Individual provider Active NPI

Clark David Iorio, DO

  • Family Medicine Physician
  • Brunswick, OH
National Provider Identifier
1326065145
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34005546I Issued in OH
Practice address
3724 Center Rd
Brunswick, OH 44212
Phone
(330) 273-5490
NPI assigned
Jul 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34005546I OH Primary

Addresses

Primary practice location

3724 Center Rd
Brunswick, OH 44212

Mailing address

3724 Center Rd
Brunswick, OH 44212
Phone (330) 725-7882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20040210000700 OH Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 7113811290 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34005546IOHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Urgent Care LLC CurrentSince Jul 2, 2023 Accepting new patients
Presence Service Corporation Family Medicine Past Accepting new patients
Medina Emergency Associates LTD Past Accepting new patients

Locations

Dept L3652
Columbus, OH 43260

2030 Stringtown Rd
Grove City, OH 43123
Phone (614) 566-0987

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326065145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3724 CENTER RD",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "44212",
            "telephone_number": "330-725-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3724 CENTER RD",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "44212",
            "telephone_number": "330-273-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IORIO",
        "first_name": "CLARK",
        "middle_name": "DAVID",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34005546I",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, OH

Sources for this page

Verify at the official NPI Registry.