CONNER CLARK MD
NPI 1174383475
Student in an Organized Health Care Education/Training Program in Aurora, CO
About Conner Clark Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONNER CLARK MD (NPI 1174383475) is an individual student in an organized health care education/training program in Aurora, Colorado and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Conner Clark Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
AURORA, CO 80045
AURORA, CO 80045
AURORA, CO 80045
AURORA, CO 80045
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 Conner Clark's NPI number?
The NPI number for Conner Clark is 1174383475. It was assigned to this individual provider in the NPPES registry on March 21, 2024.
Where is Conner Clark located?
Conner Clark practices at 13123 E 16th Ave, Aurora, CO 80045. The listed phone number is (720) 777-3846.
What is Conner Clark's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Conner Clark enrolled in Medicare?
Yes. Conner Clark is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Conner Clark was last updated on March 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Conner Clark, MD · NPI 1174383475
Student in an Organized Health Care Education/Training Program provider in Aurora, Colorado. Individual provider, active in the CMS NPPES registry since March 21, 2024.
## Identity
- **NPI:** 1174383475 (Entity type: Individual)
- **Enumerated:** March 21, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 13123 E 16TH AVE, Aurora, CO 80045-7106
- **Phone:** (720) 777-3846
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 21, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1174383475) · Data from the CMS NPPES public registry.