Active NPIIndividual provider

Miss Dora K Clark, PA-C

Physician Assistant in West Warwick, Rhode Island

NPI Number1760559033
Practice location
207 Quaker Ln, West Warwick, RI 02893-2283
Fax
401-827-6364
Last updated
September 24, 2025

Dora K. Clark is a Physician Assistant based in West Warwick, RI. Dora K. Clark practices in West Warwick, RI and has the professional credentials of PA-C. The NPI Number for Dora K. Clark is 1760559033 and holds a License No. PA00430 (RI). The current practice location address for Dora K. Clark is 207 Quaker Ln, West Warwick, RI 02893-2283 and can be reached out via phone at 401-828-7110 and via fax at 401-827-6364.

Provider Profile Details

NPI Number
1760559033
Provider Name
Dora K. Clark
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
207 Quaker Ln, West Warwick, RI 02893-2283
Phone Number
401-828-7110
Fax Number
401-827-6364
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
November 29, 2006
Last Update Date
September 24, 2025
Certification Date
September 24, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
207 Quaker Ln
West Warwick, RI 02893-2283
Zip
02893-2283
Phone Number
401-828-7110
Fax Number
401-827-6364
West Warwick, RI 02893Get directions →

Provider Business Mailing Address Details

Address
207 Quaker Ln Fl 1
West Warwick, RI 02893-2179
City
West Warwick
State
RI
Zip
02893-2179
Phone Number
401-828-7110
Fax Number
401-827-6364

License Information

License Number
PA00430
License State
RI
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Miss Dora K Clark, PA-C?

The NPI number of Miss Dora K Clark, PA-C is 1760559033. It was assigned on November 29, 2006 and is currently active in the NPPES registry.

What is the specialty of Miss Dora K Clark, PA-C?

Miss Dora K Clark, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in RI under license number PA00430.

Where does Miss Dora K Clark, PA-C practice?

The practice location is 207 Quaker Ln, West Warwick, RI 02893-2283. The office can be reached at 401-828-7110 (phone) or 401-827-6364 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1760559033 directly on the NPPES registry website.

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