EMILY MOSSOTTI CLARK PA-C NPI 1821275520

Physician Assistant in Lexington, KY

About EMILY CLARK

Emily Clark is a provider in Lexington, KY with more than 13 years of experience. The NPI number assigned to this provider is 1821275520. The practitioner's primary taxonomy code is Physician Assistant (363A00000X). The provider is registered as an individual and their NPI record was last updated 7 years ago. Emily Clark is registered with Medicare and accepts claims assignment.

NPI

1821275520

Provider Name EMILY MOSSOTTI CLARK PA-C
Provider Location Address1218 S BROADWAY SUITE 310 LEXINGTON, KY 40504
Provider Mailing Address1218 S BROADWAY SUITE 310 LEXINGTON, KY 40504
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2006
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date01-24-2008
Last Update Date11-04-2011

Primary Taxonomy

Taxonomy Code363A00000X
ClassificationPhysician Assistant
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.PA991
License StateKY
Taxonomy DescriptionA 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.

Business Address

EMILY MOSSOTTI CLARK PA-C
1218 S BROADWAY
SUITE 310
LEXINGTON, KY
ZIP 40504
Phone: (859) 219-0542
Fax: (859) 219-9433

Get Directions

Mailing Address

EMILY MOSSOTTI CLARK PA-C
1218 S BROADWAY
SUITE 310
LEXINGTON, KY
ZIP 40504
Phone: (859) 219-0542
Fax: (859) 219-9433

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
0572145MEDICARE PIN (08)
7100051790MEDICAID (05)KY

Other Providers at the same location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003872300 BARRY D HANEY M.D.
Individual
Radiology (Diagnostic Radiology)1218 S BROADWAY SUITE 310
LEXINGTON, KY 40504
(859) 219-0542
1013285691 KATHRYN A SPENCER PA-C
Individual
Physician Assistant1218 S BROADWAY STE 310
LEXINGTON, KY 40504
(859) 219-0542
1033157888DR. MATTHEW D ZWICK M.D.
Individual
Radiology (Diagnostic Radiology)1218 S BROADWAY SUITE 310
LEXINGTON, KY 40504
(859) 219-0542
1053353250 JAMES LUTHER BUCK MD
Individual
Radiology (Diagnostic Radiology)1218 S BROADWAY SUITE 310
LEXINGTON, KY 40504
(859) 219-0542
1114460417 RYAN M LEUGERS PA-C
Individual
Physician Assistant1218 S BROADWAY STE 310
LEXINGTON, KY 40504
(859) 219-0542
1134186745 ALLEN DAVID WESTERFIELD IV M.D.
Individual
Radiology (Diagnostic Radiology)1218 S BROADWAY SUITE 310
LEXINGTON, KY 40504
(859) 219-0542
1245475649DR. SHARDAN MARC RADMANESH M.D.
Individual
Radiology (Diagnostic Radiology)1218 S BROADWAY STE 310
LEXINGTON, KY 40504
(859) 219-0542
1366488496DR. CARINA L BUTLER M.D.
Individual
Radiology (Diagnostic Radiology)1218 S BROADWAY STE 310
LEXINGTON, KY 40504
(859) 219-0542
1457538167 LLOYD KEMPER WOLVERTON PA
Individual
Physician Assistant1218 S BROADWAY SUITE 310
LEXINGTON, KY 40504
(859) 219-0542
1508823493 GUY T ELLIS III M.D.
Individual
Radiology (Diagnostic Radiology)1218 S BROADWAY SUITE 310
LEXINGTON, KY 40504
(859) 219-0542
1558548263 DOUGLAS F BRYAN PA-C
Individual
Physician Assistant1218 S BROADWAY SUITE 310
LEXINGTON, KY 40504
(859) 219-0542
1700841715DR. DALE R ABSHER M.D.
Individual
Radiology (Diagnostic Radiology)1218 S BROADWAY SUITE 310
LEXINGTON, KY 40504
(859) 219-0542
1720045628 JOHN L CAUDILL M.D.
Individual
Radiology (Diagnostic Radiology)1218 S BROADWAY SUITE 310
LEXINGTON, KY 40504
(859) 219-0542
1831156553 CHRISTINE NOBLE RILEY M.D.
Individual
Radiology (Diagnostic Radiology)1218 S BROADWAY SUITE 310
LEXINGTON, KY 40504
(859) 219-0542
1851357214 RHONDA G GRISSOM M.D.
Individual
Radiology (Diagnostic Radiology)1218 S BROADWAY SUITE 310
LEXINGTON, KY 40504
(859) 219-0542
1851475784 JEFFREY A KOCH PA-C
Individual
Physician Assistant1218 S BROADWAY SUITE 310
LEXINGTON, KY 40504
(859) 219-0542
1912155037MRS. SAMANTHA JO SEXTON PA-C
Individual
Physician Assistant1218 S BROADWAY SUITE 310
LEXINGTON, KY 40504
(859) 219-0542
1952368557 JOHN PATRICK SULLIVAN M.D.
Individual
Radiology (Diagnostic Radiology)1218 S BROADWAY SUITE 310
LEXINGTON, KY 40504
(859) 219-0542
1952368805 JERRY E ANDERSON M.D.
Individual
Radiology (Diagnostic Radiology)1218 S BROADWAY SUITE 310
LEXINGTON, KY 40504
(859) 219-0542

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Previous NPI
1821275512
Next NPI
1821275546