JONATHAN SCOTT CLARK D.O. NPI 1184682866

NPI Information

  • NPI: 1184682866
  • Provider Name: JONATHAN SCOTT CLARK, D.O.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1103 DEWEY AVE
    POTEAU, OK
    ZIP 74953
  • Phone: (918) 649-3777

Map and Directions

Get Directions

NPI Details

Jonathan Scott Clark, D.O. is a family medicine in Poteau, OK with 28 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Jonathan Scott Clark, D.O. NPI is 1184682866. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:1997

The provider's business location address is:

1103 DEWEY AVE
POTEAU, OK
ZIP 74953-411
Phone: (918) 649-3777
Fax: (918) 649-3891

The NPI 1184682866 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Injection, ceftriaxone sodium, per 250 mg (HCPCS:J0696)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a (HCPCS:G0179)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Urinalysis, manual test (HCPCS:81002)
  • Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)
  • 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc (HCPCS:U0002)
  • Hemoglobin a1c level (HCPCS:83036)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
  • Blood count, hemoglobin (HCPCS:85018)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Testing for presence of drug, by chemistry analyzers (HCPCS:80307)
  • Detection test by nucleic acid for multiple types influenza virus (HCPCS:87502)
  • Established patient home visit, typically 40 minutes (HCPCS:99349)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)

The enumeration date for this NPI number is 5/3/2006 and was last updated on 3/11/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine3561OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1249401901MEDICARE PINOKLAHOMA
2100114570BMEDICAIDOKLAHOMA
3P00061421OTHEROKLAHOMARAILROAD MEDICARE
4G92053MEDICARE UPINOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.