Tameta Rosette Clark, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

MD24504 Issued in ME

Practice address

220 Virginia Ave
Indianapolis, IN 46204-3709

Phone

(224) 278-3000

NPI assigned

Mar 4, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Center for Pain Management, LLC

  • Interventional Pain Medicine Physician
  • Hagerstown, MD
  • NPI 1962463265

  DC

  Medicare reassignment NPD
• American Anesthesiology of North Carolina, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Monroe, NC
  • NPI 1174817993
  NPD (past)
• Central Texas Pain Center, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Bastrop, TX
  • NPI 1902271935
  NPD (past)
• Central Texas Pain Institute PLLC

  • Interventional Pain Medicine Physician
  • Killeen, TX
  • NPI 1316956832
  NPD (past)
• Southeast Pain Management Services, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Charlotte, NC
  • NPI 1255396933
  NPD (past)

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1952571143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6307 GATEWAY CIR",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040745540",
            "telephone_number": "919-225-7085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 VIRGINIA AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462043709",
            "telephone_number": "224-278-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "TAMETA",
        "middle_name": "ROSETTE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-04",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "ME",
            "license": "MD24504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah K Clark, NP
• Savanna Clark
• Sharon L Clark, PTA
• Shelby Clark
• Skyla Clark, RBT
• Tiffany Clark
• Tomi Li Clark, PA-C
• Veronica House Clark
• Will Evan Clark
• Zachary Charles Clark, DO

• Pain Medicine (Anesthesiology) Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Pain Medicine (Anesthesiology) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.