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RYAN CLARK DO
NPI 1295538452
Student in an Organized Health Care Education/Training Program in Canton, OH

Active since March 31, 2025PECOS Enrolled
2600 7TH ST SW, CANTON, OH 44710(330) 363-6223(330) 363-3877 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ryan Clark Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RYAN CLARK DO (NPI 1295538452) is an individual student in an organized health care education/training program in Canton, Ohio and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS and maintains a secondary practice location in Lynchburg.

NPPES Registry Identity

NPI1295538452
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRYAN CLARKCredential: DO
Location Address2600 7TH ST SWCanton, OH 44710-1801
Mailing Address2600 7th St SwCanton, OH 44710-1801
Phone(330) 363-6223
Fax(330) 363-3877
Sole ProprietorNo
Enumeration DateMarch 31, 2025
Last NPPES UpdateJuly 2, 2026
NPPES CertifiedJuly 2, 2026
✔ NPI 1295538452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2600 7TH ST SW, Canton, OH 44710
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Secondary Practice Location 1

Location 1306 Liberty View LnLynchburg, VA 24502-2291 · Phone (434) 592-6400

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ryan Clark Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BROOKE BABYAK M.D.
Family Medicine
2600 7TH ST SW
CANTON, OH 44710
Stark County (330) 363-6242
AMOLPARKASH SINGH RANDHAWA MD
Student in an Organized Health Care Education/Training Program
2600 7TH ST SW
CANTON, OH 44710
Stark County (330) 363-6242
KAOSISOCHUKWU OKEKE MD
Student in an Organized Health Care Education/Training Program
2600 7TH ST SW
CANTON, OH 44710
Stark County (330) 363-6211
QIMIN HAI MD
Student in an Organized Health Care Education/Training Program
2600 7TH ST SW
CANTON, OH 44710
Stark County (330) 363-6223
DR. MARIQUITA TOLENTINO BELEN MD
Family Medicine
2600 7TH ST SW
CANTON, OH 44710
Stark County (330) 363-6242
OU JI MD
Student in an Organized Health Care Education/Training Program
2600 7TH ST SW
CANTON, OH 44710
Stark County (330) 363-6223
LINDSEY MARIA WALKER DO
Student in an Organized Health Care Education/Training Program
2600 7TH ST SW
CANTON, OH 44710
Stark County (330) 363-4922
MICHEAL ANYAELE MD
Student in an Organized Health Care Education/Training Program
2600 7TH ST SW
CANTON, OH 44710
Stark County (330) 363-6223

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Clark's NPI number?

The NPI number for Ryan Clark is 1295538452. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Where is Ryan Clark located?

Ryan Clark practices at 2600 7th St SW, Canton, OH 44710. The listed phone number is (330) 363-6223.

What is Ryan Clark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ryan Clark enrolled in Medicare?

Yes. Ryan Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ryan Clark was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.