Michael Clark, MD

ActiveIndividual ProviderFamily Medicine
NPI issued: June 23, 2005

Quick Facts

NPI Number
1912903949
TypeIndividual
StatusActive
SpecialtyFamily Medicine
Taxonomy207Q00000X — Family Medicine
Phone
(203) 269-9778
StateCT

NPI Validation Status: Verified

Valid 10-digit NPI number (1912903949)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (June 23, 2005)
Data source: CMS NPPES

Provider Overview

MICHAEL CLARK, MD is a Family Medicine provider based in Wallingford, CT who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1912903949
Provider TypeIndividual Provider
GenderMale
CredentialMD
StatusActive
Enumeration DateJune 23, 2005

Practice Location

CityWallingford
StateCT
ZIP Code06492-2400
Phone(203) 269-9778

Specialties & Licenses

★ Primary
SpecialtyFamily Medicine
Taxonomy Code207Q00000X
License StateCT

Mailing Address

CityWallingford
StateCT
ZIP Code06492-2400
Phone(203) 269-9778
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1912903949 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1912903949for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1912903949 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Family Medicine

Family Medicine physicians provide comprehensive primary care to patients of all ages, managing acute illnesses, tracking chronic conditions, and emphasizing preventive healthcare.

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199,317
Family Medicine Providers in the US

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People Also Ask

What is Michael Clark's NPI number?
Michael Clark's NPI number is 1912903949, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Michael Clark's NPI currently active?
Yes, Michael Clark's NPI status is Active as of the latest CMS NPPES database updates.
What does Michael Clark specialize in?
Michael Clark specializes in Family Medicine. The healthcare taxonomy code associated with this specialty is 207Q00000X.
Where does Michael Clark practice?
Michael Clark practices in Wallingford, CT 06492-2400.
When was Michael Clark's NPI issued?
Michael Clark's NPI was issued on June 23, 2005.
What is Michael Clark's provider type?
Michael Clark is registered as an Individual Provider under CMS NPI Type 1.