Clarke Family Medicine, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

34007798 Issued in OH

Legal business name

CLARKE FAMILY MEDICINE, LLC

Practice address

2520 Wales Ave NW Ste 220
Massillon, OH 44646-2310

Phone

(330) 858-1566

NPI assigned

Dec 12, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ashley Williams Clarke, D.O.

Title

President

Phone

(330) 834-1473

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229040000000",
    "number": "1942445309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 WALES AVE. SUITE 220",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446462310",
            "telephone_number": "330-858-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 WALES AVE NW STE 220",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446462310",
            "telephone_number": "330-858-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKE FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-12",
        "last_updated": "2008-12-12",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "WILLIAMS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-834-1473",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OH",
            "license": "34007798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2622344",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dominic Ciccarelli
• Angela Cipriano, QMHS
• Circle of Life Healthcare LLC
• City of Massillon
• CJ Non Medical Home Health Assisting Agency
• Angela Toc Clarke, OTR
• Ashley Williams Clarke, DO
• John Clarke, MD
• Angelia Clayton, LCDC-III
• Cleveland Clinic Mercy Hospital

• Clinic/Center in Massillon, OH
• Providers in Massillon, OH by specialty
• Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2008; 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.