brian Wade Mullins | Specialist/Technologist | 7000 W 9th Ave, Amarillo, TX 79106-1709 | 2007-05-17 |
| 1356352942 | Bill S Barnhill | Orthopaedic Surgery | 7000 W 9th Ave, Amarillo, TX 79106-1709 | 2006-08-10 |
| 1417966433 | Clay L. Stewart | Family Medicine | 7000 W 9th Ave, Amarillo, TX 79106-1709 | 2006-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773205 | Nisha Patel | Pharmacist | 1600 S Western Street, Amarillo, TX 79106 | 2020-09-01 |
| 1043851769 | Diana Moore | Pharmacist | 6010 Amarillo Blvd W (119), Amarillo, TX 79106 | 2019-10-03 |
| 1164988127 | Wade Family Services Pllc | Counselor | 1901 Medi Park Dr Suite 130, Amarillo, TX 79106 | 2019-02-14 |
| 1255802963 | Jennifer Cockrum | Hospitalist | Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 | 2018-12-07 |
| 1346736691 | Denise Mills Donnell | Social Worker | 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 | 2018-07-10 |
| 1124525472 | Abigail Batson | Student in an Organized Health Care Education/Training Program | 1400 S Coulter Street, Suite 1500, Amarillo, TX 79106 | 2018-04-11 |
| 1053812743 | Moc Amarillo, LLC | Skilled Nursing Facility | 1540 Research St., Amarillo, TX 79106 | 2018-02-27 |
| 1013459437 | Larry G. Schulz | Durable Medical Equipment & Medical Supplies | 1901 Medi Park Dr Ste 219, Amarillo, TX 79106 | 2016-11-16 |
| 1922453315 | Omar Saeed M Alzhrani | Student in an Organized Health Care Education/Training Program | 1400 S. Coulter - Suite 5100, Amarillo, TX 79106 | 2016-05-04 |
| 1972967529 | David Wayne Hohon | Internal Medicine | Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 | 2016-04-11 |
| Find all providers in zip 79106 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164671574 | Keri S Dwyer | Physician Assistant | 1901 Medi Park Dr Ste 2, Amarillo, TX 79106-2105 | 2008-09-10 |
| 1285943878 | Lucas Tanner Thornton | Physician Assistant | 4514 Cornell St, Suite B, Amarillo, TX 79109-5800 | 2010-09-29 |
| 1851614010 | Carlos Lee Flores | Physician Assistant | 7000 W 9th Ave, Amarillo, TX 79106-1709 | 2010-03-02 |
| 1356402937 | Richard W. Jones Jr. | Physician Assistant | 6822 Plum Creek Dr, Amarillo, TX 79124-1601 | 2006-12-13 |
| 1205842143 | David S Harper | Physician Assistant | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133340 | Mark Alan Williams | Physician Assistant | 4814 Lake Livingston Dr, Corpus Christi, TX 78413-5139 | 2020-10-28 |
| 1669081238 | Manuel V Leyva | Physician Assistant | 8407 Sunset Loch Dr, Spring, TX 77379-5121 | 2020-07-29 |
| 1194342212 | Sean Robert Jamieson | Physician Assistant | 2700 E Broad St Ste 200, Mansfield, TX 76063-5899 | 2020-07-06 |
| 1588284194 | Hill Country Surgical Management, Inc | Physician Assistant | 10454 Tippecanoe, San Antonio, TX 78245-3128 | 2020-04-23 |
| 1407475585 | Serenity Surgical Services | Physician Assistant | 3260 Springbok Cir, Frisco, TX 75034-3671 | 2020-04-09 |
| 1720610470 | Surgical Assistants of South Texas | Physician Assistant | 3414 Highway 146 S, La Porte, TX 77571-7400 | 2020-02-11 |
| 1710524103 | R & H Surgical Services, LLC | Physician Assistant | 14507 Parkesgate Dr, Houston, TX 77083-5792 | 2019-12-04 |
| 1639711195 | Landry & Kiejna Surgical Assisting | Physician Assistant | 1120 Business Center Dr Ste 110, Houston, TX 77043-2735 | 2019-10-16 |
| 1912558693 | Chandrant Akshar Pa | Physician Assistant | 400 W Arbrook Blvd Ste 230, Arlington, TX 76014-3174 | 2019-09-24 |
| 1700435831 | Christina A Vogel-rosbrook | Physician Assistant | 4330 Medical Drive, Suite 120, San Antonio, TX 78229-3353 | 2019-09-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.