Walter J. Clark Jr., M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35056744 Issued in OH

Practice address

University Drive C
VA Pittsburgh Healthcare System
Pittsburgh, PA 15240

Phone

(412) 360-1855

NPI assigned

Aug 31, 2006

Last updated

Oct 2, 2013By 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 PA

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

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380672000000",
    "number": "1396856605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY DRIVE C",
            "address_2": "VA PITTSBURGH HEALTHCARE SYSTEM",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152401001",
            "telephone_number": "412-360-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY DRIVE C",
            "address_2": "VA PITTSBURGH HEALTHCARE SYSTEM",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15240",
            "telephone_number": "412-360-1855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "WALTER",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35056744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0701682",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Clark
• Ryan John Clark, MD
• Sara McMahon Clark
• Susan Diane Clark, CRNA
• Tara Clark, LCSW
• William J Clark
• Clarke and Company Pathology Inc
• Camille Anne-Marie Clarke-Smith, EDD, CES, MS
• Alison R Clarke, MD
• Bridger Clarke, M.D.

• Internal Medicine Physician in Pittsburgh, PA
• Providers in Pittsburgh, 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 2, 2013; 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.