Anthony W Clarke, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

AC053024 Issued in MI

Practice address

7633 E Jefferson Ave
Suite 340
Detroit, MI 48214-3730

Phone

(313) 822-9801

Fax

(313) 822-1030

NPI assigned

Dec 4, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in MI

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

Specialty

Internal MedicineAlso: Pediatric Medicine

Education

Wright State University Boonshoft School of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Mary Home Health Services Home health agency, Madison Heights, MI, CCN 239259
• Harper University Hospital Hospital, Detroit, MI, CCN 230104

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aclarke@hcde.adaptamed.direct-ci.com
• Direct secure messaging: anthony.clarke.1@32596.direct.athenahealth.com
• Direct secure messaging: aclarke@direct.dmc.org
• Direct secure messaging: aclarke1121361@direct.hfhs.org

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.

• Desir Medical LLC

  • Clinic/Center
  • W Bloomfield, MI
  • NPI 1982275723
  Medicare reassignment NPD
• Detroit Area Agency on Aging

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1134725427
  Medicare reassignment NPD
• Health Centers Detroit Foundation, Inc.

  • Federally Qualified Health Center (FQHC)
  • Detroit, MI
  • NPI 1518026541
  Medicare reassignment NPD
• Detroit Area Agency on Aging

  • Case Management Agency
  • Detroit, MI
  • NPI 1104997121
  NPD
• DPVM LLC

  • Family Medicine Physician
  • Northville, MI
  • NPI 1326716804
  NPD (past)
• Health Centers Detroit Foundation, Inc.

  • Federally Qualified Health Center (FQHC)
  • Detroit, MI
  • NPI 1770657785
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Mary Home Health Services LLC

  • Home Health Agency
  • Madison Heights, MI
  • NPI 1386946564
  Care Compare affiliation
• VHS Harper-Hutzel Hospital Inc

  • General Acute Care Hospital
  • Detroit, MI
  • NPI 1427360700
  Care Compare affiliation

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300924800000",
    "number": "1811055858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8120 E JEFFERSON AVE APT 4A",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482145520",
            "telephone_number": "313-331-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7633 E JEFFERSON AVE",
            "address_2": "SUITE 340",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482143730",
            "telephone_number": "313-822-9801",
            "fax_number": "313-822-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "ANTHONY",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2011-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "AC053024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4542507",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanya Delorise Clark
• Tenora Clark
• Tony Milton Clark
• Vicki Marie Clark, RN
• Yameka Clark
• Clarkston Physical Therapy and Rehabilitation Center
• Carol Classen
• Nicole Roberta Claudin, NURSE PRACTITIONER
• Claudio Holdings LLC
• Claudio Holdings LLC

• Internal Medicine Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.