NPIMap

Individual provider Active NPI

Joseph Allen Clarke, PA

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1861575714
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA06623 Issued in TX
Practice address
115 Angeles Dr
San Antonio, TX 78201-4302
Phone
(210) 643-4519
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X PA06623 TX Primary

Addresses

Primary practice location

115 Angeles Dr
San Antonio, TX 78201-4302

Mailing address

25903 Avellino BLF
San Antonio, TX 78261-2877
Phone (210) 643-4519

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100513001085 TX Practitioner - Physician Assistant 3072641976 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Davids Carenow Urgent Care PLLCGroup PAC ID 4284918418, 101 clinicians
Methodist Carenow Urgent Care PLLCGroup PAC ID 3274808043, 71 clinicians

Practice addresses (Care Compare)

10001 Research Blvd
Suite 100
Austin, TX 78759-5800
Phone (512) 993-3270

1347 E Court St
Seguin, TX 78155-5130
Phone (830) 443-9778

135 Bunton Creek Rd
Suite 100
Kyle, TX 78640-5701
Phone (512) 268-2068

13909 Nacogdoches Rd
Suite 111
San Antonio, TX 78217-1296
Phone (210) 655-0100

160 Creekside Way
Suite 602
New Braunfels, TX 78130-6439
Phone (830) 387-5330

17122 Bulverde Rd
Suite 104
San Antonio, TX 78247-3211
Phone (210) 783-0170

20210 Stone Oak Pkwy
Suite 101
San Antonio, TX 78258-7029
Phone (210) 481-9804

20780 US Hwy 281 N
Carenow
San Antonio, TX 78258-7501
Phone (210) 963-8455

2303 Ranch Rd 620
Suite 210
Lakeway, TX 78734-6283
Phone (737) 207-3230

2951 Thousand Oaks Dr
San Antonio, TX 78247-5202
Phone (210) 494-2324

4130 S New Braunfels Ave
Suite 112
San Antonio, TX 78223-1722
Phone (210) 290-9537

5033 W Hwy 290
Carenow
Austin, TX 78735-6751
Phone (512) 265-8980

513 Cibolo Valley Dr
Suite 101
Cibolo, TX 78108-3676
Phone (210) 714-5600

5410 Broadway
San Antonio, TX 78209-5716
Phone (210) 998-6677

717 Hwy 71 W
Suite 500
Bastrop, TX 78602-4148
Phone (521) 332-2273

902 Kitty Hawk Rd
Suite 110
Universal City, TX 78148-3827
Phone (210) 659-0889

Hospital & facility affiliations

  • Baptist Neighborhood Hospital Thousand Oaks Hospital, San Antonio, TX, CCN 670078

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Track Urgent Care - Bastrop Physician Assistant CurrentSince Sep 21, 2024 Accepting new patients
River City Pediatric Emergency Physicians, PLLC Past Accepting new patients
River City Observation Services PLLC Past Accepting new patients
C. Gruesbeck/F.D. Cruz, MD, P.a. Past Accepting new patients
River City Emergency Physicians, PLLC Past Accepting new patients
Greater San Antonio Emergency Physicians, PA Past Accepting new patients

Locations

17910 Bulverde Rd
Ste 115
San Antonio, TX 78259
Phone (210) 906-8478

Organizations & group practices 11

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1861575714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25903 AVELLINO BLF",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782612877",
            "telephone_number": "210-643-4519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 ANGELES DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782014302",
            "telephone_number": "210-643-4519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "JOSEPH",
        "middle_name": "ALLEN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.