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

Dr. Ryan Stewart Clark, DO

Individual provider Internal Medicine Physician · NPI 1396049011

Dr. Ryan Stewart Clark, DO is an Internal Medicine in Kettering, Ohio. Graduated from Nova Southeastern Univ College of Dental Medicine in 2010, 16 years ago. Practices with Kettering Independent Medical Group Inc, a 700-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
16
Trained at
Nova Southeastern Univ College of Dental Medicine
Licensed in
OH
In the registry since
2011
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1380 E Stroop Rd
Kettering, OH 45429-4926
Phone: (937) 293-3486
Fax: (937) 293-3605
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 34010728 (OH)
Internal Medicine Physician Taxonomy 207R00000X · Licence 34010728 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 58.003689 (OH)

Record details

NPI number1396049011
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJanuary 10, 2011
Last updated in NPPESJanuary 28, 2021
Certification dateJanuary 28, 2021
Mailing address1103 Fairington Dr, Sidney, OH 45365-8130

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolNOVA SOUTHEASTERN UNIV COLLEGE OF DENTAL MEDICINE
Graduated 2010 (16 years in practice)
Group practice Kettering Independent Medical Group Inc — 700 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kettering