Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Grant William Clark
Physician Assistant in Waterloo, IA · enumerated 2025.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1134007487
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Registry record
Entity type Individual (Type 1)
Name Grant William Clark
Sex Male
Practice address 1825 Logan Ave, Waterloo, IA, 50703
Phone (319) 235-3941
Enumeration date Aug 25, 2025
Last updated in NPPES Sep 23, 2026
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 141166 (IA) Primary
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Is NPI 1134007487 active?
Yes, as of the latest NPPES snapshot, NPI 1134007487 is active (record last updated 2026-09-23).
How do I verify Grant Clark's NPI record?
Cross-check NPI 1134007487 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Other providers at this practice address
Browse all → Frank Haugland Clinical Cardiac Electrophysiology Physician · Waterloo, IA NPI 1578557013 Jeffrey Wilkins Family Medicine Physician · Waterloo, IA NPI 1881680130 Todd Lawrence Emergency Medicine Physician · Waterloo, IA NPI 1790772614 Robert Mott Emergency Medicine Physician · Waterloo, IA NPI 1720078165 Kendall Kurt Emergency Medicine Physician · Waterloo, IA NPI 1205826443 Jessica White Emergency Medicine Physician · Waterloo, IA NPI 1689665622 Keith Ruffcorn Emergency Medicine Physician · Waterloo, IA NPI 1700877289 Dorothy Lawse Emergency Medicine Physician · Waterloo, IA NPI 1508844457
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-09-23.