{"npi":"1013335496","type":"NPI-1","status":"active","name":{"display":"Mr. Ryan Clark Physician Assistant","other":[],"first":"RYAN","last":"CLARK","middle":"PATRICK","credential":"PHYSICIAN ASSISTANT"},"specialty":{"primary_taxonomy":"363AM0700X","primary_taxonomy_description":"Medical Physician Assistant","slug":"medical-physician-assistant","schema_org_specialty":null,"all":[{"code":"363AM0700X","description":"Medical Physician Assistant","primary":true,"state":"IL","license":"085005075"},{"code":"363A00000X","description":"Physician Assistant","primary":false,"state":"MO","license":"2014009216"}]},"addresses":[{"purpose":"LOCATION","street_1":"309 W SAINT LOUIS ST","city":"WEST FRANKFORT","state":"IL","postal_code":"628962099","country_code":"US","phone":"6189322200"},{"purpose":"MAILING","street_1":"132 HOUSTON ST","city":"SAINT CHARLES","state":"MO","postal_code":"633011620","country_code":"US","phone":"6362932038"}],"license":{"state":"IL","number":"085005075"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20150518000767","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"MO","pac_id":"7416177084"}]},"enumeration_date":"2014-04-02","last_updated":"2014-08-16","_meta":{"source":"NPPES","snapshot_date":"2014-08-16","doc_url":"https://findmynpi.com/api"}}