Gerald L Clark, HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

17001164A Issued in IN

Practice address

37 Meadows Shopping Ctr
Terre Haute, IN 47803-2373

Phone

(812) 234-9332

NPI assigned

Jun 5, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Hearing Services, Inc

  • Hearing and Speech Clinic/Center
  • Bainbridge, IN
  • NPI 1740025105
  NPD

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1184116196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 MEADOWS SHOPPING CTR",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478032373",
            "telephone_number": "812-234-9332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 MEADOWS SHOPPING CTR",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478032373",
            "telephone_number": "812-234-9332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "GERALD",
        "middle_name": "L",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IN",
            "license": "17001164A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City Optical Co., Inc.
• Richard M Clapp, APN
• Clarity Cognitive and Speech Therapy Inc
• Anna R. Clark
• Charity Clark, LCSW
• Iraina Clark
• Malia Clark
• Patricia Clark
• Ella Rose Marie Clarke
• India Clay

• Hearing Instrument Specialist in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Hearing Instrument Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.