Dave F Clarke, MD

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

License

L6832 Issued in TX

Practice address

1301 Barbara Jordan Blvd
Suite #200
Austin, TX 78723-3077

Phone

(512) 628-1850

Fax

(512) 628-1851

NPI assigned

Apr 26, 2006

Last updated

Jan 10, 2012By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Locations

Interoperability endpoints

• Direct secure messaging: dave.clarke.2@8363.direct.athenahealth.com

All facility ownership & control disclosures 14

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 14

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Ascension Providence

  • General Acute Care Hospital
  • Waco, TX
  • NPI 1093708679

  Corporate Director

  CMS ownership
• Ascension Providence

  dba Ascension Providence Salome Inpatient Rehabilitation Center

  • Rehabilitation Hospital Unit
  • Waco, TX
  • NPI 1497559140

  Corporate Director

  CMS ownership
• Ascension Seton

  dba Ascension Seton Highland Lakes

  • Critical Access Hospital
  • Burnet, TX
  • NPI 1003833013

  Corporate Director

  CMS ownership
• Ascension Seton

  dba Dell Seton Medical Center at the University of Texas

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1093810327

  Corporate Director

  CMS ownership
• Ascension Seton

  dba Children's Care-a-Van

  • Rural Health Clinic/Center
  • Burnet, TX
  • NPI 1164445094

  Corporate Director

  CMS ownership
• Ascension Seton

  dba Ascension Seton Kingsland Health Center

  • Rural Health Clinic/Center
  • Kingsland, TX
  • NPI 1205263134

  Corporate Director

  CMS ownership
• Ascension Seton

  dba Ascension Seton Dripping Springs Health Center

  • Rural Health Clinic/Center
  • Dripping Springs, TX
  • NPI 1346862752

  Corporate Director

  CMS ownership
• Ascension Seton

  dba Ascension Seton Luling Family Health Center

  • Rural Health Clinic/Center
  • Luling, TX
  • NPI 1356682298

  Corporate Director

  CMS ownership
• Ascension Seton

  dba Ascension Seton Hays

  • General Acute Care Hospital
  • Kyle, TX
  • NPI 1619115383

  Operational/Managerial Control

  CMS ownership
• Ascension Seton

  dba Ascension Seton Lockhart Family Health Center at South Commerce

  • Rural Health Clinic/Center
  • Lockhart, TX
  • NPI 1639697949

  Corporate Director

  CMS ownership
• Ascension Seton

  dba Ascension Seton Bastrop Health Center

  • Rural Health Clinic/Center
  • Bastrop, TX
  • NPI 1700392602

  Corporate Director

  CMS ownership
• Ascension Seton

  dba Ascension Seton Southwest

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1750499273

  Corporate Director

  CMS ownership

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.

• Dell Children's Medical Group

  • Pediatrics Physician
  • Austin, TX
  • NPI 1326072943

  Neurology With Special Qualifications in Child Neurology

  Medicare reassignment NPD
• University of Texas at Austin Dell Medical School

  dba UT Health Austin

  • General Practice Physician
  • Austin, TX
  • NPI 1073066239
  Medicare reassignment NPD
• Dell Children's Medical Group

  dba Dell Children's Medical Group Sleep Center

  • Sleep Disorder Diagnostic Clinic/Center
  • Austin, TX
  • NPI 1124748249
  NPD
• Dell Children's Medical Group

  • Pediatrics Physician
  • Round Rock, TX
  • NPI 1790103869

  Neurology With Special Qualifications in Child Neurology

  NPD
• University of Texas at Austin Dell Medical School

  dba UT Health Austin Ambulatory Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Austin, TX
  • NPI 1780218305
  NPD
• Ascension Seton

  dba Dell Children's Medical CNTR North

  • Children's Hospital
  • Austin, TX
  • NPI 1447355771
  NPD (past)

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326153600000",
    "number": "1871550772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 BARBARA JORDAN BLVD",
            "address_2": "SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233077",
            "telephone_number": "512-628-1850",
            "fax_number": "512-628-1851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 BARBARA JORDAN BLVD",
            "address_2": "SUITE #200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233077",
            "telephone_number": "512-628-1850",
            "fax_number": "512-628-1851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "DAVE",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2012-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "TX",
            "license": "L6832",
            "primary": true
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "TX",
            "license": "L6832",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160914103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shamyra Clark
• Stacey Leigh Clark, MD
• Stephen Sidney Clark, M.D.
• Audrey Clarke, PT, DPT
• Consuelo Venegas Clarke, APRN
• Emily Lynn Clarke, MD
• Erica Clarke
• Ewa T Clarke, HC
• Gerald P Clarke, M.D.
• Samantha Louise Clarke, LCSW

• Neurology with Special Qualifications in Child Neurology Physician in Austin, TX
• Providers in Austin, TX by specialty
• Neurology with Special Qualifications in Child Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.