Organization Active NPI

Rohan Clarke MD PA

  • Gastroenterology Physician
  • Fort Worth, TX
National Provider Identifier
1467811133
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
M8608 Issued in TX
Legal business name
ROHAN CLARKE MD PA
Practice address
500 Throckmorton St
3107
Fort Worth, TX 76102-3708
Phone
(347) 200-1410
Fax
(817) 732-8015
NPI assigned
Feb 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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

Authorized official

Name
Rohan Courtney Clarke, MD
Title
Owner
Phone
(347) 200-1410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X M8608 TX Primary

Addresses

Primary practice location

500 Throckmorton St
3107
Fort Worth, TX 76102-3708

Mailing address

PO Box 1362
Fort Worth, TX 76101-1362
Phone (347) 200-1410

National Provider Directory

National Provider Directory

Locations

1350 S Main St
Ste 2400
Fort Worth, TX 76104
Phone (817) 702-2775

1617 Hemphill St
Ft Worth, TX 76104
Phone (817) 702-3381

NPI Registry JSON

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456185600000",
    "number": "1467811133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1362",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761011362",
            "telephone_number": "347-200-1410",
            "fax_number": "817-732-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 THROCKMORTON ST",
            "address_2": "3107",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761023708",
            "telephone_number": "347-200-1410",
            "fax_number": "817-732-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROHAN CLARKE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-02-23",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "ROHAN",
        "authorized_official_middle_name": "COURTNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-200-1410",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "M8608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; 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.