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

Richard Kenneth Clark, PA-C

Individual provider Physician Assistant · NPI 1235580903

Richard Kenneth Clark, PA-C is a Physician Assistant in Rhinelander, Wisconsin. Graduated from University of Minnesota Medical School in 2016, 10 years ago. Practices with Aspirus Rhinelander and Tomahawk Hospitals and Clinics, Inc, a 554-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
10
Trained at
University of Minnesota Medical School
Licensed in
WI
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1630 Chippewa Dr
Rhinelander, WI 54501-9503
Phone: (715) 361-5480
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3766-23 (WI)

Record details

NPI number1235580903
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 23, 2016
Last updated in NPPESJune 23, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2016 (10 years in practice)
Group practice Aspirus Rhinelander And Tomahawk Hospitals And Clinics, Inc. — 554 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Rhinelander