DOUGLAS A. CLARK MD
NPI 1114920238
Internal Medicine - Hematology & Oncology in Albuquerque, NM

Active since May 23, 2005
4901 LANG AVE NE, ALBUQUERQUE, NM 87109(505) 842-8171(505) 246-0684 Get Directions Write a Review

NPPES record last updated: January 17, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Douglas A. Clark Md NPPES

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

DOUGLAS A. CLARK MD (NPI 1114920238) is an individual hematology & oncology provider in Albuquerque, New Mexico, licensed in New Mexico (86-199) and active in the NPI registry since May 2005.

NPPES Registry Identity

NPI1114920238
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDOUGLAS A. CLARKCredential: MD
Location Address4901 LANG AVE NEAlbuquerque, NM 87109-4397
Mailing Address4901 Lang Ave NeAlbuquerque, NM 87109-4397 · (505) 842-8171 · Fax (505) 246-0684
Fax(505) 246-0684
Sole ProprietorNo
Enumeration DateMay 23, 2005
Last NPPES UpdateJanuary 17, 2017
NPI 1114920238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in NM · 86-199
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

4901 LANG AVE NE, Albuquerque, NM 87109

Other Identifiers 3

MedicaidT5533NM
Medicare UPINE46467NM
Medicare PIN$$$$$$$$$TNM

Other Providers at the Same Location NPPES 20

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

Internal Medicine
4901 LANG AVE NE
ALBUQUERQUE, NM 87109
Nurse Practitioner
4901 LANG AVE NE
ALBUQUERQUE, NM 87109
Internal Medicine (Rheumatology)
4901 LANG AVE NE
ALBUQUERQUE, NM 87109
Internal Medicine (Hematology & Oncology)
4901 LANG AVE NE
ALBUQUERQUE, NM 87109
Internal Medicine
4901 LANG AVE NE
ALBUQUERQUE, NM 87109
Pharmacist
4901 LANG AVE NE
ALBUQUERQUE, NM 87109
Physician Assistant
4901 LANG AVE NE
ALBUQUERQUE, NM 87109
Clinic/Center (Ambulatory Surgical)
4901 LANG AVE NE
ALBUQUERQUE, NM 87109

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 Douglas Clark's NPI number?

The NPI number for Douglas Clark is 1114920238. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Where is Douglas Clark located?

Douglas Clark practices at 4901 Lang Ave NE, Albuquerque, NM 87109. The listed phone number is (505) 842-8171.

What is Douglas Clark's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

When was this NPI record last updated?

The NPPES record for Douglas Clark was last updated on January 17, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.