NPIMap

Individual provider Active NPI

Paul Clark, MD

  • Internal Medicine Physician
  • Concord, NH
National Provider Identifier
1558305367
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11304 Issued in NH
Practice address
246 Pleasant St
Memorial Building, West, Floor 2
Concord, NH 03301-2548
Phone
(603) 224-4003
Fax
(603) 227-7562
NPI assigned
Jun 15, 2006
Last updated
Jun 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 11304 NH Primary

Addresses

Primary practice location

246 Pleasant St
Memorial Building, West, Floor 2
Concord, NH 03301-2548

Mailing address

246 Pleasant St
Memorial Building, West, Floor 2
Concord, NH 03301-2548
Phone (603) 224-4003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041208000606 NH Practitioner - Internal Medicine 7618933995 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Massachusetts Medical School, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Hospital IncGroup PAC ID 6103721790, 572 clinicians
Concord Hospital-LaconiaGroup PAC ID 7012326259, 275 clinicians

Practice addresses (Care Compare)

246 Pleasant St
Concord, NH 03301-2548
Phone (603) 224-4003

85 Spring St
Suite 303
Laconia, NH 03246-3113
Phone (603) 527-2969

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89 of 100Reported as apm
Quality
73.23
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89 of 100Reported as apm
Quality
73.23
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Hospital-Laconia Internal Medicine CurrentSince Jan 19, 2022 Accepting new patients
Concord Hospital, Inc. CurrentSince Jan 1, 2005 Accepting new patients
Concord Hospital, Inc. Current Accepting new patients
Concord Hospital, Inc. CurrentSince Jan 1, 2005 Accepting new patients

Locations

246 Pleasant St
Concord, NH 03301
Phone (603) 224-1223

246 Pleasant St
Bldg W
Concord, NH 03301
Phone (603) 224-3388

248 Pleasant St
Ste 2800
Concord, NH 03301
Phone (603) 224-4003

248 Pleasant St
Ste G100
Concord, NH 03301
Phone (603) 224-7888

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

250 Pleasant St
Ofc
Concord, NH 03301

724 N Main St
Laconia, NH 03246
Phone (603) 524-5151

85 Spring St
Ste 303
Laconia, NH 03246
Phone (603) 527-2969

238 Daniel Webster Hwy
Meredith, NH 03253
Phone (603) 279-7464

Interoperability endpoints

  • Direct secure messaging: pclark@crhc.cernerdirect.com

Organizations & group practices 4

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1558305367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 PLEASANT ST",
            "address_2": "MEMORIAL BUILDING, WEST, FLOOR 2",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012548",
            "telephone_number": "603-224-4003",
            "fax_number": "603-227-7562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 PLEASANT ST",
            "address_2": "MEMORIAL BUILDING, WEST, FLOOR 2",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012548",
            "telephone_number": "603-224-4003",
            "fax_number": "603-227-7562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "11304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.