RONDA K. CLARK PA-C NPI 1700832565

NPI Information

NPI: 1700832565
Provider Name: RONDA K. CLARK, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: PA ENTERPRISES

PECOS Registration: Yes

Address:
309 S LINCOLN AVE
YORK, NE
ZIP 68467
Phone: (402) 745-6279
Get Directions

Ronda K. Clark, PA-C is a medical physician assistant in York, NE with 29 years of experience. Ronda K. Clark, PA-C NPI is 1700832565. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

309 S LINCOLN AVE
YORK, NE
ZIP 68467
Phone: (402) 745-6279

The NPI 1700832565 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 enumeration date for this NPI number is 5/25/2006 and was last updated on 5/15/2018.

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
1	207Q00000X	Family Medicine		684	NEBRASKA	No
2	363AM0700X	Physician Assistant	Medical	4859	ARIZONA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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