Scott Earl Clark, RPAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

007724-1 Issued in NY

Practice address

6 Fountain Plaza
Buffalo, NY 14202

Phone

(716) 691-8838

NPI assigned

Oct 18, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Workfit Medical, LLC

  • Occupational Medicine Clinic/Center
  • Rochester, NY
  • NPI 1275851818
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1225119191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S MAIN ST",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140201814",
            "telephone_number": "585-344-2749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 FOUNTAIN PLAZA",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14202",
            "telephone_number": "716-691-8838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "370 E Ridge Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146211239",
            "country_code": "US",
            "telephone_number": "585-922-4173",
            "fax_number": "585-922-5595",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16 Bank St",
            "address_purpose": "LOCATION",
            "city": "Batavia",
            "state": "NY",
            "postal_code": "140202250",
            "country_code": "US",
            "telephone_number": "585-344-4800",
            "fax_number": "585-344-5469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "SCOTT",
        "middle_name": "EARL",
        "credential": "RPAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "007724-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sclark139379@direct.rochestergeneral.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "370 E Ridge Rd Ste 400",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146211239",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sclark139379@direct.rochestergeneral.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "16 Bank St",
            "city": "Batavia",
            "state": "NY",
            "country_code": "US",
            "postal_code": "140202250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John H Clark, MD
• Kristen Leigh Clark, LPN
• Kristin L Clark, MD
• Lauren J Clark, M.S.
• Scott D Clark, A.N.P.
• Tracy Michelle Clark, MSW
• Quasie Clarke, MHC
• Taunya Clarke, LMSW
• Mara Class
• Karmen Claudio

• Physician Assistant in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.