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RYAN CLARK PA
NPI 1962648121
Physician Assistant - Medical in Philadelphia, PA

Active since December 18, 2008
5501 OLD YORK RD, WILLLOWCREST BLDG., 4TH FLOOR, PHILADELPHIA, PA 19141(215) 456-1754 Get Directions Write a Review

NPPES record last updated: December 18, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ryan Clark Pa NPPES

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

RYAN CLARK PA (NPI 1962648121) is an individual medical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MA053613) and active in the NPI registry since December 2008.

NPPES Registry Identity

NPI1962648121
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameRYAN CLARKCredential: PA
Location Address5501 OLD YORK RD, WILLLOWCREST BLDG., 4TH FLOORPhiladelphia, PA 19141-3018
Mailing Address101 E Olney Ave, Suite 400Philadelphia, PA 19120-2421 · (215) 456-7000 · Fax (215) 254-2599
Phone(215) 456-1754
Sole ProprietorNo
Enumeration DateDecember 18, 2008
✔ NPI 1962648121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in PA · MA053613
5501 OLD YORK RD, Philadelphia, PA 19141
Open in Google Maps ↗

Other Identifiers 1

Other232664784PA · Ein

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.

KENNETH KLECKNER MD
Emergency Medicine
5501 OLD YORK RD, EINSTEIN MEDICAL CENTER - PHILADELPHIA
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-6679
MS. AMMAN HASSAN MD
Pediatrics
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-3810
TAYLOR NICOLE THOMPSON PA-C
Physician Assistant (Medical)
5501 OLD YORK RD, KORMAN BUILDING SUITE 202
PHILADELPHIA, PA 19141
Philadelphia County (215) 254-2630
STEPHEN RYAN CHEN
Orthopaedic Surgery
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7890
DR. DHRUV SHARMA MD
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7890
TIMOTHY DANIEL GARDNER DO
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7890
DR. JONATHAN THOMAS LUCIANI DO
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7890
ASHIKA KAPOOR MD
Psychiatry & Neurology (Psychiatry)
5501 OLD YORK RD
PHILA, PA 19141
Philadelphia County (215) 456-8103

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 1962648121. It was assigned to this individual provider in the NPPES registry on December 18, 2008.

Where is Ryan Clark located?

Ryan Clark practices at 5501 Old York Rd Willlowcrest Bldg., 4th Floor, Philadelphia, PA 19141. The listed phone number is (215) 456-1754.

What is Ryan Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Ryan Clark was last updated on December 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.