NPIMap

Individual provider Active NPI

Beth A Clark, DO

  • Specialist
  • Fishertown, PA
National Provider Identifier
1427022029
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
H59934 Issued in PA
Practice address
2040 Quaker Valley Rd
Fishertown, PA 15539-9723
Phone
(814) 839-4152
NPI assigned
Feb 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X H59934 PA Primary

Addresses

Primary practice location

2040 Quaker Valley Rd
Fishertown, PA 15539-9723

Mailing address

Route 56
Fishertown, PA 15539
Phone (814) 839-4152

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address beth.clark@upmcdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100506000609 PA Practitioner - Family Practice 5294863577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upmc Community Medicine IncGroup PAC ID 2062318975, 736 clinicians

Practice addresses (Care Compare)

2 Hot Meal St
Pittsburgh, PA 15203-2348

2040 Quaker Valley Rd
Fishertown, PA 15539-9723
Phone (814) 839-4152

249 Hospital Dr
Everett, PA 15537-7020
Phone (814) 623-1166

283 Hospital Dr
Everett, PA 15537-7020
Phone (814) 623-1002

875 N Hermitage Rd
Hermitage, PA 16148-3278

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.75 of 100Reported as group
Quality
70.53
Promoting interoperability
100
Improvement activities
40
Cost
75.31

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
H59934PAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medcine Inc CurrentSince Jul 1, 2002 Accepting new patients
Upmc Community Medicine Inc CurrentSince Jul 1, 2002 Accepting new patients
Upmc Community Medicine, Inc Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Upmc Community Medicine Inc Past Accepting new patients

Locations

249 Hospital Dr
Everett, PA 15537
Phone (814) 623-1166

2040 Quaker Valley Rd
Fishertown, PA 15539
Phone (814) 839-4152

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

Interoperability endpoints

  • Direct secure messaging: bclark60536@upmc.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1427022029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ROUTE 56",
            "city": "FISHERTOWN",
            "state": "PA",
            "postal_code": "15539",
            "telephone_number": "814-839-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 QUAKER VALLEY RD",
            "city": "FISHERTOWN",
            "state": "PA",
            "postal_code": "155399723",
            "telephone_number": "814-839-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "BETH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "H59934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "beth.clark@upmcdirect.com",
            "affiliation": "N",
            "address_1": "2040 Quaker Valley Rd",
            "city": "Fishertown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "155399723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fishertown, PA

Sources for this page

Verify at the official NPI Registry.