Active NPI
Clint Ryan Sowards, D.O.
- Family Medicine Physician
- Quincy, IL
National Provider Identifier
1447664107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 125-065529
- Practice address
- 612 N 11TH St
Quincy, IL 62301-2662 - Phone
- (217) 224-9484
- NPI assigned
- Jun 19, 2014
- Last updated
- May 4, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 125-065529 | IL | Primary |
Addresses
Primary practice location
612 N 11TH St
Quincy, IL 62301-2662
Mailing address
2115 Stuart Ave
Alamosa, CO 81101-2269
Phone (719) 587-6333
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amc.csowards@direct.slvrmc.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- At Still University, Arizona School of Dentistry & Oral HLTH, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
106 Blanca Ave
Alamosa, CO 81101-2340
Phone (719) 589-2511
310 County Rd
Suite 14
Del Norte, CO 81132-8758
Phone (719) 657-2510
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125-065529 | IL | MD | Family Medicine Physician |
Interoperability endpoints
- amc.csowards@direct.slvrmc.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba San Luis Valley Health Regional Medical Center
- General Acute Care Hospital
- Alamosa, CO
- NPI 1235181744
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba SLV Health Conejos County Hospital
- Critical Access Hospital Clinic/Center
- La Jara, CO
- NPI 1194792762
-
dba San Luis Valley Health Regional Medical Center
- General Acute Care Hospital
- Alamosa, CO
- NPI 1235181744
-
- Home Health Registered Nurse
- Antonito, CO
- NPI 1699369223
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620086400000",
"number": "1447664107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2115 STUART AVE",
"city": "ALAMOSA",
"state": "CO",
"postal_code": "811012269",
"telephone_number": "719-587-6333",
"fax_number": "719-587-5713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 N 11TH ST",
"city": "QUINCY",
"state": "IL",
"postal_code": "623012662",
"telephone_number": "217-224-9484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOWARDS",
"first_name": "CLINT",
"middle_name": "RYAN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-19",
"last_updated": "2021-05-04",
"certification_date": "2021-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "125-065529",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amc.csowards@direct.slvrmc.org",
"affiliation": "N",
"endpointDescription": "San Luis Valley Health PCP Clint Sowards",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "115 Main St.",
"city": "Alamosa",
"state": "CO",
"country_code": "US",
"postal_code": "81120",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Quincy, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.