Individual provider Active NPI

Joshua Shawn Clark, MD

  • Family Medicine Physician
  • Blakeslee, PA
National Provider Identifier
1760060040
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD489193 Issued in PA
Practice address
5683 Route 115
Blakeslee, PA 18610-7973
Phone
(570) 355-7100
NPI assigned
Mar 30, 2021
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD489193 PA Primary
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

950 S. Octorara Trail
Parkesburg, PA 19365-2100
Phone (610) 857-6648

Other practice location 2

400 N 17th St Ste 300
Allentown, PA 18104-5052
Phone (610) 969-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20251121001897 PA Practitioner - Family Practice 5799277323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 GroupGroup PAC ID 3072425123, 2,512 clinicians
Lancaster General Medical GroupGroup PAC ID 0941103683, shared by 8 NPIs, 590 clinicians

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD489193PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group Family Medicine CurrentSince Sep 11, 2025 Accepting new patients
Lehigh Valley Physician Group Family Medicine Current Accepting new patients
Lehigh Valley Physician Group Family Medicine CurrentSince Sep 11, 2025 Accepting new patients

Locations

2100 Mack Blvd
Fl 4
Allentown, PA 18103

400 N 17th St
Ste 300
Allentown, PA 18104
Phone (610) 969-3258

1326 Golden Slipper Rd
Ste 200
Bartonsville, PA 18321
Phone (570) 395-2714

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 102
Stroudsburg, PA 18360
Phone (570) 395-2502

292 Frantz Rd
Ste 108
Stroudsburg, PA 18360
Phone (570) 426-2900

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1760060040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MACK BLVD FL 4",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181035622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5683 ROUTE 115",
            "city": "BLAKESLEE",
            "state": "PA",
            "postal_code": "186107973",
            "telephone_number": "570-355-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 S. Octorara Trail",
            "address_purpose": "LOCATION",
            "city": "Parkesburg",
            "state": "PA",
            "postal_code": "193652100",
            "country_code": "US",
            "telephone_number": "610-857-6648",
            "fax_number": "610-857-6638",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 N 17th St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181045052",
            "country_code": "US",
            "telephone_number": "610-969-3500",
            "fax_number": "610-969-3605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "JOSHUA",
        "middle_name": "SHAWN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-30",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD489193",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "PA",
            "license": "MD489193",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blakeslee, PA

Sources for this page

Verify at the official NPI Registry.