KEEGAN CLARK PA-C
NPI 1477372233
Physician Assistant - Medical in Greensburg, PA
About Keegan Clark Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEEGAN CLARK PA-C (NPI 1477372233) is an individual medical provider in Greensburg, Pennsylvania, licensed in Pennsylvania (MA066049) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Keegan Clark Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Keegan Clark's NPI number?
The NPI number for Keegan Clark is 1477372233. It was assigned to this individual provider in the NPPES registry on October 8, 2024.
Where is Keegan Clark located?
Keegan Clark practices at 532 W Pittsburgh St, Greensburg, PA 15601. The listed phone number is (724) 832-4626.
What is Keegan Clark's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Keegan Clark enrolled in Medicare?
Yes. Keegan Clark is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Keegan Clark was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Keegan Clark, PA-C · NPI 1477372233
Medical physician in Greensburg, Pennsylvania. Individual provider, active in the CMS NPPES registry since October 8, 2024.
## Identity
- **NPI:** 1477372233 (Entity type: Individual)
- **Enumerated:** October 8, 2024
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** MA066049 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 532 W PITTSBURGH ST, Greensburg, PA 15601-2239
- **Phone:** (724) 832-4626
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** October 8, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1477372233) · Data from the CMS NPPES public registry.