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TRISHA CLARK MD
NPI 1295439719
Student in an Organized Health Care Education/Training Program in Toledo, OH

Active since March 28, 2023PECOS Enrolled
2109 HUGHES DRIVE, 3RD FLOOR, JOBST TOWER, TOLEDO, OH 43606(419) 291-8201 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Trisha Clark Md NPPES

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

TRISHA CLARK MD (NPI 1295439719) is an individual student in an organized health care education/training program in Toledo, Ohio and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295439719
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTRISHA CLARKCredential: MD
Location Address2109 HUGHES DRIVE, 3RD FLOOR, JOBST TOWERToledo, OH 43606
Mailing Address2109 Hughes Drive, 3rd Floor, Jobst TowerToledo, OH 43606
Phone(419) 291-8201
Sole ProprietorYes
Enumeration DateMarch 28, 2023
NPPES CertifiedMarch 28, 2023
✔ NPI 1295439719 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.
2109 HUGHES DRIVE, Toledo, OH 43606
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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)

Trisha Clark Md 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 2

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

WEST TOLEDO GENERAL SURGEONS
Clinic/Center
2109 HUGHES DRIVE, SUITE 220
TOLEDO, OH 43606
Lucas County (419) 291-5150
DHWANI S OZA MD
Student in an Organized Health Care Education/Training Program
2109 HUGHES DRIVE, CONRAD JOBST TOWER FLOOR E
TOLEDO, OH 43606
Lucas County (419) 291-7322

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 Trisha Clark's NPI number?

The NPI number for Trisha Clark is 1295439719. It was assigned to this individual provider in the NPPES registry on March 28, 2023.

Where is Trisha Clark located?

Trisha Clark practices at 2109 Hughes Drive 3rd Floor, Jobst Tower, Toledo, OH 43606. The listed phone number is (419) 291-8201.

What is Trisha 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 Trisha Clark enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Trisha Clark was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.