Active NPI
Deborah A Clarke, MD
- Family Medicine Physician
- Philadelphia, PA
National Provider Identifier
1629038583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD429888
- Practice address
- 760 Carpenter LN
Philadelphia, PA 19119-3406 - Phone
- (215) 848-6880
- Fax
- (215) 848-3333
- NPI assigned
- Mar 24, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD429888 | PA | Primary |
Addresses
Primary practice location
760 Carpenter LN
Philadelphia, PA 19119-3406
Mailing address
760 Carpenter LN
Philadelphia, PA 19119-3406
Phone (215) 848-6880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medexpress Urgent Care, PC - Pennsylvania | Current | Accepting new patients | |
| Urgent Care, PC - Pennsylvania | Current | Accepting new patients | |
| Medexpress Urgent Care, PC - Pennsylvania | Current | Accepting new patients | |
| Lumberton Family Physicians, LLC | Family Medicine | Past | Accepting new patients |
| Ashurst Family Physicians, PA | Family Medicine | Past | Accepting new patients |
Locations
4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072
7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Pittsburgh, PA
- NPI 1982839031
-
- Urgent Care Clinic/Center
- Saint Clair, PA
- NPI 1720545320
-
- Urgent Care Clinic/Center
- Quakertown, PA
- NPI 1801243340
-
- Family Medicine Physician
- Lumberton, NJ
- NPI 1861483299
-
- Family Medicine Physician
- Lumberton, NJ
- NPI 1851488001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493856000000",
"number": "1629038583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 CARPENTER LN",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191193406",
"telephone_number": "215-848-6880",
"fax_number": "215-848-3333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 CARPENTER LN",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191193406",
"telephone_number": "215-848-6880",
"fax_number": "215-848-3333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARKE",
"first_name": "DEBORAH",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-24",
"last_updated": "2017-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD429888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.