DR. DAVID W CLARK


Address: 11104 Parkview Circle Dr, Suite 310, Fort Wayne, IN 46845-1672
Phone: 2602665230

DR. DAVID W CLARK (NPI# 1679522924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679522924
Entity Type Individual
Full Name DR. DAVID W CLARK
Credential M.D.
Practice Address 11104 Parkview Circle Dr
Suite 310
Fort Wayne
IN 46845-1672
Mailing Address 1234 E Dupont Rd
Suite 1
Fort Wayne
IN 46825-1545
Practice Telephone 2602665230
Practice Fax Number 2602665238
Mailing Telephone 2603739965
Mailing Fax Number 2604585664
Enumeration Date 2006-05-06
Last Update Date 2013-10-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
01037790 IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 200015230 05
IN ANTHEM 000000672225 01

Other Providers DAVID CLARK

NPI Name Taxonomy Address Enumeration
1225388531 David Clark Pharmacist 87 Garner Rd., Cvs 4174, Spartanburg, SC 29303 2012-09-13
1568778793 David F Clark Social Worker 4425 S Jones Blvd, Suite D3, Las Vegas, NV 89103-3370 2010-08-25
1407093065 David E. Clark Dietitian, Registered 4132 Sierra Park Ter, Dayton, OH 45440-3324 2009-01-19
1962668202 David Allen Clark Dentist 4209 Tieton Dr, Suite 102, Yakima, WA 98908-3377 2008-08-06
1548427693 David Kyle Clark Dentist 2120 Bert Kouns Loop Ste D, Shreveport, LA 71118-3351 2008-05-16
1790957603 David C. Clark Pharmacist 1215 Route 31, Macedon, NY 14502-9763 2008-03-31
1275722365 David Allan Clark Counselor 50196 872nd Rd, Page, NE 68766-5539 2007-10-15
1649488214 David D Clark Chiropractor 2573 N Reading Rd, Denver, PA 17517-9333 2007-05-18
1306059480 David Roger Clark Ophthalmology 2812 Millbrook Ct, Arlington, TX 76012-2116 2007-05-07
1619049327 David B Clark Chiropractor 106 Se 12th St, Oak Grove, MO 64075-9538 2006-11-15

Office Location

Street Address 11104 PARKVIEW CIRCLE DR
SUITE 310
City FORT WAYNE
State IN
Zip Code 46845-1672

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184621641 Thomas J. Curfman Psychiatry & Neurology 11104 Parkview Circle Dr, Ste 110, Fort Wayne, IN 46845-1730 2005-06-30
1174124143 Ellen Nicole Eckhart Physical Therapist 11104 Parkview Circle Dr, Fort Wayne, IN 46845-1672 2020-11-05
1912508169 Bryson James Robuck Registered Nurse 11104 Parkview Circle Dr, Fort Wayne, IN 46845-1672 2020-11-04
1568062644 Brandi Nicolette-baker Occupational Therapist 11104 Parkview Circle Dr, Suite 050, Fort Wayne, IN 46845-1733 2020-10-28
1649723818 April Jeanne Jenkins Nurse Practitioner 11104 Parkview Circle Dr, Ste 110, Fort Wayne, IN 46845-1673 2016-07-25
1497111991 Janelle Miller Nurse Practitioner 11104 Parkview Circle Dr, Suite 310, Fort Wayne, IN 46845-1672 2016-01-13
1770957680 Kathleen O'keefe Registered Nurse 11104 Parkview Circle Dr, Ste. 310, Fort Wayne, IN 46845-1672 2015-11-17
1114302056 Christy Ann Auld Nurse Practitioner 11104 Parkview Circle Dr, Suite 410, Fort Wayne, IN 46845-1672 2015-07-21
1790169233 Blair Fifer Nurse Practitioner 11104 Parkview Circle Dr, Suite 310, Fort Wayne, IN 46845-1672 2015-07-15
1013318427 Andrea Jantson Smith Physical Therapist 11104 Parkview Circle Dr, Fort Wayne, IN 46845 2014-09-05
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881154110 Nancy Jean Ehmke Clinical Nurse Specialist 11151 Parkview Plaza Dr, Fort Wayne, IN 46845 2019-03-22
1043703903 Kara Stackhouse Nurse Practitioner 11050 Parkview Plaza Drive, Fort Wayne, IN 46845 2018-06-14
1871082412 Tara K Jellison Pharmacist 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 2018-05-09
1578097572 Forefront Dermatology, S.c. Dermatology 4020 New Vision Drive, Fort Wayne, IN 46845 2017-04-17
1811437999 Jessica Ann Lefever Behavioral Analyst 3898 New Vision Dr Ste D, Fort Wayne, IN 46845 2017-03-08
1033668041 Bhi Home Care, Inc. In Home Supportive Care 820 Mill Lake Road, Fort Wayne, IN 46845 2016-10-03
1467814939 Austin Wyss Specialist/Technologist 11130 Parkview Circle Drive, Ft. Wayne, IN 46845 2016-03-24
1154713584 Ashley Whitcraft Specialist/Technologist 11130 Parkview Plaza Drive #4, Fort Wayne, IN 46845 2015-02-23
1275975682 Lakshmi Mohan Viji Das Internal Medicine 11143 Parkview Plaza Dr Ste 311, Fort Wayne, IN 46845 2013-07-26
1336482496 Mithun Mohana Shenoi Colon & Rectal Surgery 11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845 2013-03-27
Find all providers in zip 46845

Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790137115 Abdinoor Medical LLC Internal Medicine 1819 Braemar Dr, Fort Wayne, IN 46814-9364 2016-07-09
1902895949 Imad E Horani Internal Medicine 2231 Carew St, Fort Wayne, IN 46805-4713 2005-10-20
1164411203 Martin J Kaplan Internal Medicine 3439 Hobson Rd, Fort Wayne, IN 46805-1617 2005-10-20
1285633552 Leor David Roubein Internal Medicine 11104 Parkview Circle Dr Ste 310, Fort Wayne, IN 46845-1672 2005-07-19
1093718249 Chung Seng Lee Internal Medicine 2622 Lake Ave, Fort Wayne, IN 46805-5410 2005-05-23
1043641475 Zhaodong Li Internal Medicine 11104 Parkview Circle Dr Ste 310, Fort Wayne, IN 46845-1733 2013-12-11
1689933103 Kaely S Bade Internal Medicine 11104 Parkview Circle Dr Ste 310, Fort Wayne, IN 46845-1733 2012-05-04
1407140015 Chetan Mittal Internal Medicine 11050 Parkview Circle Dr, Fort Wayne, IN 46845 2011-06-01
1457669228 Saurabh Gupta Internal Medicine 11104 Parkview Circle Dr, Suite 310, Fort Wayne, IN 46845-1672 2010-09-15
1902113830 Mariajose Rojas De Leon Internal Medicine 11050 Parkview Circle Dr, Fort Wayne, IN 46845 2010-09-14
Find all providers in FORT WAYNE

Competitor

Search similar providers

City FORT WAYNE
Zip Code 46845

Improve Information

Please comment or provide details below to improve the information on DR. DAVID W CLARK.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches