Mark Colin Clark, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

F2197 Issued in TX

Practice address

1305 W 34TH St
Ste 400
Austin, TX 78705-1923

Phone

(512) 459-6599

Fax

(512) 459-8496

NPI assigned

Jul 13, 2006

Last updated

Mar 4, 2011By the provider in NPPES

Sex

Male

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

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Austin Critical Care Specialists PA

  • Critical Care Medicine (Internal Medicine) Physician
  • Austin, TX
  • NPI 1447435805
  Medicare reassignment NPD
• Austin Critical Care Specialists PA

  • Critical Care Medicine (Internal Medicine) Physician
  • Round Rock, TX
  • NPI 1548445596
  NPD

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299196800000",
    "number": "1376568691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 W 34TH ST",
            "address_2": "STE 400",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051923",
            "telephone_number": "512-459-6599",
            "fax_number": "512-459-8496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 W 34TH ST",
            "address_2": "STE 400",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051923",
            "telephone_number": "512-459-6599",
            "fax_number": "512-459-8496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "MARK",
        "middle_name": "COLIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2011-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "F2197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137591707",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen M. Clark, L.C.S.W. , B.C.D.
• Keri Ann Clark, PT
• Margaret K Clark, M.D.
• Margi Anne Clark, RN
• Marguerite Lillie Clark, NP
• Megan Latara Clark, PTA
• Melody Clark
• Michael T Clark, RPH
• Patrick Clark, DC
• Piper Lindsley Clark

• Specialist in Austin, TX
• Providers in Austin, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; 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.

Verify at the official NPI Registry.