William Robert Clarke, M.D.

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

MD00039009 Issued in WA

Practice address

107 H Street East
Poplar, MT 59255

Phone

(406) 768-3491

Fax

(406) 768-3603

NPI assigned

Nov 27, 2006

Last updated

Jan 18, 2013By the provider in NPPES

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 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358467200000",
    "number": "1720154305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 PALOMINO CT",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993529639",
            "telephone_number": "509-628-3455",
            "fax_number": "509-628-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 H STREET EAST",
            "city": "POPLAR",
            "state": "MT",
            "postal_code": "59255",
            "telephone_number": "406-768-3491",
            "fax_number": "406-768-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "WILLIAM",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2013-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "WA",
            "license": "MD00039009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3246612",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacy Burgess
• Louisa Cenatiempo, PHD
• Angela Rose Cheek, M.ED., M.S, PCLC
• Gloria Chopper
• Mary Le Ara Clark, PT
• Frances Lynn Cook, ARNP-C
• Chandice Yvonne Covington, PHD, APRN, PPCNP
• Susan Jeannette Cox-Foster, RN
• Crystal Cummins Counseling, PLLC
• Dallas Aero & Sales, LLC

• Occupational Medicine Physician in Poplar, MT
• Providers in Poplar, MT by specialty
• Occupational Medicine Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.