Individual provider Active NPI

Christopher Todd Clark, M.D.

  • Specialist
  • Asheville, NC
National Provider Identifier
1326120205
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
01217 Issued in NC
Practice address
10 Ridgelawn Rd
Asheville, NC 28806-4429
Phone
(828) 285-0622
Fax
(828) 285-9421
NPI assigned
Oct 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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
Specialist 174400000X 01217 NC Primary

Addresses

Primary practice location

10 Ridgelawn Rd
Asheville, NC 28806-4429

Mailing address

10 Ridgelawn Rd
Asheville, NC 28806-4429
Phone (828) 285-0622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20081120000189 MA Practitioner - Internal Medicine 5193612216 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Duke University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview HospitalGroup PAC ID 1254240773, shared by 6 NPIs, 56 clinicians

Practice addresses (Care Compare)

29 Lewis Ave
Great Barrington, MA 01230-1713
Phone (413) 528-8615

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Berkshire Medical Center, Inc CurrentSince Jun 10, 2013 Accepting new patients
North Adams Regional Hospital Corporation CurrentSince May 6, 2024 Accepting new patients
North Adams Regional Hospital Corporation CurrentSince May 6, 2024 Accepting new patients
Fairview Hospital CurrentSince Sep 22, 2008 Accepting new patients
Fairview Hospital CurrentSince Oct 2, 2025 Accepting new patients
Berkshire Medical Center Inc. CurrentSince Jun 10, 2013 Accepting new patients
Fairview Hospital CurrentSince Sep 22, 2008 Accepting new patients
Asheville Hospitalist Group Past Accepting new patients

Locations

29 Lewis Ave
Gt Barrington, MA 01230
Phone (413) 528-0790

71 Hospital Ave
North Adams, MA 01247
Phone (413) 664-4343

725 North St
Pittsfield, MA 01201
Phone (413) 447-2839

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326120205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 RIDGELAWN RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288064429",
            "telephone_number": "828-285-0622",
            "fax_number": "828-285-9421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 RIDGELAWN RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288064429",
            "telephone_number": "828-285-0622",
            "fax_number": "828-285-9421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CHRISTOPHER",
        "middle_name": "TODD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "01217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.