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

Jason D Clark, DO

Individual provider Orthopaedic Surgery Physician · NPI 1134448525

Jason D Clark, DO is an Orthopedic Surgery in State College, Pennsylvania. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2009, 17 years ago. Practices with Butler Medical Providers, a 354-clinician group and accepts Medicare assignment. Licensed in Georgia, North Carolina, Ohio and Pennsylvania.

Years since qualifying
17
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
GA, NC, OH, PA
In the registry since
2010
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

239 Colonnade Blvd Ste 2
State College, PA 16803-2668
Phone: (582) 220-2310
Fax: (582) 220-2311
Show map & directions

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

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence OS018039 (PA)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 2015-00059 (NC)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 071601 (GA)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 58.003143 (OH)

Record details

NPI number1134448525
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 25, 2010
Last updated in NPPESJuly 3, 2024
Certification dateJuly 3, 2024
Mailing address239 Colonnade Blvd Ste 2, State College, PA 16803-2668

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2009 (17 years in practice)
Group practice Butler Medical Providers — 354 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations14 on file with Medicare

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