SUSAN R CLARK CPO
NPI 1063545077
Specialist - Prosthetics Case Management in Winston Salem, NC

Active since March 13, 2007
1728 S HAWTHORNE RD, WINSTON SALEM, NC 27103(336) 768-3666(336) 768-3468 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Susan R Clark Cpo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN R CLARK CPO (NPI 1063545077) is an individual prosthetics case management provider in Winston Salem, North Carolina and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1063545077
Entity TypeIndividualFemale
Primary Taxonomy1744P3200X
Provider Legal NameSUSAN R CLARKCredential: CPO
Location Address1728 S HAWTHORNE RDWinston Salem, NC 27103-4016
Mailing Address1728 S Hawthorne RdWinston Salem, NC 27103-4016 · (336) 768-3666 · Fax (336) 768-3468
Fax(336) 768-3468
Sole ProprietorNo
Enumeration DateMarch 13, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1063545077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist · Prosthetics Case ManagementOther Service Providers
Taxonomy Code1744P3200X
Definition
Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics.
1728 S HAWTHORNE RD, Winston Salem, NC 27103

Other Identifiers 1

Medicaid7795038NC

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist (Prosthetics Case Management)
1728 S HAWTHORNE RD
WINSTON SALEM, NC 27103
Specialist
1728 S HAWTHORNE RD
WINSTON SALEM, NC 27103
Specialist
1728 S HAWTHORNE RD
WINSTON SALEM, NC 27103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Clark's NPI number?

The NPI number for Susan Clark is 1063545077. It was assigned to this individual provider in the NPPES registry on March 13, 2007.

Where is Susan Clark located?

Susan Clark practices at 1728 S Hawthorne Rd, Winston Salem, NC 27103. The listed phone number is (336) 768-3666.

What is Susan Clark's specialty?

The primary specialty registered for this NPI is Specialist, specializing in Prosthetics Case Management, with taxonomy code 1744P3200X.

When was this NPI record last updated?

The NPPES record for Susan Clark was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.