Nathaniel Clark, PA
Nathaniel Clark, PA is a Physician Assistant in Carbondale, Illinois. Qualified in 2008, 18 years ago. Practices with Deaconess Illinois Specialty Clinic, Inc, a 139-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 18
- Licensed in
- IL
- In the registry since
- 2008
- Specialties on file
- 2
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
409 W Oak StCarbondale, IL 62901-1464
Phone: (618) 529-4455
Fax: (618) 351-1287
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (3)
- 100 Dr Warren Tuttle Dr, Harrisburg, IL 62946-2718 — (618) 529-4455
- 217 S Park Ave Ste 2, Herrin, IL 62948-3611 — (618) 529-4455
- 3905 W Ernestine Dr, Marion, IL 62959-5800 — (618) 529-4455
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 085003278 (IL) |
|---|---|
| Interventional Cardiology Physician | Taxonomy 207RI0011X · Licence 085-003278 (IL) |
Record details
| NPI number | 1063660074 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | September 3, 2008 |
| Last updated in NPPES | December 21, 2022 |
| Certification date | December 21, 2022 |
| Mailing address | 409 W Oak St, Carbondale, IL 62901-1464 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2008 (18 years in practice) |
| Group practice | Deaconess Illinois Specialty Clinic, Inc. — 139 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Carbondale
-
Allison Campos, NP
409 W Oak St, Carbondale, IL 62901-1464 · (618) 529-4455
-
Kimberly Hankins, NP
409 W Oak St, Carbondale, IL 62901-1464 · (618) 529-4455
-
Dr. Ro-Kaye Alethea Simmonds, MBBS
409 W Oak St, Carbondale, IL 62901-1464 · (618) 529-4455