Rebecca S Clark, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

35062614 Issued in OH

Practice address

340 Oxford St
#110
Dover, OH 44622-1965

Phone

(330) 343-0753

Fax

(330) 343-4787

NPI assigned

Feb 27, 2006

Last updated

Aug 24, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Canton Aultman Emergency Physicians Inc

  • Emergency Medicine Physician
  • Canton, OH
  • NPI 1801832381
  NPD
• Community Pathologists Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Dover, OH
  • NPI 1467779397
  NPD
• RC Hastedt MD Inc

  • Anatomic Pathology Physician
  • Dover, OH
  • NPI 1235324104
  NPD
• Stark County Pathologists Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Canton, OH
  • NPI 1194030437
  NPD
• Summa Emergency Associates

  • Emergency Medicine Physician
  • Cuyahoga Falls, OH
  • NPI 1639317944
  NPD (past)

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471996800000",
    "number": "1528034600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 OXFORD ST",
            "address_2": "#110",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446221965",
            "telephone_number": "330-343-0753",
            "fax_number": "330-343-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 OXFORD ST",
            "address_2": "#110",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446221965",
            "telephone_number": "330-343-0753",
            "fax_number": "330-343-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "REBECCA",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2016-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35062614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elliott Clark, PA-C
• Kimberly S. Clark, LISW-S
• Kristy Ann Clark
• Laura Clark, R.D., L.D.
• Lindsey Nicole Clark, M.D.
• Cleveland Clinic Union Hospital
• Clients to Friends to Family LLC
• Clients to Friends to Family LLC
• Austin Michael Cole, CNP
• Community Pathologists Inc

• Emergency Medicine Physician in Dover, OH
• Providers in Dover, OH by specialty
• Emergency Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.