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

Ryan Thomas Sudweeks

Individual provider Physician Assistant · NPI 1164165213

Ryan Thomas Sudweeks is a Physician Assistant in Vineyard, Utah. Qualified in 2024, 2 years ago. Practices with Southwest Spine and Pain Care Specialists LLC, a 42-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
2
Licensed in
UT
In the registry since
2022

Practice location Address checks out

691 E 400 N Ste 110
Vineyard, UT 84059-7509
Phone: (385) 666-9600
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 14139378-1206 (UT)

Record details

NPI number1164165213
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 17, 2022
Last updated in NPPESFebruary 21, 2025
Certification dateFebruary 21, 2025
Mailing addressPo Box 912042, St George, UT 84791-2042

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Southwest Spine And Pain Care Specialists Llc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Vineyard