RYAN STEVEN CLARK (NPI# 1528626959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528626959 |
| Entity Type | Individual |
| Full Name | RYAN STEVEN CLARK |
| Practice Address |
212 Farm Road #201 Moscow ID 83843 |
| Practice Telephone | 2088195174 |
| Mailing Telephone | 2088195174 |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2019-05-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525748 | Ryan Scott Clark | Chiropractor | 1416 N Redwood Rd Ste B, Saratoga Springs, UT 84045-6455 | 2020-10-15 |
| 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 |
| 1518458611 | Ryan Alexander Clark | Specialist/Technologist | 2901 S Santa Fe Ave, Moore, OK 73160-2843 | 2018-05-23 |
| 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 |
212 FARM ROAD #201 |
| City | MOSCOW |
| State | ID |
| Zip Code | 83843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726880 | Moscow Physical Therapy, LLC | Clinic/Center | 1174 Alturas Drive, Suite 2, Moscow, ID 83843 | 2020-09-25 |
| 1831703057 | Hydee Flishaw Tubbs Becker | Dietitian, Registered | 614 North Hayes Street, Moscow, ID 83843 | 2020-09-04 |
| 1770141384 | Lingwen Zhang | Specialist/Technologist | 901 Paradise Creek Rd, Moscow, ID 83843 | 2019-05-30 |
| 1306363478 | Elizabeth Campbell | Dietitian, Registered | 611 S. Main, Moscow, ID 83843 | 2017-08-29 |
| 1598285496 | Gina Cretser | Counselor | 212 Rodeo Dr. #410, Moscow, ID 83843 | 2017-06-21 |
| 1124558721 | Morgan Leigh Derloshon | Specialist/Technologist | 275 Southview Ave, Apt 206, Moscow, ID 83843 | 2017-06-15 |
| 1619411790 | Kaylene Howard | Massage Therapist | 127 South Washington, Suite 6, Moscow, ID 83843 | 2016-12-08 |
| 1407237043 | Jacob Kent Christensen | Family Medicine | 831 S Ash St, Moscow, ID 83843 | 2015-06-09 |
| 1366851388 | Elisabeth Henry | Pharmacist | 2740 West Pullman Rd, Moscow, ID 83843 | 2014-08-04 |
| 1457793507 | Enjoli Oleeta Cooke | Optometrist | 212 Rodeo Dr Ste 410, Moscow, ID 83843 | 2013-07-17 |
| Find all providers in zip 83843 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003434283 | Luisa Broden | Student in an Organized Health Care Education/Training Program | 902 N Almon St Apt 3, Moscow, ID 83843-8544 | 2020-07-14 |
| 1033633532 | Songah Chae | Student in an Organized Health Care Education/Training Program | 875 Perimeter Drive, Ms 3080, Moscow, ID 83844-3080 | 2017-07-27 |
| 1578096780 | Ashmel Vargas | Student in an Organized Health Care Education/Training Program | 709 S Deakin St, Moscow, ID 83844-9802 | 2017-04-05 |
| 1780116210 | Shelbie Jean Hackett | Student in an Organized Health Care Education/Training Program | 411 S Almon St # 1, Moscow, ID 83843-2219 | 2017-04-03 |
| 1487207072 | Mitchell Allen Collar | Student in an Organized Health Care Education/Training Program | 875 Perimeter Dr, Moscow, ID 83844-9803 | 2019-07-22 |
| 1962868117 | Ray Lee | Student in an Organized Health Care Education/Training Program | 2470 W Pullman Rd, Moscow, ID 83843-4034 | 2016-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733694 | Susan L Boone | Student in an Organized Health Care Education/Training Program | 8506 W Donnybrook Dr, Boise, ID 83709-0606 | 2020-09-02 |
| 1255959003 | Daniel Isaiah Zebedeo | Student in an Organized Health Care Education/Training Program | 430 E Tiger Ave, Post Falls, ID 83854-6649 | 2020-07-08 |
| 1982229944 | Clayton Kline | Student in an Organized Health Care Education/Training Program | 881 E 3900 N, Buhl, ID 83316-5929 | 2020-06-15 |
| 1013538883 | Corbin Curtis Wood | Student in an Organized Health Care Education/Training Program | 355 W 4650 N, Rexburg, ID 83440-3206 | 2020-05-02 |
| 1407476120 | Remington Sloan Farley | Student in an Organized Health Care Education/Training Program | 4015 E Florence Dr Apt 101, Meridian, ID 83642-6185 | 2020-04-22 |
| 1184253585 | Tate Coltan Staker | Student in an Organized Health Care Education/Training Program | 1322 S 2nd E, Rexburg, ID 83440-3824 | 2020-04-07 |
| 1730715855 | Madison Hiatt | Student in an Organized Health Care Education/Training Program | 1209 W Targee St, Boise, ID 83706-4565 | 2020-03-20 |
| 1053946202 | Kaitlyn Casper | Student in an Organized Health Care Education/Training Program | 267 W Arrowrock Ln, Boise, ID 83706-4802 | 2020-03-09 |
| 1558996660 | Erik Malm | Student in an Organized Health Care Education/Training Program | 850 E Franklin Rd Ste 402, Meridian, ID 83642-8917 | 2020-03-09 |
| 1952955825 | Lani Jo Hernandez | Student in an Organized Health Care Education/Training Program | 6200 N River Pointe Dr Apt B203, Boise, ID 83714-1848 | 2019-07-30 |
| Find all providers with the same taxonomy | ||||
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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.