Individual provider Active NPI

Joshua Clark, M.D.

  • Dermatology Physician
  • Springfield, OR
National Provider Identifier
1710349592
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD197684 Issued in OR
Practice address
1605 G St
Springfield, OR 97477-4227
Phone
(541) 747-6159
Fax
(541) 741-7249
NPI assigned
Mar 22, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD197684 OR Primary

Addresses

Primary practice location

1605 G St
Springfield, OR 97477-4227

Mailing address

1605 G St
Springfield, OR 97477-4227
Phone (541) 747-6159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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

Enrollment IDStateProvider typePAC IDDetails
I20200612000786 OR Practitioner - Dermatology 3577839091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Utah School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joshua J Clark MD LLCGroup PAC ID 7618354432, 3 clinicians

Practice addresses (Care Compare)

1605 G St
Springfield, OR 97477-4227
Phone (541) 747-6159

Merit-based Incentive Payment System (MIPS)

Final score
75.92 of 100Reported as individual
Quality
56.77
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision126
Removal of skin lesions773
Removal or shaving of skin growth1-10
Skin biopsy332

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD197684ORMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Dermatology & Surgery, LLC Dermatology Current Accepting new patients
Joshua J Clark MD LLC Dermatology CurrentSince May 4, 2022 Accepting new patients

Locations

360 S Garden Way
Ste 230
Eugene, OR 97401
Phone (541) 344-4168

1605 G St
Springfield, OR 97477
Phone (541) 741-2100

Interoperability endpoints

  • Direct secure messaging: clarkjj@yourcarecommunity.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1710349592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 G ST",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974774227",
            "telephone_number": "541-747-6159",
            "fax_number": "541-741-7249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 G ST",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974774227",
            "telephone_number": "541-747-6159",
            "fax_number": "541-741-7249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "JOSHUA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-22",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OR",
            "license": "MD197684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OR

Sources for this page

Verify at the official NPI Registry.