Individual provider Active NPI

Clark L Williams, MD

  • Emergency Medicine Physician
  • Lancaster, WI
National Provider Identifier
1710911417
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
42618 Issued in WI
Practice address
507 S Monroe St
Lancaster, WI 53813-2054
Phone
(608) 723-2143
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 37010 IA
Emergency Medicine Physician 207P00000X 42618 WI Primary

Addresses

Primary practice location

507 S Monroe St
Lancaster, WI 53813-2054

Mailing address

507 S Monroe St
Lancaster, WI 53813-2054
Phone (608) 723-2143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040207000168 WI Practitioner - Emergency Medicine 0749173151 Reassigns benefits to 2 organizations
I20070521000078 IA Practitioner - Emergency Medicine 0749173151 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Wisconsin School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Finley HospitalGroup PAC ID 5092622944, 84 clinicians
Grant Regional Health Center IncGroup PAC ID 9638079445, 36 clinicians
Central Community HospitalGroup PAC ID 1052206372, shared by 5 NPIs, 16 clinicians

Practice addresses (Care Compare)

350 N Grandview Ave
Dubuque, IA 52001-6388

350 N Grandview Ave
Finley Prof Serv Ed
Dubuque, IA 52001-6392
Phone (563) 589-2454

507 S Monroe St
Lancaster, WI 53813-2054
Phone (608) 723-2131

901 Davidson St NW
Elkader, IA 52043-9015
Phone (563) 245-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37010IAMDEmergency Medicine Physician
42618WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spencer Municipal Hospital CurrentSince Dec 14, 2019 Accepting new patients
Central Community Hospital Emergency Medicine CurrentSince Sep 1, 2017 Accepting new patients
Grant Regional Health Center, Inc CurrentSince Mar 20, 2017 Accepting new patients
Spencer Municipal Hospital Current Accepting new patients
The Finley Hospital Emergency Medicine CurrentSince Oct 7, 2024 Accepting new patients
Central Community Hospital CurrentSince Sep 1, 2017 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Spencer Municipal Hospital CurrentSince Dec 14, 2019 Accepting new patients
Central Community Hospital CurrentSince Oct 17, 2025 Accepting new patients
Spencer Municipal Hospital Current Accepting new patients
The Finley Hospital Current Accepting new patients
Grant Regional Health Center, Inc. Current Accepting new patients
Grant Regional Health Center, Inc CurrentSince Mar 20, 2017 Accepting new patients
California Em-I Medical Services, a Medical Corporation Emergency Medicine Past Accepting new patients
Northwest Iowa Dermatology LLC Past Accepting new patients

Locations

350 N Grandview Ave
Dubuque, IA 52001
Phone (563) 582-1881

250 Mercy Dr
Dubuque, IA 52001
Phone (563) 589-8000

901 Davidson St NW
Elkader, IA 52043
Phone (563) 245-7000

1200 1st Ave E
Spencer, IA 51301
Phone (712) 264-6164

1200 1st Ave E
Ste 1
Spencer, IA 51301
Phone (712) 264-6160

507 S Monroe St
Lancaster, WI 53813
Phone (608) 723-2131

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0e14dd7a-54b5-4e15-8bd7-0053cd69b1ac/
  • Direct secure messaging: cwilliams3962680@direct.trinity-health.org
  • Direct secure messaging: cwilliams847540@direct.unitypoint.org

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 3

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1710911417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 S MONROE ST",
            "city": "LANCASTER",
            "state": "WI",
            "postal_code": "538132054",
            "telephone_number": "608-723-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 S MONROE ST",
            "city": "LANCASTER",
            "state": "WI",
            "postal_code": "538132054",
            "telephone_number": "608-723-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CLARK",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "37010",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "42618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, WI

Sources for this page

Verify at the official NPI Registry.