Active NPI
Katherine Ann Clarke, M.D.
- Pediatrics Physician
- Medford, OR
National Provider Identifier
1568801728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- R - 9798
- Practice address
- 750 Murphy Rd
Medford, OR 97504-8426 - Phone
- (541) 789-4096
- NPI assigned
- Jun 20, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | R - 9798 | IA | Primary |
Addresses
Primary practice location
750 Murphy Rd
Medford, OR 97504-8426
Mailing address
750 Murphy Rd
Medford, OR 97504-8426
Phone (319) 530-2621
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R - 9798 | IA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Oregon Pediatrics, LLP | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Hospice and Palliative Medicine Physician
- Medford, OR
- NPI 1194932814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573516800000",
"number": "1568801728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 MURPHY RD",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975048426",
"telephone_number": "319-530-2621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 MURPHY RD",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975048426",
"telephone_number": "541-789-4096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARKE",
"first_name": "KATHERINE",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-20",
"last_updated": "2019-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IA",
"license": "R - 9798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.