MR. RYAN ALEXANDER CLARK (NPI# 1518458611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518458611 |
| Entity Type | Individual |
| Full Name | MR. RYAN ALEXANDER CLARK |
| Credential | LAT, ATC |
| Practice Address |
2901 S Santa Fe Ave Moore OK 73160-2843 |
| Mailing Address |
2612 Jefferson Dr Moore OK 73160-4194 |
| Practice Telephone | 4057354900 |
| Mailing Telephone | 4057784088 |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2019-04-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1060 | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 112 Bluestem St, Weatherford, OK 73096 | 4057784088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525748 | Ryan Scott Clark | Chiropractor | 1416 N Redwood Rd Ste B, Saratoga Springs, UT 84045-6455 | 2020-10-15 |
| 1528626959 | Ryan Steven Clark | Student in an Organized Health Care Education/Training Program | 212 Farm Road, #201, Moscow, ID 83843 | 2019-05-31 |
| 1710449384 | Ryan Clark | Specialist/Technologist | 2431 Alteras Dr, Nashville, TN 37211-7279 | 2019-04-03 |
| 1780068718 | Ryan Clark | Student in an Organized Health Care Education/Training Program | 6749 Springview Dr, Westerville, OH 43082-8566 | 2015-07-20 |
| 1689061822 | Ryan Clark | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 30 N 1900 E Som 3c127, Salt Lake City, UT 84132 | 2015-04-24 |
| 1184903460 | Ryan Mathew Clark | Anesthesiologist Assistant | 1500 N Oakland, Bolivar, MO 65613-3099 | 2011-08-04 |
| 1356639892 | Ryan James Clark | Dentist | 580 W Parkcenter Blvd Ste B, Boise, ID 83706 | 2011-07-19 |
| 1114924149 | Ryan N. Clark | Specialist/Technologist | 1931 Burlington St, North Kansas City, MO 64116-3407 | 2005-07-06 |
| 1508212721 | Ryan Clark | Taxi | 400 W Main St, La Porte City, IA 50651-1027 | 2016-05-06 |
| 1699160374 | Ryan L Clark | Emergency Medicine | 759 Chestnut Street, Springfield, MA 01107 | 2015-03-31 |
| Street Address |
2901 S SANTA FE AVE |
| City | MOORE |
| State | OK |
| Zip Code | 73160-2843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508253279 | Chris Trobaugh | Specialist/Technologist | 2901 S Santa Fe Ave, Moore, OK 73160-2843 | 2015-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678576 | Crystal Amanda Pitts | Student in an Organized Health Care Education/Training Program | 628 Allison Ln, Moore, OK 73160 | 2020-01-14 |
| 1982247623 | Tammie Lee Haworth | Occupational Therapy Assistant | Quest, 400 N Eastern Ave, Moore, OK 73160 | 2019-10-25 |
| 1477102580 | Php Management Group, LLC | Non-Pharmacy Dispensing Site | 1110 Magnolia Court, Moore, OK 73160 | 2019-09-11 |
| 1477117893 | Pharmology Moore LLC | Pharmacy | 1280 N Eastern Ave, Suite F, Moore, OK 73160 | 2019-05-01 |
| 1154891943 | Leah Cordell | Nurse Practitioner | 1280 North Eastern Ave., Suite F, Moore, OK 73160 | 2018-12-05 |
| 1467962332 | Healthcare Express, LLP | Clinic/Center | 551 Se 4th Street, Moore, OK 73160 | 2017-10-05 |
| 1306379557 | Dicarlo Venegas | Behavior Technician | 716 Wood Hollow Ln, Moore, OK 73160 | 2017-04-05 |
| 1073050167 | Tyron Dorrell Cosby Sr. | Case Manager/Care Coordinator | 1416 Penn Ln., Moore, OK 73160 | 2017-01-26 |
| 1326592650 | Kristin Kelley | Counselor | 1113 S Avery Dr, Moore, OK 73160 | 2016-08-03 |
| 1376912600 | Allison Kay Griffiths | Counselor | 9501 S. I-35 Service Rd, Apt 1504, Moore, OK 73160 | 2015-09-16 |
| Find all providers in zip 73160 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013404342 | Nicholas Ryan Beasley | Specialist/Technologist | 3701 S I 35 Service Rd, Moore, OK 73160-3183 | 2018-04-23 |
| 1508360595 | Kylee Jackson | Specialist/Technologist | 300 N Eastern Ave, Moore, OK 73160-6999 | 2018-03-22 |
| 1306383880 | Terrill Jimoh | Specialist/Technologist | 2900 S Service Rd Apt 1515, Moore, OK 73160-5585 | 2017-01-23 |
| 1396291217 | Mackenzie Grace Jones | Specialist/Technologist | 119 Vista Dr, Moore, SC 29369-9482 | 2016-08-31 |
| 1548713340 | Taylor Charles Stevens | Specialist/Technologist | 131 Darmondale Dr, Moore, SC 29369-8821 | 2016-07-27 |
| 1689031270 | Heath Pratt | Specialist/Technologist | 3801 Brody Dr, Moore, OK 73160-7564 | 2016-01-27 |
| 1790163921 | Kyle Larney | Specialist/Technologist | 2000 Se 6th St, Moore, OK 73160-8380 | 2015-05-07 |
| 1508253279 | Chris Trobaugh | Specialist/Technologist | 2901 S Santa Fe Ave, Moore, OK 73160-2843 | 2015-04-21 |
| 1588929798 | Sheila Diane Romano | Specialist/Technologist | 410 Chamber Ln, Moore, SC 29369-8942 | 2012-07-13 |
| 1326350380 | Landon Wade Kersey | Specialist/Technologist | 1105 Renita Way, Moore, OK 73160-8710 | 2010-07-07 |
| Find all providers in MOORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.