Active NPI
Clark David Iorio, DO
- Family Medicine Physician
- Brunswick, OH
National Provider Identifier
1326065145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34005546I
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34005546I | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohiohealth Urgent Care LLC | Current | 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
- 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.
-
- Urgent Care Clinic/Center
- Dublin, OH
- NPI 1811207160
-
- Emergency Medicine Physician
- Medina, OH
- NPI 1174525620
-
- Family Medicine Physician
- Bolingbrook, IL
- NPI 1831204536
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.