Michael Robert Clark, MD, MPH

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

50630 Issued in WI

Practice address

3400 Ministry Pkwy
Schofield, WI 54476-5220

Phone

(715) 393-3723

NPI assigned

Jul 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Emergency Medicine

Education

Medical College of Wisconsin, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aspirus Eagle River Hospital and Clinics, IncGroup PAC ID 1658361951, 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aspirus Merrill Hospital Hospital, Merrill, WI, CCN 521339

Merit-based Incentive Payment System (MIPS)

Final score

99.45 of 100Reported as group

Quality

90.06

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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 and National Provider Directory roles.

• Aspirus Eagle River Hospital & Clinics, Inc.

  • Critical Access Hospital
  • Eagle River, WI
  • NPI 1346204385
  Medicare reassignment Care Compare group NPD
• Aspirus Merrill Hospital & Clinics, Inc.

  • Critical Access Hospital
  • Merrill, WI
  • NPI 1124084678
  Medicare reassignment NPD
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  • Clinic/Center
  • Stevens Point, WI
  • NPI 1144991340
  Medicare reassignment NPD
• Aspirus Stevens Point Hospital & Clinics, Inc.

  • General Acute Care Hospital
  • Stevens Point, WI
  • NPI 1538112230

  Emergency Medicine

  Medicare reassignment NPD
• The Howard Young Medical Center, Inc.

  • General Acute Care Hospital
  • Woodruff, WI
  • NPI 1184673352

  Emergency Medicine

  Medicare reassignment NPD
• Aspirus Eagle River Hospital, Inc.

  • Emergency Medicine Physician
  • Eagle River, WI
  • NPI 1699728915
  NPD
• Aspirus Merrill Hospital & Clinics, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Merrill, WI
  • NPI 1407096266
  NPD
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  • General Acute Care Hospital
  • Rhinelander, WI
  • NPI 1356391247
  NPD
• Aspirus Stevens Point Hospital & Clinics, Inc.

  • Clinic/Center
  • Stevens Point, WI
  • NPI 1679706022
  NPD
• The Howard Young Medical Center, Inc.

  • General Acute Care Hospital
  • Woodruff, WI
  • NPI 1134183171
  NPD
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  • Critical Access Hospital
  • Tomahawk, WI
  • NPI 1598715401
  NPD (past)
• County of Lincoln

  • Public Health or Welfare Agency
  • Merrill, WI
  • NPI 1083800064
  NPD (past)

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

• Aspirus Merrill Hospital & Clinics, Inc.

  • Critical Access Hospital
  • Merrill, WI
  • NPI 1124084678
  Care Compare affiliation

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1396944237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 MINISTRY PKWY",
            "city": "SCHOFIELD",
            "state": "WI",
            "postal_code": "544765220",
            "telephone_number": "715-393-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 MINISTRY PKWY",
            "city": "SCHOFIELD",
            "state": "WI",
            "postal_code": "544765220",
            "telephone_number": "715-393-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-11",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "50630",
            "primary": true
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "WI",
            "license": "50630",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100004191",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "360450063",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aimee Budleski, MS, LPC
• Pamela Elizabeth Buntin, PT, DPT
• Joseph C Burclaw, LPC
• Central Wisconsin Mental Health Associates, SC
• Tiffany Lenore Chapman, LPC
• D.C. Everest Area Schools
• Heidi Marie Dampier, LPC-IT
• Danick Inc
• Jodi L Debroux, APNP
• Laura Dickinson, RN

• Emergency Medicine Physician in Schofield, WI
• Providers in Schofield, WI by specialty
• Emergency Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; 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.