Carolyn E Clark MD Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

CAROLYN E CLARK MD INC

Doing business as

DR. CAROLYN E. CLARK

Practice address

1124 19TH St
Huntington, WV 25701-3904

Phone

(304) 529-4117

Fax

(304) 529-4117

NPI assigned

Feb 23, 2007

Organization subpart

No

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

Authorized official

Name

Carolyn E Clark, M.D.

Title

President

Phone

(304) 529-4117

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• DR. CAROLYN E. CLARK Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony Grieco, MD

  • Obstetrics & Gynecology Physician
  • Slidell, LA
  • NPI 1851359020
  NPD (past)

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1265567598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 19TH ST",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013904",
            "telephone_number": "304-529-4117",
            "fax_number": "304-529-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 19TH ST",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013904",
            "telephone_number": "304-529-4117",
            "fax_number": "304-529-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLYN E CLARK MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-529-4117",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0965817",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810005901",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DR. CAROLYN E. CLARK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Seth Carey
• Gregory A Carico, MD
• Ronald Lee Carico Jr., PHARMD
• Caring USA, Inc
• Erika Suzanne Carney, PHARM.D.
• Victoria Carovillano, RN, LPC
• Anne Betts Carpenter, MD
• Alexis Brielle Carr, MD
• Amber Carr
• Anthony Duane Carr, R.PH.

• Obstetrics & Gynecology Physician in Huntington, WV
• Providers in Huntington, WV by specialty
• Obstetrics & Gynecology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.