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JONATHAN D CLARK PA-C
NPI 1811308240
Physician Assistant - Surgical in Muskogee, OK

Active since May 20, 2014
1011 HONOR HEIGHTS DR, MUSKOGEE, OK 74401(189) 577-3000 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jonathan D Clark Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN D CLARK PA-C (NPI 1811308240) is an individual surgical provider in Muskogee, Oklahoma, licensed in Oklahoma (3141) and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1811308240
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameJONATHAN D CLARKCredential: PA-C
Location Address1011 HONOR HEIGHTS DRMuskogee, OK 74401-1318
Mailing Address6731 E 131st Pl SBixby, OK 74008-3302 · (918) 605-4122
Phone(189) 577-3000
Sole ProprietorYes
Enumeration DateMay 20, 2014
Last NPPES UpdateFebruary 28, 2023
NPPES CertifiedFebruary 28, 2023
✔ NPI 1811308240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in OK · 3141
1011 HONOR HEIGHTS DR, Muskogee, OK 74401
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Other Names 1

Other Name (5)Jon Clark Atc, Lat

Other Identifiers 2

Other1169860Nccpa
Other3141OK · Oklahoma Medical License

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

LESA TRICKETT RRT
Respiratory Therapist, Registered
1011 HONOR HEIGHTS DR
MUSKOGEE, OK 74401
Muskogee County (918) 577-3546
MRS. ALEF NANCY GRAHAM ARNP
Nurse Practitioner (Family)
1011 HONOR HEIGHTS DR
MUSKOGEE, OK 74401
Muskogee County (918) 683-3261
BONNIE M KENNEDY PHARM.D.
Pharmacist
1011 HONOR HEIGHTS DR
MUSKOGEE, OK 74401
Muskogee County (918) 577-3185
BRYAN KEITH SHERMAN
Registered Nurse
1011 HONOR HEIGHTS DR
MUSKOGEE, OK 74401
Muskogee County (405) 830-0503
CHERYL D. CLEVELAND
Registered Nurse (Case Management)
1011 HONOR HEIGHTS DR
MUSKOGEE, OK 74401
Muskogee County (918) 577-3000
LISA LOUISE KIDDIE RN
Registered Nurse (General Practice)
1011 HONOR HEIGHTS DR
MUSKOGEE, OK 74401
Muskogee County (918) 781-3622
DR. VERNON LEE JENKINS D.O.
Emergency Medicine
1011 HONOR HEIGHTS DR
MUSKOGEE, OK 74401
Muskogee County (918) 680-3662
MARIE A ENOW
Registered Nurse
1011 HONOR HEIGHTS DR
MUSKOGEE, OK 74401
Muskogee County (918) 577-4040

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 Jonathan Clark's NPI number?

The NPI number for Jonathan Clark is 1811308240. It was assigned to this individual provider in the NPPES registry on May 20, 2014. The provider is also known as Jon Clark Atc, Lat.

Where is Jonathan Clark located?

Jonathan Clark practices at 1011 Honor Heights Dr, Muskogee, OK 74401. The listed phone number is (189) 577-3000.

What is Jonathan Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Jonathan Clark was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.