Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ryan Vansickle, MD, PHARMD

Individual provider Pharmacist · NPI 1972872703

Dr. Ryan Vansickle, MD, PHARMD is an Emergency Medicine in Berryville, Arkansas. Graduated from University of Minnesota Medical School in 2013, 13 years ago. Practices with Southeastern Emergency Physicians LLC, a 786-clinician group and accepts Medicare assignment. Licensed in Arkansas, Iowa and Minnesota.

Years since qualifying
13
Trained at
University of Minnesota Medical School
Licensed in
AR, IA, MN
In the registry since
2011
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

See every abbreviation used in this directory →

Practice location Address checks out

214 Carter St
Berryville, AR 72616-4303
Phone: (870) 423-3355
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence E-13914 (AR)
Pharmacist Taxonomy 183500000X · Licence 119791 (MN)
Anesthesiology Physician Taxonomy 207L00000X · Licence R-9718 (IA)

Record details

NPI number1972872703
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PHARMD
Sole proprietorNo
NPI enumeratedDecember 22, 2011
Last updated in NPPESMay 5, 2021
Certification dateMay 5, 2021
Mailing address214 Carter St, Berryville, AR 72616-4303

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2013 (13 years in practice)
Group practice Southeastern Emergency Physicians Llc — 786 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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