Diane P Clarke, M.D

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

ME80513 Issued in FL

Practice address

801 Northpoint Pkwy
Suite 83
West Palm Beach, FL 33407-1973

Phone

(561) 721-6431

Fax

(561) 721-6432

NPI assigned

Jul 13, 2006

Last updated

Sep 16, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Corpus Christi Gerimed Solutions Corp

  • Geriatric Medicine (Internal Medicine) Physician
  • West Palm Beach, FL
  • NPI 1972854735
  Authorized official Same address or phone
• Southeastern Imaging Associates Inc

  • Multi-Specialty Clinic/Center
  • Lake Worth, FL
  • NPI 1780828814
  NPD (past)
• Florida Care Level Management Direct, LLC

  • General Practice Physician
  • Calabasas, CA
  • NPI 1770569220
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1760407076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 NORTHPOINT PKWY 83",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334071812",
            "telephone_number": "561-721-6431",
            "fax_number": "561-721-6432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 NORTHPOINT PKWY",
            "address_2": "SUITE 83",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334071973",
            "telephone_number": "561-721-6431",
            "fax_number": "561-721-6432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "DIANE",
        "middle_name": "P",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME80513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea La' Brea Clark, CSFA
• Sheena Lou Clark
• Clarke Psych and Wellness Care LLC
• Noella M Clarke-Aaron, MD
• Carol Choute Clarke, NURSE PRACTITIONER
• Dominique Clarke
• Lauri-Ann Clarke, PMHNP, DNP
• Nadine A Clarke, NP-C
• Stacia Clarke
• Joshua Class, M.D.

• Geriatric Medicine (Internal Medicine) Physician in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Geriatric Medicine (Internal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.