Ryan Tichenor
Driver • Vestal, NY
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Ryan Tichenor has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Ryan Tichenor was a registered Driver practicing in Vestal, NY. Throughout an active medical career spanning 4 years, Ryan Tichenor provided care at the practice location at 420 OLD MILL RD until profile deactivation on 2020-01-14.
Practice Location & Contact Primary Location
420 Old Mill Rd
Vestal, NY 138503519
Specialty Benchmarks & Practice Insights
Comparative analytics for Driver in Vestal, NY
Practicing in Vestal, NY (262 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 172A00000X
A person employed to operate a motor vehicle as a carrier of persons or property.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on January 14, 2020
NPI status registered as active in NPPES database
Registered at 420 OLD MILL RD, VESTAL, NY 138503519 (Tel: 6073218520)
Registered at PO BOX 1063, VESTAL, NY 138511063 (Tel: 6073218520)
Recorded as RYAN TICHENOR
Driver (License #39607 in NY)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 1063
Vestal, NY 138511063
Phone: 6073218520
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