BETH E CLARK PA
NPI 1194715672
Physician Assistant - Medical in Aurora, CO
About Beth E Clark Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BETH E CLARK PA (NPI 1194715672) is an individual medical provider in Aurora, Colorado, licensed in Colorado (900) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lakewood.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Beth E Clark Pa 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 80014
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 Beth Clark's NPI number?
The NPI number for Beth Clark is 1194715672. It was assigned to this individual provider in the NPPES registry on October 25, 2005.
Where is Beth Clark located?
Beth Clark practices at 2500 S Havana St, Aurora, CO 80014. The listed phone number is (303) 338-4545.
What is Beth Clark's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Beth Clark enrolled in Medicare?
Yes. Beth Clark is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Beth Clark was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Beth E Clark, PA · NPI 1194715672
Medical physician in Aurora, Colorado. Individual provider, active in the CMS NPPES registry since October 25, 2005.
## Identity
- **NPI:** 1194715672 (Entity type: Individual)
- **Enumerated:** October 25, 2005
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 900 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 2500 S HAVANA ST, Aurora, CO 80014-1618
- **Phone:** (303) 338-4545
## 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:** June 6, 2022
- **Other identifiers:** Other P00368635 (CO); Medicaid 07009004 (CO)
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Source: [NPI Profile](https://npiprofile.com/npi/1194715672) · Data from the CMS NPPES public registry.