Individual provider Active NPI

John Clarke, MD

  • Diagnostic Radiology Physician
  • Massillon, OH
National Provider Identifier
1689888422
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35.144215 Issued in OH
Practice address
8012 Glendevan St NW
Massillon, OH 44646-9017
Phone
(504) 717-9733
NPI assigned
May 10, 2007
Last updated
May 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 35.144215 OH
Diagnostic Radiology Physician 2085R0202X 35.144215 OH Primary

Addresses

Primary practice location

8012 Glendevan St NW
Massillon, OH 44646-9017

Mailing address

8012 Glendevan St NW
Massillon, OH 44646-9017
Phone (504) 717-9733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WI, HI3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220707001982 OH Practitioner - Diagnostic Radiology 3870862303 Reassigns benefits to 3 organizations
I20220713002567 WI Practitioner - Diagnostic Radiology 3870862303 Reassigns benefits to 1 organization
I20230929001166 HI Practitioner - Diagnostic Radiology 3870862303 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinic Medical Services CompanyGroup PAC ID 5698674653, 201 clinicians
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

67-1125 Mamalaho Hwy
Kamuela, HI 96743-8496
Phone (808) 881-4455

71 Namala PL
Kailua, HI 96734-1956
Phone (504) 717-9733

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.144215OHMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jul 8, 2022 Accepting new patients
The Cleveland Clinic Foundation Diagnostic Radiology CurrentSince Aug 21, 2023 Accepting new patients
Clinic Medical Services Company Diagnostic Radiology CurrentSince Nov 8, 2023 Accepting new patients
Clinic Medical Services Company LLC Diagnostic Radiology CurrentSince Nov 8, 2023 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jul 8, 2022 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC Surgery Current Accepting new patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Aug 21, 2023 Accepting new patients
Radiology Associates of Canton, Inc Diagnostic Radiology CurrentSince Mar 1, 2022 Accepting new patients
Radiology Associates of Canton, Inc. Neuroradiology CurrentSince Mar 1, 2022 Accepting new patients

Locations

67-1125 Mamalahoa Hwy
Kamuela, HI 96743
Phone (808) 881-4400

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

1020 Trump Rd NW
Carrollton, OH 44615
Phone (330) 627-0091

7755 5 Mile Rd
Cincinnati, OH 45230
Phone (513) 233-2230

111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

6100 W Creek Rd
Ste 35
Independence, OH 44131
Phone (212) 986-1666

6100 Whipple Ave NW
North Canton, OH 44720
Phone (330) 305-6999

832 S Main St
Orrville, OH 44667
Phone (330) 456-2695

12037 Sheraton Ln
Springdale, OH 45246
Phone (513) 671-3320

1932 Niles Cortland Rd NE
Ste X
Warren, OH 44484
Phone (330) 306-5371

Organizations & group practices 10

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1689888422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8012 GLENDEVAN ST NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446469017",
            "telephone_number": "504-717-9733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8012 GLENDEVAN ST NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446469017",
            "telephone_number": "504-717-9733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "OH",
            "license": "35.144215",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35.144215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

Verify at the official NPI Registry.