Allen Clark, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO4514 Issued in FL

Practice address

140 Jupiter Lakes Blvd
Jupiter, FL 33458-7196

Phone

(561) 320-9298

Fax

(772) 288-3341

NPI assigned

Nov 22, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NH, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Portsmouth Foot and Ankle PLLCGroup PAC ID 9436155595, 3 clinicians

Portsmouth Foot and Ankle, Nashua, PLLCGroup PAC ID 5799062204, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Joseph Hospital Hospital, Nashua, NH, CCN 300011
• York Hospital Hospital, York, ME, CCN 200020
• Exeter Hospital Inc Hospital, Exeter, NH, CCN 300023

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aclark27533@jupitermedicalcenter.direct-ci.com

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

• Portsmouth Foot and Ankle, Nashua, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Portsmouth, NH
  • NPI 1538614623
  Medicare reassignment Care Compare group
• Portsmouth Foot and Ankle, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Portsmouth, NH
  • NPI 1194805846
  Medicare reassignment Care Compare group
• Certified Foot & Ankle Specialists

  • Non-Pharmacy Dispensing Site
  • Boca Raton, FL
  • NPI 1699904169

  Podiatrist

  Medicare reassignment NPD
• Certified Foot & Ankle Specialists

  • Non-Pharmacy Dispensing Site
  • Jupiter, FL
  • NPI 1083269955

  Foot & Ankle Surgery

  NPD
• Foot & Ankle Associates of Southern NH, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Derry, NH
  • NPI 1558824631
  NPD (past)

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

• Exeter Hospital Inc

  • General Acute Care Hospital
  • Exeter, NH
  • NPI 1437158433
  Care Compare affiliation
• St Joseph Hospital of Nashua NH

  • General Acute Care Hospital
  • Nashua, NH
  • NPI 1093787384
  Care Compare affiliation
• St Joseph Hospital of Nashua NH

  • Urgent Care Clinic/Center
  • Milford, NH
  • NPI 1437758679

  Hospital

  Care Compare affiliation
• York Hospital

  • General Acute Care Hospital
  • York, ME
  • NPI 1376528398
  Care Compare affiliation

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1376810143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4733 W ATLANTIC AVE STE C-2",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334453706",
            "telephone_number": "561-995-0229",
            "fax_number": "561-288-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 JUPITER LAKES BLVD",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587196",
            "telephone_number": "561-320-9298",
            "fax_number": "772-288-3341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2664 SW Immanuel Dr",
            "address_purpose": "LOCATION",
            "city": "Palm City",
            "state": "FL",
            "postal_code": "349902738",
            "country_code": "US",
            "telephone_number": "772-288-3338",
            "fax_number": "772-288-3341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-22",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO4514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Chyle, APRN
• Mara Cijulus, ARNP
• Michelle Marie Cilli, PA-C
• Sarah Cillick
• CJC Wellness, LLC
• Angela Shelton Clauson
• Clean & Sober Recovery Center, Inc.
• Clear Health of the Palm Beaches
• Charlotte Clement, CNM, WHNP-BC
• Cmo Medical Supply Company LLC

• Foot & Ankle Surgery Podiatrist in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.
• 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.