MR. ADAM MERRITT CLARK CP
NPI 1114462280
Perfusionist in Raleigh, NC

Q: What is Adam Clark's NPI number?

The NPI number for Adam Clark is 1114462280. It was assigned to this individual provider in the NPPES registry on December 28, 2016.

Q: What is Adam Clark's specialty?

The primary specialty registered for this NPI is Perfusionist with taxonomy code 242T00000X.

Q: When was this NPI record last updated?

The NPPES record for Adam Clark was last updated on December 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 28, 2016

5009 BOULDER CREEK LN, RALEIGH, NC 27613(919) 302-6255 Get Directions Write a Review

NPPES record last updated: December 28, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Adam Merritt Clark Cp NPPES

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

MR. ADAM MERRITT CLARK CP (NPI 1114462280) is an individual perfusionist provider in Raleigh, North Carolina, licensed in North Carolina (1000-00677) and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1114462280

Entity TypeIndividualMale

Primary Taxonomy242T00000X

Provider Legal NameMR. ADAM MERRITT CLARKCredential: CP

Location Address5009 BOULDER CREEK LNRaleigh, NC 27613-6075

Mailing Address5009 Boulder Creek LnRaleigh, NC 27613-6075 · (919) 302-6255

Phone(919) 302-6255

Sole ProprietorYes

Enumeration DateDecember 28, 2016

✔ NPI 1114462280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPerfusionistTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code242T00000X

License✔ Licensed in NC · 1000-00677

Definition

A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient's circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used.

5009 BOULDER CREEK LN, Raleigh, NC 27613

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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 Adam Clark's NPI number?

The NPI number for Adam Clark is 1114462280. It was assigned to this individual provider in the NPPES registry on December 28, 2016.

Where is Adam Clark located?

Adam Clark practices at 5009 Boulder Creek Ln, Raleigh, NC 27613. The listed phone number is (919) 302-6255.

What is Adam Clark's specialty?

The primary specialty registered for this NPI is Perfusionist with taxonomy code 242T00000X.

When was this NPI record last updated?

The NPPES record for Adam Clark was last updated on December 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.