Gary W Clark, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

320729-0501 Issued in UT

Practice address

166 W 1325 N
Suite 300
Cedar City, UT 84721-7792

Phone

(435) 867-8521

Fax

(435) 586-4073

NPI assigned

Sep 12, 2005

Last updated

Mar 27, 2014By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Intermountain Health Cedar City Hospital Hospital, Cedar City, UT, CCN 460007

Merit-based Incentive Payment System (MIPS)

Final score

63.01 of 100Reported as individual

Quality

21.67

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: garyclark@gwci-ut.direct.office.nextgen.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Gary W. Clark Inc

  dba Gary W Clark DPM A Professional Corp

  • Podiatrist
  • Cedar City, UT
  • NPI 1629140173
  Medicare reassignment NPD Authorized official
• Gary W. Clark a Professional Corporation

  • Customized Equipment (DME)
  • Beaver, UT
  • NPI 1679646319
  NPD (past) Authorized official
• Gary W. Clark a Professional Corporation

  • Customized Equipment (DME)
  • Milford, UT
  • NPI 1699847780
  NPD (past) Authorized official
• Gary W. Clark DPM a Professional Corporation

  • Customized Equipment (DME)
  • Parowan, UT
  • NPI 1447325352
  NPD (past) Authorized official

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

• Ihc Health Services, Inc.

  dba Intermountain Health Cedar City Hospital

  • General Acute Care Hospital
  • Cedar City, UT
  • NPI 1538178801
  Care Compare affiliation

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395878400000",
    "number": "1609861152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1986",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847211986",
            "telephone_number": "435-867-8521",
            "fax_number": "435-586-4073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 W 1325 N",
            "address_2": "SUITE 300",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847217792",
            "telephone_number": "435-867-8521",
            "fax_number": "435-586-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "GARY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2014-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "UT",
            "license": "320729-0501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xander Nathan Christian
• Shawn Christiansen, PH.D.
• Susan Christopher
• Cindy a. Jones, LCSW, P.C.
• Erena Tonee Clah, RBT
• Hayden Knight Clark, PHARMD
• Roger Brent Clark, ACMHC
• Ricky Lee Clements, LCSW
• David Coan I, CSW
• Sarah Coan, ACMHC

• Podiatrist in Cedar City, UT
• Providers in Cedar City, UT by specialty
• Podiatrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.