Hal Cliford Clark, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101040584 Issued in VA

Practice address

21556 Timberlake Rd
Suite D
Lynchburg, VA 24502

Phone

(434) 239-8104

Fax

(434) 239-4312

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Blue Ridge Scientific Transport LLC

  • Occupational Medicine Clinic/Center
  • Lynchburg, VA
  • NPI 1164114914
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679667174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 SHEFFEY DR",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "24551",
            "telephone_number": "434-239-8104",
            "fax_number": "434-239-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21556 TIMBERLAKE RD",
            "address_2": "SUITE D",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "24502",
            "telephone_number": "434-239-8104",
            "fax_number": "434-239-4312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "HAL",
        "middle_name": "CLIFORD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101040584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110058961",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006049711",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "035241",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Grace Clark Ashburn, MSN, APRN, FNP-C
• Amanda Dawn Clark
• Carrie Arrington Clark, NP
• Charla Clark
• Frances Sherrelle Clark
• Katelynn Clark
• Larry Edward Clark Jr., M.D.
• Tiffany G Clark, FNP-C
• Moriah Lin Clarke
• Shane Michael Clary, MSN, APRN FNP-C

• Internal Medicine Physician in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.