ALAN W CLARK


Address: 1401 S Laventure Rd, Mount Vernon, WA 98274-6033
Phone: 3604242400

ALAN W CLARK (NPI# 1538196134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538196134
Entity Type Individual
Full Name ALAN W CLARK
Credential PA-C
Practice Address 1401 S Laventure Rd
Mount Vernon
WA 98274-6033
Mailing Address 805 Madison St
Suite 901
Seattle
WA 98104-1172
Practice Telephone 3604242400
Practice Fax Number 3604242418
Mailing Telephone 2062648100
Enumeration Date 2006-06-27
Last Update Date 2013-08-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA10004220 WA Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
PA10004220 WA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA L&I 0164819 01
WA 8406258 05
WA LABOR & INDUSTRIES 263660 01

Other Providers ALAN CLARK

NPI Name Taxonomy Address Enumeration
1114197456 Alan A Clark Dentist 15898 Bush Rd, Nevada City, CA 95959-9201 2008-03-03
1912121955 Alan E Clark Perfusionist 3061 Massasoit Ave, San Diego, CA 92117-2522 2007-04-12
1275689689 Alan Clark Optometrist 644 San Antonio Rd, Mountain View, CA 94040-1304 2007-01-26
1619026119 Alan R Clark Physician Assistant 4601 W Market St, Greensboro, NC 27408 2007-01-10
1619985884 Alan Douglas Clark Dentist 745 E. Joyce, Ste 221, Fayetteville, AR 72703 2006-08-04
1659363539 Alan James Clark Ophthalmology 133 Marion Oaks Blvd, Ocala, FL 34473-2211 2005-08-17
1104442300 Alan Keith Clark Case Manager/Care Coordinator 420 Sw 10th St, Oklahoma City, OK 73109-5610 2020-06-23
1366500712 Alan B. Clark Psychiatry & Neurology 240 Central Ave, East Orange, NJ 07018-3313 2006-12-05
1841206109 Alan E. Clark Psychologist 2730 Wilshire Blvd, Santa Monica, CA 90403-4743 2006-07-31
1053351254 Alan S Clark Emergency Medicine 1612 S Henderson Blvd, Kilgore, TX 75662-3518 2006-06-07

Office Location

Street Address 1401 S LAVENTURE RD
City MOUNT VERNON
State WA
Zip Code 98274-6033

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588662472 Kaarsten Robin Lang Orthopaedic Surgery 1401 S Laventure Rd, Mount Vernon, WA 98274-6033 2005-07-13
1114419280 Janelle A Shah Physician Assistant 1401 S Laventure Rd, Mount Vernon, WA 98274 2018-06-04
1700326824 Shannan Theresa O'brien Physician Assistant 1401 S Laventure Rd, Mount Vernon, WA 98274-6033 2017-03-08
1316372394 Jennifer C Dalziel Occupational Therapist 1401 S Laventure Rd, Mount Vernon, WA 98274-6033 2013-09-09
1457680233 Matthew Nathan Ball Physician Assistant 1401 S Laventure Rd, Mount Vernon, WA 98274-6033 2009-12-08
1104075621 Kimberly Kae Miller Physical Therapist 1401 S Laventure Rd, Mount Vernon, WA 98274-6033 2008-09-09
1053509968 Dr Paul A Berghuis Inc Ps Anesthesiology 1401 S Laventure Rd, Mount Vernon, WA 98274-6033 2007-10-05
1861690257 Jonathan B. Shafer Orthopaedic Surgery 1401 S Laventure Rd, Mount Vernon, WA 98274-6033 2007-07-06
1013112895 Jane E. Kaptein Registered Nurse 1401 S Laventure Rd, Mount Vernon, WA 98274-6033 2007-06-20
1114142577 Ashli Rhodes Jones Massage Therapist 1401 S Laventure Rd, Mount Vernon, WA 98274-6033 2007-04-13
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881123438 Ankur Tarun Sanghvi Peer Specialist 209 Milwaukee Steet, 209, Mount Vernon, WA 98274 2017-06-07
1932647187 Claudia Diaz Counselor 23550 Garden St, Mount Vernon, WA 98274 2017-02-08
1871042002 Richard Simcock Dds, Ps Dentist 130 S 15th St Suite 101, Mount Vernon, WA 98274 2016-09-29
1528228186 Parampreet Singh Ghuman Internal Medicine 121 S. 12th St, Ste B, Mount Vernon, WA 98274 2008-06-16
1699940874 Eugene Villanueva De Guzman Internal Medicine 208 S Hospital Pkwy, Mount Vernon, WA 98274 2008-04-28
1871775122 Matthew John Novak Internal Medicine 208 Hospital Pkwy, Mount Vernon, WA 98274 2007-11-28
1568658797 Emily A K Bianconi Nurse Practitioner 2101 Little Mountain Lane, Mount Vernon, WA 98274 2007-09-21
1659576981 Peggy Randall Counselor 1420 S 12th, Mount Vernon, WA 98274 2007-06-18
1194937037 Cascade Neurologic Clinic, Inc, P.s. Clinic/Center 1315 East Division St., Mt. Vernon, WA 98274 2007-05-04
1427171297 Keri L D Halgren Dentist 1711 E Division Street, Mt Vernon, WA 98274 2007-04-09
Find all providers in zip 98274

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982249124 Leticia B Barrientos Physician Assistant 472 Gramatan Ave Apt Bb4, Mount Vernon, NY 10552-2979 2019-11-12
1396390522 Elizabeth Kuriakose Physician Assistant 203 Gramatan Ave Ste A, Mount Vernon, NY 10550-1291 2019-08-05
1174941728 Lyndsey Switzer Physician Assistant 1600 Continental Pl Ste 101, Mount Vernon, WA 98273-5607 2014-04-01
1255585311 Pamela Welch Physician Assistant 5754 Farm Road 21, Mount Vernon, TX 75457-7749 2008-11-15
1881857787 Telesforo Llamas Jr. Physician Assistant 2 Fisher Dr, Apartment 607, Mount Vernon, NY 10552-3666 2008-07-10
1275712614 Naima R Abdus-salaam Physician Assistant 495 N Fulton Ave, Mount Vernon, NY 10552-1909 2007-11-02
1316006588 Lee Barry Leavelle Physician Assistant 107 W 4th Street, Mount Vernon Neighborhood Health Ctr, Mount Vernon, NY 10550 2006-12-06
1215096359 Patricia Taddeo Physician Assistant 107 West Fourth St, Mount Vernon Neighborhood Health Center, Mount Vernon, NY 10550 2006-12-06
1831270065 Rochelle A, Trussell Physician Assistant 1400 E. Kincaid St, Mount Vernon, WA 98274-4127 2006-10-17
1750497061 Shirley Dallmier Physician Assistant 3307 Broadway St Ste 130, Physician Rural Health Clinic of Jefferson County, Mount Vernon, IL 62864-2387 2006-08-21
Find all providers in MOUNT VERNON

Competitor

Search similar providers

City MOUNT VERNON
Zip Code 98274

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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