Jeffrey Alan Clark, DO

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

3304 Issued in IA

Practice address

2351 Hudson Road
Suite 001
Cedar Falls, IA 50614-0001

Phone

(319) 273-5275

Fax

(319) 273-5295

NPI assigned

May 19, 2006

Last updated

Feb 4, 2022By the provider in NPPES

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 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IA

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

Orthopedic Surgery

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Unified Therapy Services, IncGroup PAC ID 7618985714, 124 clinicians

Floyd County Memorial Hospital CommissionGroup PAC ID 0143138669, shared by 4 NPIs, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Floyd County Medical Center Hospital, Charles City, IA, CCN 161347
• Waverly Health Center Hospital, Waverly, IA, CCN 161339
• Allen Hospital Hospital, Waterloo, IA, CCN 160110

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Floyd County Memorial Hospital Commission

  • Critical Access Hospital
  • Charles City, IA
  • NPI 1265402390
  Medicare reassignment NPD
• Floyd County Memorial Hospital Commission

  dba Floyd County Hosp ER Physicians

  • Emergency Medicine Physician
  • Charles City, IA
  • NPI 1346210408
  Medicare reassignment NPD
• Unified Therapy Services, Inc

  • Physical Therapist
  • Dubuque, IA
  • NPI 1619064086
  Care Compare group
• Cedar Valley Medical Specialists PC

  • Orthopaedic Surgery Physician
  • Waterloo, IA
  • NPI 1497794242
  NPD
• Cedar Valley Medical Specialists PC

  • Durable Medical Equipment & Medical Supplies
  • Vinton, IA
  • NPI 1659934180
  NPD
• Floyd County Memorial Hospital Commission

  dba Floyd County Medical Center Clinic

  • Rural Health Clinic/Center
  • Charles City, IA
  • NPI 1700856630
  NPD
• Cedar Valley Medical Specialists PC

  • Durable Medical Equipment & Medical Supplies
  • Waverly, IA
  • NPI 1073567780
  NPD (past)
• Cedar Valley Medical Specialists, PC

  • Durable Medical Equipment & Medical Supplies
  • Cedar Falls, IA
  • NPI 1164606364
  NPD (past)

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

• Allen Memorial Hospital Corporation

  dba Allen Hospital

  • General Acute Care Hospital
  • Waterloo, IA
  • NPI 1336231091
  Care Compare affiliation
• Floyd County Memorial Hospital Commission

  • Critical Access Hospital
  • Charles City, IA
  • NPI 1265402390
  Care Compare affiliation
• Waverly Health Center

  • Critical Access Hospital
  • Waverly, IA
  • NPI 1447299953
  Care Compare affiliation

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1831143601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2758",
            "address_2": "4150 KIMBALL AVENUE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507042758",
            "telephone_number": "319-235-5390",
            "fax_number": "319-235-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 HUDSON ROAD",
            "address_2": "SUITE 001",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506140001",
            "telephone_number": "319-273-5275",
            "fax_number": "319-273-5295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "JEFFREY",
        "middle_name": "ALAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IA",
            "license": "3304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE HEALTH INS",
            "identifier": "421417307E4",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK INS PLAN",
            "identifier": "19423",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0215665",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeffrey.clark@cvms.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "CVMS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "2351 Hudson Road",
            "address_2": "Suite 001",
            "city": "Cedar Falls",
            "state": "IA",
            "country_code": "US",
            "postal_code": "506140001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kyle P Christiason, MD
• Mary K Christoph, RN BA
• Charles D Cibula, D.P.M
• Katy Lea Clapham, D.D.S.
• Jeanne Clapsaddle-Janssen
• Nichole Ashley Clarke, TLMFT
• Clear Connection Chiropractic, LLC
• Clinical Health Psychologists, PLC
• Scott William Wallace Cole, ATC
• Brianne Claire Combs

• Orthopaedic Surgery Physician in Cedar Falls, IA
• Providers in Cedar Falls, IA by specialty
• Orthopaedic Surgery Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.