Sharon Ellen Clark, DO MPH

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

G3232 Issued in TX

Practice address

2500 Lou Menk Dr
Ft Worth, TX 76131-2828

Phone

(871) 352-2483

Fax

(817) 352-7192

NPI assigned

Apr 26, 2007

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457571192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 MAPLE BROOK CT",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760217212",
            "telephone_number": "817-540-3380",
            "fax_number": "817-399-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 LOU MENK DR",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761312828",
            "telephone_number": "871-352-2483",
            "fax_number": "817-352-7192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "SHARON",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "DO MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "TX",
            "license": "G3232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra Nicole Clark, DMD
• Lauren Clark, LMT
• Lisamarie Helen Clark, OD
• Megan H Clark, S.L.P.
• Sandra Clark, LPC ASSOCIATE
• Susan Clark, LCSW-S
• Timiera Clark, OWNER
• Howard F Clarke Jr., PA
• Khalilah Q Clarke, MD
• Tyler A Clarke, LPC

• Occupational Medicine Physician in Ft Worth, TX
• Providers in Ft Worth, TX by specialty
• Occupational Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.