Organization Active NPI

Joshua Clark MD PA

  • Family Medicine Physician
  • McKinney, TX
National Provider Identifier
1275619744
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L8652 Issued in TX
Legal business name
JOSHUA CLARK MD PA
Practice address
1441 N Redbud Blvd
Suite 111
McKinney, TX 75069-3224
Phone
(972) 542-2683
NPI assigned
Oct 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Joshua Mason Clark, M.D.NPI 1639127772
Title
Physician Owner
Phone
(214) 542-2683

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X L8652 TX Primary

Addresses

Primary practice location

1441 N Redbud Blvd
Suite 111
McKinney, TX 75069-3224

Mailing address

1441 N Redbud Blvd
Suite 111
McKinney, TX 75069-3224
Phone (972) 542-2683

Other identifiers 1

IdentifierTypeStateIssuer
L8652OtherTXPHYSICIAN LICENSE

National Provider Directory

National Provider Directory

Locations

1441 Redbud Blvd
Ste 111
McKinney, TX 75069
Phone (972) 542-2683

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1275619744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 N REDBUD BLVD",
            "address_2": "SUITE 111",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750693224",
            "telephone_number": "972-542-2683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 N REDBUD BLVD",
            "address_2": "SUITE 111",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750693224",
            "telephone_number": "972-542-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSHUA CLARK MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "MASON",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "214-542-2683",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L8652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "L8652",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.