Lindsey Nicole Clark, M.D.
Individual provider Active NPI Dermatology Physician · Dover, OH
NPI 1063702371 · NPPES record last updated Aug 11, 2026
Key facts
- NPI
- 1063702371
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dermatology Physician 207N00000X
- License
- 35.124199 (OH)
- Practice address
- 400 Medical Park Dr Ste 201
Dover, OH 44622 - Phone
- (330) 365-9825
- Fax
- (330) 364-3282
- NPI assigned
- Apr 8, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Dermatology
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Union Physician Services LLC
Practice addresses (Care Compare)
400 Medical Park Dr
Suite 201
Dover, OH 44622-3207
Phone (330) 364-2700
Hospital & facility affiliations
- Union Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 239 |
| Removal of skin lesions | 1805 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 440 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150623000430 | OH | Practitioner - Dermatology | 9234363037 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union Physician Services, LLC | Current |
Accepting new patients | |
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients |
Locations
400 Medical Park Dr
Ste 201
Dover, OH 44622
Phone (330) 343-7709
205 Hospital Dr
Dover, OH 44622
Phone (330) 343-3335
420 S James St
Ste D
Dover, OH 44622
Phone (330) 343-7800
Interoperability endpoints
- lindseymoore@dpfm.allscriptsdirect.net
- lmoore1227953@direct.ccf.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 35.124199 | OH | Yes |
Addresses
Primary practice location
400 Medical Park Dr Ste 201
Dover, OH 44622
Mailing address
400 Medical Park Dr Ste 201
Dover, OH 44622-3207
Phone (330) 365-9825
Other names
- Lindsey Nicole Clark
Other providers in Dover, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.