Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154072536 Individual Practitioner Female Practitioner

Natalie Loree Clark , PA-C

Physician Assistant • Columbus, OH

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Natalie Clark, PA-C is a certified Physician Assistant practicing in Columbus, OH. With approximately 4 years of clinical experience since graduating from Philadelphia College Of Osteopathic Medicine in 2022, Natalie Clark delivers high-quality medical care to the local community at 460 W 10TH AVE FL 2.

Natalie Clark is affiliated with Osu Radiation Oncology Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

460 W 10th Ave Fl 2

Columbus, OH 432101240

Telephone 6142933241
Fax 6142934044
Associated Practice Facility / Clinic
🏢 Osu Neuroscience Center, Llc Facility NPI 1932199254

Medicare Profile & Education

Medical School

Philadelphia College Of Osteopathic Medicine

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Columbus, OH

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -3.7 yrs vs City Avg
City Avg: 7.7 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
731 Specialists

Practicing in Columbus, OH (5376 Statewide)

Telehealth Adoption Rate
9.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clark (4 Years) 4 Yrs
Columbus Specialty Average (7.7 Years) 7.7 Yrs

Medical Specialties & State Licenses

CMS Verified: 2023-12-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OH 50007840RX

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0002271 (OH)

Hospital & Practice Group Affiliations

Osu Radiation Oncology Llc

460 W 10th Ave, Columbus, OH 432101240

Phone: 6142938415

Osu Radiation Oncology Llc

300 W 10th Ave, Columbus, OH 432101280

Phone: 6142938415

Osu Radiation Oncology Llc

450 W 10th Ave, Columbus, OH 432101240

Phone: 6142938415

Osu Radiation Oncology Llc

2121 Kenny Rd, Columbus, OH 432103100

Phone: 6142938415

Secondary Practice Locations

395 W 12th Ave Fl 7

Columbus, OH 432101267

Phone: 6142934969

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Eric Miller , MD, PhD

Radiology - Radiation Oncology

NPI 1023375128

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Dr. Jacob Eckstein , MD

Radiology - Radiation Oncology

NPI 1023507258

Doctor of Medicine (M.D.)

Dr. Young Kwon , MD

Radiology - Radiation Oncology

NPI 1043548209

Doctor of Medicine (M.D.)

Dr. Steve Walston , DO

Radiology - Radiation Oncology

NPI 1053623397

Doctor of Osteopathic Medicine (D.O.)

Dr. Khaled Dibs , MD

Radiology - Radiation Oncology

NPI 1053876656

Doctor of Medicine (M.D.)

Jenna Dorman , APRN-CNP

Nurse Practitioner - Family

NPI 1063132041

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location December 11, 2023

Registered at 460 W 10TH AVE FL 2, COLUMBUS, OH 432101240 (Tel: 6142933241)

👤
Provider Name / Credentials Updated July 19, 2023

Recorded as NATALIE CLARK, PA-C

📍
Updated Practice Location November 22, 2022

Registered at 395 W 12TH AVE FL 7, COLUMBUS, OH 432101267 (Tel: 6142934969)

📍
Updated Business Mailing Address November 22, 2022

Registered at 700 ACKERMAN RD STE 2120, COLUMBUS, OH 432021559 (Tel: 6142934969)

👤
Provider Name / Credentials Updated November 22, 2022

Recorded as NATALIE CERVELLI, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 22, 2022

Physician Assistant (License #50007840RX in OH)

📍
Updated Practice Location October 12, 2022

Registered at 460 W 10TH AVE, COLUMBUS, OH 432101240 (Tel: 6142938000)

📍
Updated Business Mailing Address October 12, 2022

Registered at 460 W 10TH AVE, COLUMBUS, OH 432101240

NPI Profile Active January 17, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location January 17, 2022

Registered at 625 OLD PEACHTREE RD NW, SUWANEE, GA 300242937 (Tel: 6782257500)

📍
Updated Business Mailing Address January 17, 2022

Registered at 625 OLD PEACHTREE RD NW, SUWANEE, GA 300242937

👤
Provider Name / Credentials Updated January 17, 2022

Recorded as NATALIE CERVELLI

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration January 17, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154072536
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 17, 2022
Last Update: December 11, 2023
Sole Proprietor: No

Mailing Address

700 Ackerman Rd Ste 2120

Columbus, OH 432021559

Phone: 6143669232

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.