ALAN W CLARK PA-C NPI 1538196134

NPI Information

  • NPI: 1538196134
  • Provider Name: ALAN W CLARK, PA-C
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1401 S LAVENTURE RD
    MOUNT VERNON, WA
    ZIP 98274
  • Phone: (360) 424-2400

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NPI Details

Alan W Clark, PA-C is a physician assistant in Mount Vernon, WA with 25 years of experience. The provider is 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. Alan W Clark, PA-C NPI is 1538196134. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1401 S LAVENTURE RD
MOUNT VERNON, WA
ZIP 98274-033
Phone: (360) 424-2400
Fax: (360) 424-2418

The NPI 1538196134 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.

  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose (HCPCS:J7324)
  • Aspiration and/or injection of fluid large joint using ultrasound guidance (HCPCS:20611)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Insertion of cage or mesh device to spine bone and disc space during spine fusion (HCPCS:22853)
  • Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Fusion of spine in lower back with partial removal of spine bone and disc (HCPCS:22633)
  • Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back (HCPCS:63052)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)

The enumeration date for this NPI number is 6/27/2006 and was last updated on 8/14/2013.

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
1363AM0700XPhysician AssistantMedicalPA10004220WASHINGTONNo
2363A00000XPhysician AssistantPA10004220WASHINGTONYes

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
1P52626MEDICARE UPINWASHINGTON
20164819OTHERWASHINGTONL&I
3AB33703MEDICARE ID-TYPE UNSPECIFIEDWASHINGTON
4263660OTHERWASHINGTONLABOR & INDUSTRIES
58406258MEDICAIDWASHINGTON
68892618MEDICARE PINWASHINGTON

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: 11/21/2025

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