Matthew Ryan Clark (NPI# 1194162230, PAC ID# 1153564380) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1194162230 |
| PAC ID by PECOS | 1153564380 |
| Professional Enrollment ID | I20181129002232 |
| Full Name | Matthew Ryan Clark |
| Organization Legal Name | ADVANCED DERMATOLOGY SKIN CANCER AND LASER SURGERY CENTER P.C. |
| Address |
1390 S Potomac St Suite 124 Aurora CO 80012-4529 |
| Phone Number | 3033688611 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 6709775133 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1390 S Potomac St, Suite 124, Aurora, CO 80012-4529 | 3033688611 | ADVANCED DERMATOLOGY SKIN CANCER AND LASER SURGERY CENTER P.C. |
| 12645 E Euclid Dr, Centennial, CO 80111-6437 | 3034931910 | ADVANCED DERMATOLOGY SKIN CANCER AND LASER SURGERY CENTER P.C. |
| Organization Legal Name | ADVANCED DERMATOLOGY SKIN CANCER AND LASER SURGERY CENTER P.C. |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven A Brenman | Dermatology | Advanced Dermatology Skin Cancer and Laser Surgery Center P.C. | 12645 E Euclid Dr, Centennial, CO 80111-6437 |
| Sean T Amsbaugh | Dermatology | Advanced Dermatology Skin Cancer and Laser Surgery Center P.C. | 1390 S Potomac St, Suite 124, Aurora, CO 80012-4529 |
| Elizabeth A Swanson | Dermatology | Advanced Dermatology Skin Cancer and Laser Surgery Center P.C. | 1390 S Potomac St, Suite 124, Aurora, CO 80012-4529 |
| Paul J. Grant | Dermatology | Advanced Dermatology Skin Cancer and Laser Surgery Center P.C. | 1390 S Potomac St, Suite 124, Aurora, CO 80012-4529 |
| James T Chapman | Dermatology | Advanced Dermatology Skin Cancer and Laser Surgery Center P.C. | 1390 S Potomac St, Suite 124, Aurora, CO 80012-4529 |
| Ryan E Oleary | Dermatology | Advanced Dermatology Skin Cancer and Laser Surgery Center P.C. | 1390 S Potomac St, Suite 124, Aurora, CO 80012-4529 |
| Anne Helen Hanson | Dermatology | Advanced Dermatology Skin Cancer and Laser Surgery Center P.C. | 1390 S Potomac St, Suite 124, Aurora, CO 80012-4529 |
| Dawnielle Christina Endly | Dermatology | Advanced Dermatology Skin Cancer and Laser Surgery Center P.C. | 1390 S Potomac St, Suite 124, Aurora, CO 80012-4529 |
| Jamie G Surovik | Dermatology | Advanced Dermatology Skin Cancer and Laser Surgery Center P.C. | 1390 S Potomac St, Suite 124, Aurora, CO 80012-4529 |
| Gregory G Papadeas | Dermatology | Advanced Dermatology Skin Cancer and Laser Surgery Center P.C. | 1390 S Potomac St, Suite 124, Aurora, CO 80012-4529 |
| Street Address |
1390 S POTOMAC ST SUITE 124 |
| City | AURORA |
| State | CO |
| Zip | 80012-4529 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David L Reinhard | Physical Medicine and Rehabilitation | Colorado Rehabilitation and Occupational Medicine Pllc | 1390 S Potomac St, Suite 100, Aurora, CO 80012-4529 |
| Usama H Ghazi | Physical Medicine and Rehabilitation | Colorado Rehabilitation and Occupational Medicine Pllc | 1390 S Potomac St, Suite 100, Aurora, CO 80012-4529 |
| Gretchen L. Brunworth | Physical Medicine and Rehabilitation | Colorado Rehabilitation and Occupational Medicine Pllc | 1390 S Potomac St, Suite 100, Aurora, CO 80012-4529 |
| Barry Alan Ogin | Physical Medicine and Rehabilitation | Colorado Rehabilitation and Occupational Medicine Pllc | 1390 S Potomac St, Suite 100, Aurora, CO 80012-4529 |
| Sean T Amsbaugh | Dermatology | Advanced Dermatology Skin Cancer and Laser Surgery Center P.C. | 1390 S Potomac St, Suite 124, Aurora, CO 80012-4529 |
| John Tashof Bernton | Internal Medicine | Colorado Rehabilitation and Occupational Medicine Pllc | 1390 S Potomac St, Suite 100, Aurora, CO 80012-4529 |
| Elizabeth A Swanson | Dermatology | Advanced Dermatology Skin Cancer and Laser Surgery Center P.C. | 1390 S Potomac St, Suite 124, Aurora, CO 80012-4529 |
| Paul J. Grant | Dermatology | Advanced Dermatology Skin Cancer and Laser Surgery Center P.C. | 1390 S Potomac St, Suite 124, Aurora, CO 80012-4529 |
| James T Chapman | Dermatology | Advanced Dermatology Skin Cancer and Laser Surgery Center P.C. | 1390 S Potomac St, Suite 124, Aurora, CO 80012-4529 |
| Ryan E Oleary | Dermatology | Advanced Dermatology Skin Cancer and Laser Surgery Center P.C. | 1390 S Potomac St, Suite 124, Aurora, CO 80012-4529 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yahdi D Cotto-jorge | Chiropractic | 14261 E Cedar Ave, Unit B, Aurora, CO 80012-1431 | |
| Anthony K Hasselbach | Diagnostic Radiology | Smi Imaging LLC | 14301 E Cedar Ave, Unit E, Aurora, CO 80012-1433 |
| James I Piko | Diagnostic Radiology | Smi Imaging LLC | 14301 E Cedar Ave, Unit E, Aurora, CO 80012-1433 |
| Loren K Laughlin | Psychologist, Clinical | 390 S Potomac Way, Suite C, Aurora, CO 80012-2491 | |
| Deborah J Neisen | Clinical Social Worker | 390 S Potomac Way, Suite C, Aurora, CO 80012-2491 | |
| Karen M Kuenning | Optometry | 14200 E Alameda Ave, Unit 2013, Aurora, CO 80012-2508 | |
| Alexander H Zimmer | Neurology | 14111 E Alameda Ave, Suite 200, Aurora, CO 80012-2509 | |
| Cecilia Billings | Optometry | 142000 E Alameda Ave, Suite 1029, Aurora, CO 80012-2518 | |
| Melissa Puzzo | Optometry | Family First Vision Care LLC | 14200 E Alameda Ave, Suite 1029, Aurora, CO 80012-2518 |
| Sangyong Shin | Physical Therapy | 13901 E Exposition Ave, Suite 200, Aurora, CO 80012-2552 | |
| Find all physicians in zip 80012 | |||
| City | AURORA |
| Zip Code | 80012 |
| Specialty | DERMATOLOGY |
| City + Specialty | AURORA + DERMATOLOGY |
Please comment or provide details below to improve the information on Matthew Ryan Clark.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.