Individual provider

Ryan Clark, PHYSICIAN ASSISTANT

Medical Physician Assistant Physician Assistant Medicare enrolled

Ryan Clark, PHYSICIAN ASSISTANT is a Medical Physician Assistant in West Frankfort, IL, registered under NPI 1013335496. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 309 W SAINT LOUIS ST, West Frankfort, IL 62896. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

309 W SAINT LOUIS ST, West Frankfort, IL 62896 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
085005075 IL Medical Physician Assistant primary
2014009216 MO Physician Assistant

Licences are recorded in 2 states: IL, MO. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Physician Assistant
PAC ID
7416177084

Medicare enrolment is recorded as approved under the provider type Practitioner - Physician Assistant. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Illinois and Missouri. The practice address on file is in West Frankfort, IL, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

IL Illinois practice address
Licence
085005075
Specialty
Medical Physician Assistant
Verify with the IL board →
MO Missouri
Licence
2014009216
Specialty
Physician Assistant
Verify with the MO board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Medical covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Medical

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363AM0700X Medical Physician Assistant Medical 085005075 IL primary
363A00000X Physician Assistant 2014009216 MO

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1013335496 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateApr 2, 2014
Last updatedAug 16, 2014
StatusActive
Sole proprietorYes
CredentialPHYSICIAN ASSISTANT
Practice address 309 W SAINT LOUIS ST
West Frankfort, IL 62896
(618) 932-2200
Mailing address 132 HOUSTON ST
Saint Charles, MO 63301
This record was last updated on Aug 16, 2014, roughly 12 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1013335496 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 1 3 3 3 5 4 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 2 3 6 3 1 4 9

Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1013335496?
NPI 1013335496 is the National Provider Identifier assigned to Ryan Clark, PHYSICIAN ASSISTANT in West Frankfort, IL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Medical cover?
Definition to come...
How do I contact Ryan Clark, PHYSICIAN ASSISTANT?
The phone number on file with NPPES is (618) 932-2200, last updated Aug 16, 2014. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Ryan Clark, PHYSICIAN ASSISTANT accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1013335496 a valid number?
Yes. 1013335496 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.