Active NPI
Richard Douglas Clark, M.D. PH.D.
- Diagnostic Radiology Physician
- Seattle, WA
National Provider Identifier
1659393452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD24807
- Practice address
- 1229 Madison St
Searad Suite 900
Seattle, WA 98104-3586 - Phone
- (509) 995-1135
- NPI assigned
- Jul 24, 2006
- Last updated
- Jun 3, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD24807 | OR | Primary |
Addresses
Primary practice location
1229 Madison St
Searad Suite 900
Seattle, WA 98104-3586
Mailing address
1229 Madison St
Suite 900
Seattle, WA 98104-3586
Phone (206) 292-6233
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD24807 | OR | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Associates, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Kennewick Public Hospital District | Past | Accepting new patients | |
| Advanced Medical Imaging LLC | Diagnostic Radiology | Past | Accepting new patients |
| Spokane Radiology Consultants, PS | Past | Accepting new patients | |
| Radia Inc P S | Diagnostic Radiology | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Kennewick General Hospital Home Health Care
- Home Health Agency
- Kennewick, WA
- NPI 1184797433
-
- Specialist
- Spokane, WA
- NPI 1700928744
-
- Diagnostic Radiology Physician
- Rock Springs, WY
- NPI 1629169602
-
- Diagnostic Radiology Physician
- Springfield, OR
- NPI 1164452736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212451200000",
"number": "1659393452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1229 MADISON ST",
"address_2": "SUITE 900",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981043586",
"telephone_number": "206-292-6233",
"fax_number": "206-292-7764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1229 MADISON ST",
"address_2": "SEARAD SUITE 900",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981043586",
"telephone_number": "509-995-1135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "RICHARD",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "M.D. PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2008-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OR",
"license": "MD24807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.