NPIMap

Individual provider Active NPI

Clarence George Clarke, D.O.

  • Emergency Medicine Physician
  • Hampton, VA
National Provider Identifier
1356511992
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0102202186 Issued in VA
Practice address
3000 Coliseum Dr
Hampton, VA 23666-5963
Phone
(757) 599-4922
Fax
(757) 599-4927
NPI assigned
Mar 11, 2008
Last updated
Mar 11, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0102202186 VA Primary

Addresses

Primary practice location

3000 Coliseum Dr
Hampton, VA 23666-5963

Mailing address

11828 Canon Blvd
Suite E
Newport News, VA 23606-2554
Phone (757) 599-4922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080624000299 VA Practitioner - Emergency Medicine 1456422104 Reassigns benefits to 6 organizations
I20210903002086 TX Practitioner - Emergency Medicine 1456422104 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

200 Medical Park Blvd
Petersburg, VA 23805-9274
Phone (240) 686-2300

8260 Atlee Rd
Mechanicsville, VA 23116-1844
Phone (240) 686-2300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.52 of 100Reported as group
Quality
91.6
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.6 of 100Reported as group
Quality
76.36
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Guadalupe Emergency Medicine Associates, PA Emergency Medicine CurrentSince Aug 2, 2022 Accepting new patients
Mep Health, LLC Emergency Medicine CurrentSince Oct 1, 2022 Accepting new patients
Port Arthur Emergency Physicians Emergency Medicine CurrentSince Jul 25, 2021 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Feb 2, 2016 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Apr 1, 2012 Accepting new patients
Roanoke Valley Healthcare Partners, LLC CurrentSince Jul 6, 2021 Accepting new patients
Alexandria Springfield Emergency Physicians PC Emergency Medicine CurrentSince Dec 1, 2019 Accepting new patients
Alexandria Springfield Emergency Physicians PC Emergency Medicine CurrentSince Dec 1, 2019 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Feb 2, 2016 Accepting new patients
Emergency Medicine Services of VA, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
DRX High Point, PLLC PastSince May 12, 2024 Accepting new patients
Icon Pediatric Dentistry and Orthodontics PLLC PastSince Apr 1, 2021 Accepting new patients
Blue Ridge Healthcare Partners, LLC PastSince Jul 6, 2021 Accepting new patients

Locations

2500 E Main St
Alice, TX 78332
Phone (361) 664-4376

1500 E Houston St
Beeville, TX 78102
Phone (361) 354-2000

1311 Gen Cvazos Blvd
Kingsville, TX 78363
Phone (361) 595-1661

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

500 Martha Jefferson Dr
Charlottesvle, VA 22911
Phone (434) 654-7000

60 E Roslyn Ct
Colonial Hgts, VA 23834
Phone (804) 765-5000

727 N Main St
Emporia, VA 23847
Phone (434) 348-4400

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

4600 Spotsylvania Pkwy
Fredericksburg, VA 22408
Phone (540) 498-4000

3000 Coliseum Dr
Hampton, VA 23666
Phone (757) 736-1000

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

101 Harris Rd
Kilmarnock, VA 22482
Phone (804) 435-0997

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

200 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 765-5000

3636 High St
Portsmouth, VA 23707
Phone (757) 398-2200

1500 N 28th St
Richmond, VA 23223
Phone (804) 225-1700

602 Brandon Ave SW
Ste 222
Roanoke, VA 24015
Phone (540) 774-0000

1013 University Blvd
Ste 270
Suffolk, VA 23435
Phone (757) 335-4755

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 12

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": "1205193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1356511992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11828 CANON BLVD",
            "address_2": "SUITE E",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062554",
            "telephone_number": "757-599-4922",
            "fax_number": "757-599-4927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 COLISEUM DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665963",
            "telephone_number": "757-599-4922",
            "fax_number": "757-599-4927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "CLARENCE",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0102202186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

Verify at the official NPI Registry.