Stephanie L Clark, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD470891 Issued in PA

Practice address

1 Hospital Way
Butler, PA 16001-4670

Phone

(724) 285-0823

Fax

(724) 285-0879

NPI assigned

Apr 10, 2017

Last updated

Jul 21, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Stephanie L Rose Former name

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Butler Medical ProvidersGroup PAC ID 7416840160, 355 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Independence Health System Butler Memorial Hospita Hospital, Butler, PA, CCN 390168
• Sharon Regional Medical Center Hospital, Sharon, PA, CCN 390211

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Butler Medical Providers

  • Gastroenterology Physician
  • Butler, PA
  • NPI 1619493046
  Medicare reassignment Care Compare group NPD
• Butler Medical Providers

  dba Butler Hospital Care Associates

  • Internal Medicine Physician
  • Butler, PA
  • NPI 1154514982
  NPD
• Butler Medical Providers

  • Rural Health Clinic/Center
  • Fairmount City, PA
  • NPI 1386253854
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Butler Healthcare Providers

  dba Butler Memorial Hospital

  • General Acute Care Hospital
  • Butler, PA
  • NPI 1447317896
  Care Compare affiliation
• Butler Healthcare Providers

  • Ambulatory Surgical Clinic/Center
  • Butler, PA
  • NPI 1558428573

  Hospital

  Care Compare affiliation
• Butler Memorial Hospital

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Butler, PA
  • NPI 1821162314
  Care Compare affiliation
• Tenor Health Foundation Sharon, LLC

  • General Acute Care Hospital
  • Sharon, PA
  • NPI 1235940909
  Care Compare affiliation
• Tenor Health Foundation Sharon, LLC

  dba Sharon Regional Medical Center

  • Psychiatric Hospital Unit
  • Sharon, PA
  • NPI 1659182269
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1124551726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL WAY",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160014670",
            "telephone_number": "724-285-0823",
            "fax_number": "724-285-0879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL WAY",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160014670",
            "telephone_number": "724-285-0823",
            "fax_number": "724-285-0879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-10",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD470891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "ROSE",
            "middle_name": "L",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erica Marie Cimador, PT
• Larry K Cimperman, D.C.
• Clarion Hospital
• Jason D Clark, D.O.
• Stacie Lynn Clark
• Mandy Lyn Claypoole, MPAS PA C
• Lynn A Clifford, P.T.
• James William Cloonan, LCSW
• Clover Psychological Association
• Jennifer Lynn Collins, M. ED.

• Internal Medicine Physician in Butler, PA
• Providers in Butler, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.