Christopher James Clark, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

326968 Issued in LA

Practice address

314 N Franklin St
Bastrop, LA 71220-3846

Phone

(318) 283-8887

Fax

(318) 281-6339

NPI assigned

Mar 26, 2019

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

Enrolled in LA

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

Family Practice

Education

William Carey University College of Osteopathic Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Morehouse Community Medical Centers, Inc. 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Morehouse General Hospital Hospital, Bastrop, LA, CCN 190116

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: christopher.clark.1@11502.direct.athenahealth.com

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.

• Morehouse Community Medical Centers, Inc.

  • Family Medicine Physician
  • Bastrop, LA
  • NPI 1053373191

  Family Medicine, LA

  Medicare reassignment Care Compare group NPD
• Morehouse Community Medical Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Monroe, LA
  • NPI 1114740438
  Care Compare group NPD
• Morehouse Community Medical Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Bastrop, LA
  • NPI 1356898589
  Care Compare group NPD (past)
• Morehouse Community Medical Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • West Monroe, LA
  • NPI 1073993580
  Care Compare group
• Morehouse Community Medical Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Bastrop, LA
  • NPI 1114252558
  Care Compare group
• Morehouse Community Medical Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • West Monroe, LA
  • NPI 1134509649
  Care Compare group
• Morehouse Community Medical Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Bastrop, LA
  • NPI 1245656412
  Care Compare group
• Morehouse Community Medical Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Farmerville, LA
  • NPI 1548722853
  Care Compare group
• Morehouse Community Medical Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Monroe, LA
  • NPI 1902393648
  Care Compare group
• Morehouse Community Medical Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bastrop, LA
  • NPI 1134879992
  Care Compare group
• Morehouse Community Medical Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Mer Rouge, LA
  • NPI 1235468349
  Care Compare group
• Morehouse Community Medical Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Downsville, LA
  • NPI 1386314706
  Care Compare group

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

• Morehouse General Hospital

  • General Acute Care Hospital
  • Bastrop, LA
  • NPI 1003898313

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1194286955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 792",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712210792",
            "telephone_number": "318-283-8887",
            "fax_number": "318-281-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 N FRANKLIN ST",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712203846",
            "telephone_number": "318-283-8887",
            "fax_number": "318-281-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CHRISTOPHER",
        "middle_name": "JAMES",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-26",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "326968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherishd Bodyworks & Esthetics
• Cherry Ridge Guest Care, LLC
• Cherry Ridge Skilled Nursing Facility, LLC
• Amanda Chesson
• Chiropractic Health Center of Morehouse, Inc.
• Shomowna Clark
• Clinton a Netherland, MD Apmc
• Loreal Cloman
• Sharivia Coleman
• Angela Orr Collins

• All providers in Bastrop, LA
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.