Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1811308240 Individual Practitioner Male Practitioner

Jonathan D Clark , PA-C

Physician Assistant - Surgical • Muskogee, OK

Professional Overview & Biography Verified Profile Summary

Jonathan Clark, PA-C is a registered healthcare professional specializing in Physician Assistant - Surgical in Muskogee, OK. Practice services are available at 1011 HONOR HEIGHTS DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1011 Honor Heights Dr

Muskogee, OK 744011318

Telephone 1895773000
Associated Practice Facility / Clinic
🏢 Muskogee Vamc Facility NPI 1770541377

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Muskogee, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.0 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
5 Specialists

Practicing in Muskogee, OK (113 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-02-28
Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License OK 3141

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Nccpa
1169860
Commercial Insurance / Payer ID Oklahoma Medical License
3141 (OK)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Lesa Trickett , RRT

Respiratory Therapist, Registered

NPI 1003754532

Registered Respiratory Therapist

Alef Graham , ARNP

Nurse Practitioner - Family

NPI 1003924390

Advanced Registered Nurse Practitioner

NPI 1013254978

Doctor of Pharmacy (Pharm.D.)

Bryan Sherman

Registered Nurse

NPI 1013700459
Cheryl Cleveland

Registered Nurse - Case Management

NPI 1013708148
Lisa Kiddie , RN

Registered Nurse - General Practice

NPI 1013800200

Registered Nurse

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location February 28, 2023

Registered at 1011 HONOR HEIGHTS DR, MUSKOGEE, OK 744011318 (Tel: 1895773000)

📍
Updated Business Mailing Address February 28, 2023

Registered at 6731 E 131ST PL S, BIXBY, OK 740083302 (Tel: 9186054122)

👤
Provider Name / Credentials Updated February 28, 2023

Recorded as JONATHAN CLARK, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 28, 2023

Physician Assistant (License #3141 in OK)

NPI Profile Active May 20, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location May 20, 2014

Registered at 1003 N 129TH EAST AVE, TULSA, OK 741162131 (Tel: 9182708534)

📍
Updated Business Mailing Address May 20, 2014

Registered at 2045 S 74TH EAST AVE, TULSA, OK 741127717 (Tel: 9186054122)

👤
Provider Name / Credentials Updated May 20, 2014

Recorded as JON CLARK, ATC, LAT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2014

Specialist/Technologist (License #776 in OK)

🟢
Initial NPI Registration & Enumeration May 20, 2014

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: 1811308240
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 20, 2014
Last Update: February 28, 2023
Sole Proprietor: Yes

Mailing Address

6731 E 131st Pl S

Bixby, OK 740083302

Phone: 9186054122

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.