Gregory Clark, P.A

NPI: 1730170796

Gregory Clark, P.A

Q: What is Gregory Clark's NPI number?

Gregory Clark's NPI number is 1730170796, a unique 10-digit identifier issued by CMS.

Q: What does Gregory Clark specialize in?

Gregory Clark specializes in Physician Assistant, taxonomy code 363A00000X.

Q: Where does Gregory Clark practice?

Gregory Clark practices in Powell, WY 82435.

Q: When was Gregory Clark's NPI issued?

Gregory Clark's NPI was issued on October 31, 2005.

Q: What is Gregory Clark's provider type?

Gregory Clark is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderPhysician Assistant

NPI issued: October 31, 2005

Quick Facts

NPI Number

1730170796

TypeIndividual

StatusActive

SpecialtyPhysician Assistant

Taxonomy363A00000X — Physician Assistant

Phone

(307) 754-3405

StateWY

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1730170796)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (October 31, 2005)

Data source: CMS NPPES

Provider Overview

GREGORY CLARK, P.A is a Physician Assistant provider based in Powell, WY who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1730170796

Provider TypeIndividual Provider

GenderMale

CredentialP.A

StatusActive

Enumeration DateOctober 31, 2005

Practice Location

CityPowell

StateWY

ZIP Code82435

Phone(307) 754-3405

Specialties & Licenses

★ Primary

SpecialtyPhysician Assistant

Taxonomy Code363A00000X

License StateWY

Mailing Address

CityPowell

StateWY

ZIP Code82435

Phone(307) 754-3405

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1730170796 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1730170796for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1730170796 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Physician Assistant

Physician Assistants (PAs) practice medicine under the supervision of a licensed physician, conducting physical exams, diagnosing conditions, prescribing treatments, and assisting in surgeries.

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