Samantha Clark, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

35.132336 Issued in OH

Practice address

830 S Main St Ste 101
Orrville, OH 44667-2218

Phone

(330) 684-4797

Fax

(330) 684-4759

NPI assigned

May 9, 2014

Last updated

Apr 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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 1

Specialty

Obstetrics/Gynecology

Education

Northeastern Ohio University College of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orrville Hospital FoundationGroup PAC ID 7911890546, 78 clinicians

Ohio Physician Professional CorporationGroup PAC ID 2668406059, 143 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aultman Orrville Hospital Hospital, Orrville, OH, CCN 361323
• Aultman Hospital Hospital, Canton, OH, CCN 360084

Merit-based Incentive Payment System (MIPS)

Final score

89.96 of 100Reported as group

Quality

77.5

Promoting interoperability

99

Improvement activities

40

Cost

74.58

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samantha.clark@direct.aultman.org
• Direct secure messaging: sclark1215618@direct.ccf.org

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.

• Ohio Physician Professional Corporation

  dba Surgical Associates of Canton

  • Hospitalist Physician
  • Canton, OH
  • NPI 1417016973
  Medicare reassignment Care Compare group NPD
• Orrville Hospital Foundation

  dba Aultman Orrville Hospital

  • Critical Access Hospital
  • Orrville, OH
  • NPI 1891718375
  Medicare reassignment Care Compare group NPD
• Euclid Hospital Cleveland Clinic Health System

  dba cleveland clinic foundation

  • General Acute Care Hospital
  • Euclid, OH
  • NPI 1457403016
  NPD
• Orrville Hospital Foundation

  dba Aultman Orrville Carrollton Schools Health Center

  • Rural Health Clinic/Center
  • Carrollton, OH
  • NPI 1902655681
  NPD
• Orrville Hospital Foundation

  dba Aultman Orrville Anesthesia

  • Anesthesiology Physician
  • Orrville, OH
  • NPI 1356367593
  NPD (past)
• Orrville Hospital Foundation

  dba Aultman Orrville Doylestown Health Center

  • Rural Health Clinic/Center
  • Doylestown, OH
  • NPI 1487226189
  NPD (past)

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

• Aultman Hospital

  • General Acute Care Hospital
  • Canton, OH
  • NPI 1356366991
  Care Compare affiliation
• Orrville Hospital Foundation

  dba Aultman Orrville Hospital

  • Critical Access Hospital
  • Orrville, OH
  • NPI 1891718375
  Care Compare affiliation

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

{
    "created_epoch": "1399593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1699186841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7570 BONETA RD",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442818403",
            "telephone_number": "330-419-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 S MAIN ST STE 101",
            "city": "ORRVILLE",
            "state": "OH",
            "postal_code": "446672218",
            "telephone_number": "330-684-4797",
            "fax_number": "330-684-4759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "SAMANTHA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-09",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35.132336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Kay Casto
• James Nathaniel Chambers, PTA
• Chiofalo Chiropractic Clinic
• John David Chiofalo, DC
• City of Orrville (City of Orrville Fire Department)
• Kevin B Cochran, DDS
• Amanda Converse, PHARMD
• Tracey Cook, N.D., L.AC
• Lisa Ann Dalessandro, M.T.
• Tori Dalessandro

• Obstetrics & Gynecology Physician in Orrville, OH
• Providers in Orrville, OH by specialty
• Obstetrics & Gynecology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.