Mr. John R Clark
Mr. John R Clark is a Licensed Practical Nurse provider (Licensed Practical Nurse) practicing in Oswego, NY, registered in the NPPES registry with NPI 1548485097 since 2007.
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1548485097 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Mr. John R Clark |
| Sex | Male |
| Practice address | Oswego, NY, 13126 |
| Phone | 3153422864 |
| Enumeration date | 2007-04-17 |
| Last updated in NPPES | 2007-07-09 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | Primary | 210182-1 | NY |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01217867 | Medicaid | NY | — |
Copy-ready billing details
Provider: John Clark NPI: 1548485097 Taxonomy: 164W00000X (Licensed Practical Nurse) Address: Oswego, NY, 13126
Verify this record
Cross-check NPI 1548485097 against the authoritative CMS record: view Mr. John R Clark on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
Is NPI 1548485097 active?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-07-09.