Amattco LLC
NPI 1477009256ActiveOrganization· Specialist· Broken Arrow, OK
Specialist in Broken Arrow, Oklahoma, registered in NPPES in August 2016, part of Amattco LLC. The authorized official on file is David Ryker, MD, Supervising Physican.
Overview
| NPI | 1477009256 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Amattco LLC |
| NPI issued | Aug 31, 2016 |
| Last updated in NPPES | Aug 31, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 73548 | OK |
| Specialist | 174400000X | 9365 | OK |
| Nurse Practitioner | 363L00000X | 79139 | OK |
| Nurse Practitioner | 363L00000X | R0078723 | OK |
| Nurse Practitioner | 363L00000X | 86262 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Specialist providers in Broken Arrow
- 1417251547
- 1275759664
- 1780972224
- 1265696223
- 1215110812
- 1457749160
- 1003851114
- 1053349308
- 1740465376
- 1770615312
- 1033443601
- 1164450342