Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jonathan Clark

Family Medicine Physician in Springfield, MO · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164415204

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Registry record

Entity type Individual (Type 1)

Name Jonathan Clark

Sex Male

Practice address 1200 E Woodhurst Dr, Suite Q-200, Springfield, MO, 65804

Phone (417) 881-5639

Fax (417) 881-5664

Enumeration date Aug 24, 2005

Last updated in NPPES Jul 8, 2007

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License MD101561 (MO) 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.

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Frequently asked questions

What is the NPI number for Jonathan Clark?

The National Provider Identifier (NPI) for Jonathan Clark is 1164415204, a Type 1 (individual) record in the CMS NPPES registry.

Where does Jonathan Clark practice?

The practice location on file with NPPES is in Springfield, MO. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.