Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ronnie Scullark, PA-C, RRT

Individual provider Physician Assistant · NPI 1770022964

Ronnie Scullark, PA-C, RRT is a Physician Assistant in Cleveland, Ohio. Qualified in 2016, 10 years ago. Practices with Cleveland Clinic, a 6,935-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
10
Licensed in
OH
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
RRT — Registered Respiratory Therapist
Treats breathing disorders and manages ventilators.

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Practice location Address checks out

9500 Euclid Ave J82
Cleveland, OH 44195-0001
Phone: (216) 444-2200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.005043RX (OH)

Record details

NPI number1770022964
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C , RRT
Sole proprietorYes
NPI enumeratedFebruary 21, 2017
Last updated in NPPESDecember 5, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Cleveland Clinic — 6935 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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