| Provider / Organization | NPI | Date Certified |
|---|---|---|
| RYAN DANIEL LURTSEMA | 1033645296 | 2024-08-11 |
Ryan Daniel Lurtsema is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1033645296. Registration indicates Ryan Daniel Lurtsema is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Family Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) (Allopathic & Osteopathic Physicians, Family Medicine) (Family Medicine, ) (Primary Care/Family Planning/APRN/PA, ) (Family Medicine, Allopathic & Osteopathic Physicians) (Allopathic & Osteopathic Physicians, Family Medicine) (Family Medicine: Sports Medicine, ) (Primary Care/Family Planning/APRN/PA, ) (Family Medicine Sports Medicine, Allopathic & Osteopathic Physicians) (Family Medicine, ) Access to Adult/Geriatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) (Allopathic & Osteopathic Physicians, Family Medicine) (Family Medicine, ) (Primary Care/Family Planning/APRN/PA, ) (Family Medicine, Allopathic & Osteopathic Physicians)
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Ryan Daniel Lurtsema M.D. |
| Practice Office Address | 1501 NE MEDICAL CENTER DR BEND, OR US |
| Practice Office Telephone | 5413824900 |
| Mailing Address | 3601 4TH STREET MAIL STOP 9901 LUBBOCK, TX 794300002 US |
| Business Telephone | 8067432757 |
| Business Fax | 8067431180 |
| Direct Messaging Address [] | [email protected] | Direct |
| TTUHSC Family Medicine [] | [email protected] | |
| TTUHSC Family Medicine [] | [email protected] | Direct |
| Code | Practice | License No State |
|---|---|---|
| 207Q00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Family MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Family Medicine Allopathic & Osteopathic Physicians Family Medicine Family Medicine Primary Care/Family Planning/APRN/PA Family Medicine Allopathic & Osteopathic Physicians | MD218786
OR |
| 207QS0010X | Allopathic & Osteopathic Physicians Family Medicine Family Medicine: Sports Medicine Primary Care/Family Planning/APRN/PA Family Medicine Sports Medicine Allopathic & Osteopathic Physicians Family Medicine | R8935
TX |
| 207Q00000X | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Family MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Family Medicine Allopathic & Osteopathic Physicians Family Medicine Family Medicine Primary Care/Family Planning/APRN/PA Family Medicine Allopathic & Osteopathic Physicians | R8935
TX |
| 500837289 | MEDICAID | OR |