William Patrick Clark Jr., MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

0101036704 Issued in VA

Practice address

110 Wimbledon SQ
Suite E
Chesapeake, VA 23320

Phone

(757) 436-2995

Fax

(757) 436-2912

NPI assigned

Apr 19, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380758400000",
    "number": "1487619656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 J CLYDE MORRIS BLVD",
            "address_2": "SUITE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 WIMBLEDON SQ",
            "address_2": "SUITE E",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "23320",
            "telephone_number": "757-436-2995",
            "fax_number": "757-436-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "WILLIAM",
        "middle_name": "PATRICK",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2013-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "VA",
            "license": "0101036704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487619656",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Clark, AEMT
• Nichelle Brittany Clark, IBCLC
• Olivia Clark, RBT
• Stacy Clark, M. ED
• Stephanie Renae Clark, PT, DPT
• Sheryl Kaye Clarke, FNP-C
• Rachel Clarkson, ATC
• Sarah Bull Clarkson, M.D.
• Cynthia C Clay
• Danielle Nicole Clay, RN

• Hematology & Oncology Physician in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Hematology & Oncology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.