Clarke & Gardner Internal Medicine Associates PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CLARKE & GARDNER INTERNAL MEDICINE ASSOCIATES PC

Practice address

300 E Lancaster Ave Ste 100
Wynnewood, PA 19096-2146

Phone

(610) 649-3456

Fax

(610) 642-1740

NPI assigned

Aug 23, 2006

Organization subpart

No

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

Authorized official

Name

Catherine F Clarke, MDNPI 1821036682

Title

Physician-President

Phone

(610) 649-3456

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Catherine Clarke, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Wynnewood, PA
  • NPI 1821036682
  Medicare reassignment NPD Authorized official
• Karen L Gardner, DO

  • Internal Medicine Physician
  • Wynnewood, PA
  • NPI 1205888021
  Medicare reassignment NPD
• William D Miller, M.D.

  • Internal Medicine Physician
  • Wynnewood, PA
  • NPI 1801850060
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539820800000",
    "number": "1366558918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E LANCASTER AVE STE 100",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190962146",
            "telephone_number": "610-649-3456",
            "fax_number": "610-642-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E LANCASTER AVE STE 100",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190962146",
            "telephone_number": "610-649-3456",
            "fax_number": "610-642-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKE & GARDNER INTERNAL MEDICINE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2018-10-18",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PHYSICIAN-PRESIDENT",
        "authorized_official_telephone_number": "610-649-3456",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CH2589",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "910944",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nola Chung, NP
• Peter Chung, MD
• Danielle Cimino
• Robin M Ciocca, DO
• John Michael Clark, D.O.
• Catherine Clarke, MD
• Nicholas Stanley Clarke, M.D.
• Olivia Campbell Claytor, DO
• Jena Renee Cleek
• Close Knit Care , LLC

• Internal Medicine Physician in Wynnewood, PA
• Providers in Wynnewood, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.