Catherine Leah Clark, VA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101029558 Issued in VA

Practice address

3700 Fettler Park
Dumfries Health Center
Dumfries, VA 22025

Phone

(703) 441-7500

NPI assigned

Apr 25, 2006

Sex

Female

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 VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Hirt Family Corp.

  dba Medi-Weightloss

  • Obesity Medicine (Preventive Medicine) Physician
  • Alexandria, VA
  • NPI 1710553482
  NPD (past)
• Medic 1 Clinics, Inc.

  • Family Medicine Physician
  • Fredericksburg, VA
  • NPI 1811009996
  NPD (past)

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364947200000",
    "number": "1861458267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 FETTLER PARK",
            "address_2": "DUMFRIES HEALTH CENTER",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "22025",
            "telephone_number": "703-441-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 FETTLER PARK",
            "address_2": "DUMFRIES HEALTH CENTER",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "22025",
            "telephone_number": "703-441-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CATHERINE",
        "middle_name": "LEAH",
        "name_prefix": "Dr.",
        "credential": "VA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2013-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101029558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0101029558",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rameen Chaudhry, RBT
• Alexandra Nicole Chavez, PT, DPT
• Yuskiran Kaur Chhabra, VA
• Children First, Inc
• Ashley Clark, RBT
• Julia Clark
• Rebecca A Clark, M.P.T.
• Jeanne Dolores Clarkson, FNP
• Maria Elena Claros, PA
• Coach House Physicial Therapy&Sports Medicine Center, LLC

• Family Medicine Physician in Dumfries, VA
• Providers in Dumfries, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.