Thomas H Clarke, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME38347 Issued in FL

Practice address

1350 S Hickory St
Holmes Regional Medical Center
Melbourne, FL 32901-3224

Phone

(321) 434-7313

Fax

(321) 434-7238

NPI assigned

Jan 4, 2006

Last updated

Jun 8, 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 1

Addresses

Other identifiers 1

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.

• Brevard Hma Diagnostic Imaging LLC

  dba Wuesthoff X-ray and Lab

  • Diagnostic Radiology Physician
  • Melbourne, FL
  • NPI 1912036781
  NPD (past)
• Radiology Associates of Rockledge LLP

  • Diagnostic Radiology Physician
  • Rockledge, FL
  • NPI 1114991973
  NPD (past)

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339113600000",
    "number": "1942288683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 561600",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329561600",
            "telephone_number": "321-434-4600",
            "fax_number": "321-259-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 S HICKORY ST",
            "address_2": "HOLMES REGIONAL MEDICAL CENTER",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013224",
            "telephone_number": "321-434-7313",
            "fax_number": "321-434-7238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "THOMAS",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2012-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME38347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051952900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa S Clark
• Rebecca Uma Clark, FNP, NP-C, ARNP
• Takala Clark
• Arlene Erica Clarke
• Sierra Clarke
• Claudia R Mallette DPM LLC
• Colleen Clay
• Clayton a. Finley DDS, LLC
• Esther Rose Clayton, MD
• Kemya Ireana Clayton

• Diagnostic Radiology Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; 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.