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NPI · 1346320140 · NPPES-sourced

Dr. Jack Clark M.D.

ActiveFamily Medicine
NPI Number
1346320140
Type 1 · Individual
Taxonomy Code
207Q00000X
Contact
(574) 457-3292
License IN · 01017687
Last Updated
About 18 years ago (Jul 2007)
Enumerated 2006-10-16
Primary practice addressIN · 46567-8026
518 Ems D15 LnSyracuse, IN 46567-8026
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About this NPIWhat this record shows.

NPI 1346320140 is registered to Dr. Jack Clark M.D., a Family Medicine practising at 518 Ems D15 Ln in Syracuse, Indiana. Family Medicine physicians provide comprehensive primary care for patients of all ages, including preventive care, chronic disease management, and acute illness treatment. Dr. Jack Clark M.D. has been enumerated in the National Provider Identifier (NPI) registry since 2006.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2006-10-16
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 01017687BIN· Issued by CSR CERTIFICATE
  • AC2674922IN· Issued by BNDD NUMBER
  • 01017687AIN· Issued by MEDICAL LICENSE

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. Jack Clark M.D. accepts. To confirm in-network status with your specific health plan, contact Dr. Jack Clark M.D. directly at (574) 457-3292.

Frequently asked

Yes. NPI 1346320140 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Family Medicine physicians provide comprehensive primary care for patients of all ages, including preventive care, chronic disease management, and acute illness treatment.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (574) 457-3292.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. Jack Clark M.D. is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy207Q00000X
Last updated2007-07
Enumerated2006-10-16
StatusActive
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