Joshua Shawn Clark, MD
Individual provider Active NPI Family Medicine Physician · Blakeslee, PA
NPI 1760060040 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1760060040
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD489193 (PA)
- Practice address
- 5683 Route 115
Blakeslee, PA 18610-7973 - Phone
- (570) 355-7100
- NPI assigned
- Mar 30, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Lehigh Valley Physician Group
Lancaster General Medical Group
Practice addresses (Care Compare)
292 Frantz Rd
Suite 102
Stroudsburg, PA 18360-6205
Phone (570) 395-2502
950 S Octorara Trail
Penn Medicine LGHP Family Medicine Parkesbu
Parkesburg, PA 19365-2100
Phone (610) 857-6648
Hospital & facility affiliations
- Lehigh Valley Hospital - Pocono
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251121001897 | PA | Practitioner - Family Practice | 5799277323 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD489193 | PA | MD | Family Medicine Physician |
| MT222853 | PA | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Valley Physician Group | Family Medicine | Current |
Accepting new patients |
| Lehigh Valley Physician Group | Family Medicine | Current |
Accepting new patients |
| Lehigh Valley Physician Group | Family Medicine | Current | Accepting new patients |
| Pulmonary Associates PC | Past | Accepting new patients |
Locations
2100 Mack Blvd
Fl 4
Allentown, PA 18103
400 N 17th St
Ste 300
Allentown, PA 18104
Phone (610) 969-3100
1326 Golden Slipper Rd
Ste 200
Bartonsville, PA 18321
5683 Route 115
Blakeslee, PA 18610
Phone (570) 355-7100
281 N 12th St
Ste B
Lehighton, PA 18235
Phone (610) 377-7793
292 Frantz Rd
Ste 108
Stroudsburg, PA 18360
Phone (570) 426-2900
292 Frantz Rd
Ste 102
Stroudsburg, PA 18360
Phone (570) 395-2502
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD489193 | PA | Yes |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | MD489193 | PA |
Addresses
Primary practice location
5683 Route 115
Blakeslee, PA 18610-7973
Mailing address
2100 Mack Blvd FL 4
Allentown, PA 18103-5622
Other practice location 1
400 N 17th St Ste 300
Allentown, PA 18104-5052
Phone (610) 969-3500
Other practice location 2
950 S. Octorara Trail
Parkesburg, PA 19365-2100
Phone (610) 857-6648
Other providers in Blakeslee, PA
- Ajbs Behavior Services
- Melissa Anuszewski
- Noel Chavis Campbell Jr.
- Comprehensive Psychological Services
- David W. Murphy Inc
- Family Recovery, LLC
- Chiffon Noreen Fitzpatrick
- G. Spearing Weiss LLC
All providers in Blakeslee, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.