Jane Rogers Clark, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

57605 Issued in MA

Practice address

61 Lincoln St
Suite 109
Framingham, MA 01702-8264

Phone

(508) 626-8956

Fax

(508) 875-4103

NPI assigned

Aug 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366552747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WESTCLIFF RD",
            "city": "WESTON",
            "state": "MA",
            "postal_code": "024931409",
            "telephone_number": "781-237-2544",
            "fax_number": "781-237-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 LINCOLN ST",
            "address_2": "SUITE 109",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017028264",
            "telephone_number": "508-626-8956",
            "fax_number": "508-875-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "JANE",
        "middle_name": "ROGERS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MA",
            "license": "57605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3019748",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• City of Framingham
• Cjy Corp
• CKC Community Vna Services, Inc.
• Brian Thomas Clancey, PT, DPT
• Mary B Clancy, NP
• Maria Clark, MS CCC-SLP
• Marysa Clark, MA
• Carl Wendy Clermeus
• Clinical Enterprise LLC
• Frank V Coco, MD

• Otolaryngology Physician in Framingham, MA
• Providers in Framingham, MA by specialty
• Otolaryngology Physician in Massachusetts

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.