Gregory D Clarke, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

16242 Issued in WV

Practice address

4522 Maccorkle Ave, SE
Suite 3
Charleston, WV 25314

Phone

(304) 720-7305

Fax

(304) 720-7310

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV, ME, MN3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12396/brand/1/csg/1/fhir/r4

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

• Greenbrier Emergency Services, Inc.

  • Emergency Medicine Physician
  • Gassaway, WV
  • NPI 1568401461
  Medicare reassignment NPD
• West Virginia Health Right, Inc.

  • Health Service Clinic/Center
  • Charleston, WV
  • NPI 1124453964
  Medicare reassignment NPD
• Emergency Medicine Services of Maine, LLC

  • Emergency Medicine Physician
  • Ellsworth, ME
  • NPI 1578032058
  Medicare reassignment NPD
• Unity Family Healthcare

  • Orthopaedic Surgery Physician
  • Little Falls, MN
  • NPI 1326234006
  Medicare reassignment NPD
• Unity Family Healthcare

  • Critical Access Hospital
  • Little Falls, MN
  • NPI 1780630939
  Medicare reassignment NPD
• Unity Family Healthcare

  • Home Health Agency
  • Little Falls, MN
  • NPI 1952329047
  NPD
• Teays Valley Emergency Physicians, Inc

  • Emergency Medicine Physician
  • Hurricane, WV
  • NPI 1386760502
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412726400000",
    "number": "1568569895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7000",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265077000",
            "telephone_number": "304-347-1290",
            "fax_number": "304-347-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4522 MACCORKLE AVE, SE",
            "address_2": "SUITE 3",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "25314",
            "telephone_number": "304-720-7305",
            "fax_number": "304-720-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "GREGORY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "16242",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "16242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0110526000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marsha Clark
• Mary Clark
• Rebecca Clark
• Sara Clark
• Tiffany Clark
• Stephanie Knight Clarke, LPC
• Heather Irene Clarkson, COTA/L
• Jennifer Terrice Classen, NP
• Hannah Leigh Clatworthy
• Rebecca Ashley Claxton, APRN-CNP

• Emergency Medicine Physician in Charleston, WV
• Providers in Charleston, WV by specialty
• Emergency Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.