MARK W CLARK MD NPI 1336107762

NPI Information

NPI: 1336107762
Provider Name: MARK W CLARK, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
2112 HARTFORD RD
SUITE B
HAMPTON, VA
ZIP 23666
Phone: (757) 827-7754
Get Directions

Mark W Clark, MD is a cardiovascular disease internal medicine in Hampton, VA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Mark W Clark, MD NPI is 1336107762. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2112 HARTFORD RD
SUITE B
HAMPTON, VA
ZIP 23666-601
Phone: (757) 827-7754
Fax: (757) 838-3692

The enumeration date for this NPI number is 5/3/2006 and was last updated on 5/5/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	0101028804	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	P0061019	MEDICARE PIN	VIRGINIA
2	015946R53	MEDICARE PIN	VIRGINIA
3	1336107762	MEDICAID	VIRGINIA
4	B05974	MEDICARE UPIN	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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