Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1144861451 Individual Practitioner Female Practitioner

Desiree Deon Clark , PA-C

Physician Assistant • Sandy, UT

Professional Overview & Biography Verified Profile Summary

Desiree Clark, PA-C is a registered healthcare professional specializing in Physician Assistant in Sandy, UT. Practice services are available at 9600 S 1300 E STE 240 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9600 S 1300 E Ste 240

Sandy, UT 840943783

Telephone 8019653600
Associated Practice Facility / Clinic
🏢 Granger Medical Clinic Pc Facility NPI 1104857549

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Sandy, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.4 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
28 Specialists

Practicing in Sandy, UT (1904 Statewide)

Telehealth Adoption Rate
10.7% 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

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License UT 9507169-1206

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

Commercial Insurance / Payer ID State License
9507169-1206 (UT)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Casey Henich , MD

Family Medicine

NPI 1003041740

Doctor of Medicine (M.D.)

NPI 1013985522

Doctor of Medicine (M.D.)

NPI 1023040276

Doctor of Podiatric Medicine

Dr. Ashleigh Byrne , MD

Pain Medicine - Interventional Pain Medicine

NPI 1023269537

Doctor of Medicine (M.D.)

Melanie Riederer , FNP-C

Nurse Practitioner

NPI 1023823044

Family Nurse Practitioner (Certified)

NPI 1033141270

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 08, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location October 08, 2019

Registered at 9600 S 1300 E STE 240, SANDY, UT 840943783 (Tel: 8019653600)

📍
Updated Business Mailing Address October 08, 2019

Registered at 7181 S CAMPUS VIEW DR, WEST JORDAN, UT 840844312 (Tel: 8019653505)

👤
Provider Name / Credentials Updated October 08, 2019

Recorded as DESIREE CLARK, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2019

Physician Assistant (License #9507169-1206 in UT)

🟢
Initial NPI Registration & Enumeration October 08, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Desiree Clark. Be the first to share your experience!

Sign in to leave a review for Desiree Clark

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1144861451
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 08, 2019
Last Update: October 08, 2019
Sole Proprietor: No

Mailing Address

7181 S Campus View Dr

West Jordan, UT 840844312

Phone: 8019653505

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.