Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285070326 Individual Practitioner Male Practitioner

Ryan R Wallace , CFA

Physician Assistant - Surgical • Cheyenne, WY

Professional Overview & Biography Verified Profile Summary

Ryan Wallace, CFA is a registered healthcare professional specializing in Physician Assistant - Surgical in Cheyenne, WY. Practice services are available at 101 W 1ST AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

101 W 1st Ave

Cheyenne, WY 820011330

Telephone 9703911886

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Cheyenne, WY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.2 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
10 Specialists

Practicing in Cheyenne, WY (30 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-09-11
Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

Definition to come...

Specialist/Technologist, Other - Surgical Assistant

NUCC Taxonomy Code: 246ZC0007X

A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location September 11, 2023

Registered at 101 W 1ST AVE, CHEYENNE, WY 820011330 (Tel: 9703911886)

📍
Updated Business Mailing Address September 11, 2023

Registered at 101 W 1ST AVE, CHEYENNE, WY 820011330 (Tel: 1970391188)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2023

Specialist/Technologist, Other

NPI Profile Active November 09, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 09, 2017

Registered at 7226 CRESTED BUTTE DR, CHEYENNE, WY 820093629 (Tel: 9703911886)

📍
Updated Business Mailing Address November 09, 2017

Registered at 7226 CRESTED BUTTE, CHEYENNE, WY 820093629 (Tel: 9703911886)

👤
Provider Name / Credentials Updated November 09, 2017

Recorded as RYAN WALLACE, CFA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2017

Physician Assistant

NPI Profile Active May 16, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location May 16, 2013

Registered at 5812 CANYON RD, CHEYENNE, WY 820094561 (Tel: 9703911886)

📍
Updated Business Mailing Address May 16, 2013

Registered at 7226 CRESTED BUTTE, CHEYENNE, WY 820093629 (Tel: 9703911886)

👤
Provider Name / Credentials Updated May 16, 2013

Recorded as RYAN WALLACE, FA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2013

Specialist/Technologist, Other

🟢
Initial NPI Registration & Enumeration May 16, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285070326
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 16, 2013
Last Update: September 11, 2023
Sole Proprietor: Yes

Mailing Address

101 W 1st Ave

Cheyenne, WY 820011330

Phone: 1970391188

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.