CLARK REED STREAM (PA-C) – Physician Assistant, NPI 1578509386

CLARK REED STREAM (PA-C) is a healthcare provider. based in Jacksonville, Florida. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. PA9100951 (FL). The NPI Number for CLARK REED STREAM (PA-C) is 1578509386

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
CLARK REED STREAM (PA-C)
NPI
1578509386
Phone
(904) 396-1725
Address
11945 SAN JOSE BLVD STE 300
Enumeration Date
21 June 2006
Last Update Date
3 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8505326168
Graduation Year
1999 (27 years ago)
PAC ID
0244277457
Group Practice PAC ID
3274965686
Professional Enrollment ID
I20050409000025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for CLARK REED STREAM (PA-C)

  • 11945 SAN JOSE BLVD STE 300

    JACKSONVILLE, FL 322231627

    Phone: (904) 396-1725

    Fax: (904) 396-4893

    Type: Mailing

  • Panama City, Bay County, Florida, United States

    PANAMA CITY, FL 324054639

    Phone: (850) 872-8510

    Fax: (850) 872-7412

    Type: Location

  • 120 N RICHARD JACKSON BLVD STE 140

    PANAMA CITY BEACH, FL 324072522

    Phone: (505) 326-1688

    Fax: (505) 326-5688

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $113.

Total Amount is formed as General ($113) + Research ($0) + Ownership ($0) = $113.

Last reported payment date: 2023-05-23 • Largest payer in this snapshot: Medtronic, Inc. ($113).

Total Amount

$113

General + Research + Ownership

Payments

4

Total payment records

General Amount

$113

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$113
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J7318Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg4,08650$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg2,156226$0
20610Aspiration and/or injection of fluid from large joint298184$0
99213Established patient office or other outpatient visit, 20-29 minutes274224$0
73564X-ray of knee, 4 or more views191182$0
View full utilization report →

Insurance plans in this area (ZIP 32223)

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Reviews

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Frequently asked questions

Is there an official ID for CLARK REED STREAM (PA-C) in U.S. healthcare records?
The official identifier for CLARK REED STREAM (PA-C) is NPI 1578509386.
Is CLARK REED STREAM (PA-C) shown as active in public data?
Registry records indicate CLARK REED STREAM (PA-C) maintains an active NPI.
What kind of doctor is CLARK REED STREAM (PA-C)?
CLARK REED STREAM (PA-C) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with CLARK REED STREAM (PA-C)?
Directory geography for CLARK REED STREAM (PA-C) centers on Jacksonville, Florida.
Can I trust this NPI listing for CLARK REED STREAM (PA-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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