NPIMap

Individual provider Active NPI

John C Clarke, MD

  • Diagnostic Radiology Physician
  • Cape Girardeau, MO
National Provider Identifier
1659575744
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
43126 Issued in KY
Practice address
70 Doctors Park
Cape Girardeau, MO 63703-4928
Phone
(573) 335-6671
Fax
(573) 339-0083
NPI assigned
Jun 12, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 12

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.

Hospital & facility affiliations 7

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

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Kentucky College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cape Radiology Group PC 54 clinicians
Mercy Hospital Perry 115 clinicians

Practice addresses (Care Compare)

11 W 3Rd St
Maysville, KY 41056-1103
Phone (573) 335-6671

211 Saint Francis Dr
Cape Girardeau, MO 63703-5049
Phone (573) 331-3000

405 W Jackson St
Carbondale, IL 62901-1462
Phone (618) 549-0721

434 N W St
Perryville, MO 63775-1359
Phone (573) 547-2536

Hospital & facility affiliations

  • Herrin Hospital Hospital, Herrin, IL, CCN 140011
  • Memorial Hospital of Carbondale Hospital, Carbondale, IL, CCN 140164
  • Mercy Health - Lourdes Hospital Hospital, Paducah, KY, CCN 180102
  • Saint Francis Medical Center Hospital, Cape Girardeau, MO, CCN 260183
  • Poplar Bluff Regional Medical Center Hospital, Poplar Bluff, MO, CCN 260119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IL, MO3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20090921000104 KY Practitioner - Diagnostic Radiology 7416916358 Reassigns benefits to 1 organization
I20230517001500 IL Practitioner - Diagnostic Radiology 7416916358 Reassigns benefits to 1 organization
I20230518000432 MO Practitioner - Diagnostic Radiology 7416916358 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TP770KYMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Perry CurrentSince Oct 1, 2023 Accepting new patients
Mercy Hospital Perry Diagnostic Radiology Current Accepting new patients
Mercy Hospital Perry CurrentSince Oct 1, 2023 Accepting new patients
Mobile Vision Care, Inc. Past Accepting new patients
Jeffrey a Stone DO PA Past Accepting new patients
P J Nairne DPM PLLC Past Accepting new patients
Diagnostic Swallowing Services Diagnostic Radiology Past Accepting new patients
Meta Medical Services PA Past Accepting new patients

Locations

434 N West St
Perryville, MO 63775
Phone (573) 547-2530

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 43126 KY Primary

Addresses

Primary practice location

70 Doctors Park
Cape Girardeau, MO 63703-4928

Mailing address

70 Doctors Park
Cape Girardeau, MO 63703-4928
Phone (573) 335-6671

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1659575744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 DOCTORS PARK",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034928",
            "telephone_number": "573-335-6671",
            "fax_number": "419-866-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 DOCTORS PARK",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034928",
            "telephone_number": "573-335-6671",
            "fax_number": "573-339-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "JOHN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-12",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "43126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.