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MICHAEL DAVID CLARK MD, PHD
NPI 1255996013
Student in an Organized Health Care Education/Training Program in Pittsburgh, PA

Active since May 07, 2019PECOS Enrolled
1400 LOCUST ST STE 6511, PITTSBURGH, PA 15219(412) 232-5528 Get Directions Write a Review

NPPES record last updated: May 7, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael David Clark Md, Phd NPPES

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

MICHAEL DAVID CLARK MD, PHD (NPI 1255996013) is an individual student in an organized health care education/training program in Pittsburgh, Pennsylvania and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255996013
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMICHAEL DAVID CLARKCredential: MD, PHD
Location Address1400 LOCUST ST STE 6511Pittsburgh, PA 15219-5114
Mailing Address3600 Forbes Ave Ste 140Pittsburgh, PA 15213-3410
Phone(412) 232-5528
Sole ProprietorNo
Enumeration DateMay 7, 2019
✔ NPI 1255996013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1400 LOCUST ST STE 6511, Pittsburgh, PA 15219
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael David Clark Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

ERIC BROCKMEYER DO
Student in an Organized Health Care Education/Training Program
1400 LOCUST ST STE 6511
PITTSBURGH, PA 15219
Allegheny County (552) 841-2232
DR. DAVID OROZCO MD
Student in an Organized Health Care Education/Training Program
1400 LOCUST ST STE 6511
PITTSBURGH, PA 15219
Allegheny County (412) 232-5528
BIANCA BLAETTNER MD
Student in an Organized Health Care Education/Training Program
1400 LOCUST ST STE 6511
PITTSBURGH, PA 15219
Allegheny County (412) 232-5528
DR. CHRISTOPHER MICHAEL FIORINA DO
Student in an Organized Health Care Education/Training Program
1400 LOCUST ST STE 6511
PITTSBURGH, PA 15219
Allegheny County (412) 232-5528
RYAN CAMPBELL ANDREW DO
Student in an Organized Health Care Education/Training Program
1400 LOCUST ST STE 6511
PITTSBURGH, PA 15219
Allegheny County (412) 232-5528
THIAGARAJAN MEYYAPPAN MD
Student in an Organized Health Care Education/Training Program
1400 LOCUST ST STE 6511
PITTSBURGH, PA 15219
Allegheny County (412) 232-5528
SEAN HALLORAN
Student in an Organized Health Care Education/Training Program
1400 LOCUST ST STE 6511
PITTSBURGH, PA 15219
Allegheny County (412) 232-5528
SVETOSLAV SAEV M.D.
Student in an Organized Health Care Education/Training Program
1400 LOCUST ST STE 6511
PITTSBURGH, PA 15219
Allegheny County (412) 232-5528

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 Michael Clark's NPI number?

The NPI number for Michael Clark is 1255996013. It was assigned to this individual provider in the NPPES registry on May 7, 2019.

Where is Michael Clark located?

Michael Clark practices at 1400 Locust St Ste 6511, Pittsburgh, PA 15219. The listed phone number is (412) 232-5528.

What is Michael 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 Michael Clark enrolled in Medicare?

Yes. Michael Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Clark was last updated on May 7, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.