DR. RYAN CLARK (NPI# 1689061822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689061822 |
| Entity Type | Individual |
| Full Name | DR. RYAN CLARK |
| Credential | M.D. |
| Practice Address |
30 N 1900 E Som 3c127 Salt Lake City UT 84132 |
| Practice Telephone | 8015856740 |
| Mailing Telephone | 8015856740 |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2020-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11747118-1205 | UT | Allopathic & Osteopathic Physicians |
| 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 |
| 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 |
30 N 1900 E SOM 3C127 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275162331 | Scott Andrew Rizzi | Student in an Organized Health Care Education/Training Program | 30 North 1900 East Som 4c116, Salt Lake City, UT 84132 | 2020-04-02 |
| 1609421403 | Monika Fleckenstein | Ophthalmology | 65 Mario Capecchi Drive, John A. Moran Eye Center, Salt Lake City, UT 84132 | 2019-08-08 |
| 1366975914 | Jacob Brandenburg | Anesthesiology | School of Medicine 30 North 1900 East Room 3c444, Salt Lake City, UT 84132 | 2017-04-10 |
| 1568815082 | Anastasia Neufeld | Ophthalmology | 65 Mario Capecchi Drive, Salt Lake City, UT 84132 | 2016-07-20 |
| 1912350083 | Gmaan Alzhrani | Student in an Organized Health Care Education/Training Program | 175 N. Medical Drive East , Salt Lake City, UT 84132 | 2016-07-13 |
| 1831544600 | Drew Goerke | Occupational Therapist | 50 N Medical Drive, Som Room #1r73, Salt Lake City, UT 84132 | 2016-04-29 |
| 1891179024 | Bong Jik Kim | Student in an Organized Health Care Education/Training Program | 50 North Medical Drive 3c120, Otolaryngology Administration Office, Salt Lake City, UT 84132 | 2015-07-17 |
| 1043699101 | Chris Anderson | Physician Assistant | 30 North 1900 East #3c344, Salt Lake City, UT 84132 | 2015-05-22 |
| 1649666264 | Kevin Conrad | Anesthesiology | 30 N 1900 E Room 3c444, Salt Lake City, UT 84132 | 2015-04-09 |
| 1962806786 | Curtis Clark | Nurse Practitioner | 175 North Medical Drive, Salt Lake City, UT 84132 | 2014-10-22 |
| Find all providers in zip 84132 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609319722 | Antigoni Koliopoulou | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 30 N 1900 E # Som3c127, Salt Lake City, UT 84132-0002 | 2016-11-21 |
| 1487994562 | Edwin Clifford Mcgough | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 705 N Pioneer Fork Rd, Salt Lake City, UT 84108-1642 | 2013-02-26 |
| 1659630572 | John David Vossler | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 30 N 1900 E # 3c127, Salt Lake City, UT 84132-0002 | 2012-05-12 |
| 1407145535 | Utl Solutions, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 369 E 900 S, Suite 279, Salt Lake City, UT 84111-4331 | 2011-03-29 |
| 1003063934 | Clynn Roberts Ford | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2843 Lancaster Dr, Salt Lake City, UT 84108-2535 | 2008-08-21 |
| 1356335970 | J Kent Thorne | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1160 E. 3900 S, #3500, Salt Lake City, UT 84124 | 2005-09-09 |
| 1255795308 | University of Utah Pediatric Services | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 | 2016-04-05 |
| 1184028995 | University of Utah Adult Services | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2014-10-22 |
| 1073871042 | Ashley Eleen Morgan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 30 N 1900 E, Salt Lake City, UT 84132-0002 | 2012-04-27 |
| 1639456767 | Dimitrios Koudoumas | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 30 N 1900 E, Salt Lake City, UT 84132-0002 | 2011-11-03 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84132 |
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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.