Mr. Ryan Patrick Clark, PHYSICIANASSISTANT
Mr. Ryan Patrick Clark, PHYSICIANASSISTANT is a Physician Assistant in West Frankfort, Illinois. Qualified in 2013, 13 years ago. Practices with Sound Physicians of Illinois LLC, a 195-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.
- Years since qualifying
- 13
- Licensed in
- IL, MO
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
309 W Saint Louis StWest Frankfort, IL 62896-2099 Not confirmed with CMS for 12 years — call before visiting
Phone: (618) 932-2200
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 085005075 (IL) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence 2014009216 (MO) |
Record details
| NPI number | 1013335496 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PHYSICIANASSISTANT |
| Sole proprietor | Yes |
| NPI enumerated | April 2, 2014 |
| Last updated in NPPES | August 16, 2014 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2013 (13 years in practice) |
| Group practice | Sound Physicians Of Illinois Llc — 195 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Medicare patients and services, 2024
| Medicare patients | 326 |
|---|---|
| Services billed | 651 |
| Average patient age | 77 |
Practises at
- Mercy Hospital Lincoln Hospital · Troy, MO
- Ssm St Joseph Health Center Hospital · Saint Charles, MO · listed as St Joseph Health Center
- Ssm Health Depaul Hospital St Louis Hospital · Bridgeton, MO
- Ssm St Joseph Hospital West Hospital · Lake Saint Louis, MO
Colleagues at Sound Physicians of Illinois LLC
- Asm Iftiar Chowdhury, MD Internal Medicine Physician · Saint Louis, MO
- Yunhee Choi Cruse, CNP, FNP-BC Family Nurse Practitioner · Lake St Louis, MO
- Jordan Lee Edwards, NP-C Adult Health Nurse Practitioner · Wentzville, MO
- Ebikaboere Ejimofor, MD Family Medicine Physician · Red Bank, NJ
- Dr. Peter Scott Emerson, MD Hospitalist Physician · Richmond Heights, MO
- Vinnette Theresa Forde, MD Internal Medicine Physician · Chicago, IL
- Sandhya Rani Grandhi Family Medicine Physician · Carbondale, IL
- Michelle R Mick, ANP-C Adult Health Nurse Practitioner · Saint Louis, MO
- Mohammed Shabbir, MD Internal Medicine Physician · Oak Brook, IL
- Danial Tahir, MD Internal Medicine Physician · Bridgeton, MO
- Catherine Ann Vasilevski, DO Hospice and Palliative Medicine (Internal Medicine) Physician · Saint Louis, MO
- Dr. Bhaskara Rao Yelamanchili, MD Internal Medicine Physician · Danville, IL
Other providers in West Frankfort
-
Mr. Jason Dorris, PA-C
309 W Saint Louis St Ste B, West Frankfort, IL 62896-2047 · (618) 932-2200