Darron Clark

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

A2039 Issued in MN

Practice address

1875 19TH St NW
Rochester, MN 55901-1633

Phone

(507) 282-9449

NPI assigned

Aug 3, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1508530510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 7TH ST NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559016815",
            "telephone_number": "507-513-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 19TH ST NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559011633",
            "telephone_number": "507-282-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "DARRON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MN",
            "license": "A2039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTA LICENSE NUMBER",
            "identifier": "A2039",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "onetrueforall@gmail.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "messaging",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1875 19th St NW",
            "city": "Rochester",
            "state": "MN",
            "country_code": "US",
            "postal_code": "559011633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jonathan E Clain, M.D.
• Frederick W. Clare, PA-C
• Clarity Counseling Center
• Angela Marie Clark, DNP, APRN, PMHNP-BC
• Brittney Clark, M.D.
• David Steven Clark
• Dawn Clark
• Ellie Ann Clark, OTD, OTR/L
• Heather M Clark, PHD, CCC-SLP
• Jeannie Elizabeth Clark, CNP

• Physical Medicine & Rehabilitation Physician in Rochester, MN
• Providers in Rochester, MN by specialty
• Physical Medicine & Rehabilitation Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.