Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elliott Clark, PA-C

Individual provider Medical Physician Assistant · NPI 1386152049

Elliott Clark, PA-C is a Physician Assistant in Dover, Ohio. Qualified in 2017, 9 years ago. Practices with Union Physician Services LLC, a 99-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
9
Licensed in
OH
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

515 Union Ave Ste 167
Dover, OH 44622-3005
Phone: (330) 343-3335
Fax: (330) 364-5720
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 659 Boulevard St, Dover, OH 44622-2026 — (330) 343-3311

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 50.005394RX (OH)

Record details

NPI number1386152049
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 16, 2018
Last updated in NPPESMarch 16, 2026
Certification dateMarch 16, 2026
Mailing address524 Park Ave Sw, Bolivar, OH 44612-9534

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Union Physician Services Llc — 99 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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