Provider Profile

Shanta L. Clark, P.A.-C

Unclaimed Profile

About Shanta Clark

No biography has been added yet. Is this you? Claim this profile to add one.

Specialty

Physician Assistant (Primary)

Credentials & Licensing

MI license5601007413
NPI1790169688
NPI issued07/10/2015

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Shanta L. Clark specialize in?

Shanta L. Clark is a physician assistant in Dowagiac, MI. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Shanta L. Clark located?

Shanta L. Clark is listed at 58620 Sink Rd Pokagon Health Services, Dowagiac, MI 49047. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Shanta L. Clark's phone number?

The number on file is (269) 782-4141. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Shanta L. Clark's NPI number?

Shanta L. Clark's National Provider Identifier is 1790169688. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Shanta L. Clark been practicing?

Shanta L. Clark has 11+ years experience. Registered with an NPI since 2015. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Shanta L. Clark confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Shanta L. Clark. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.