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JERRY A CLARK MD, CMD
NPI 1346280005
Internal Medicine in Beavercreek, OH

Active since June 08, 2006
722 N FAIRFIELD RD, BEAVERCREEK, OH 45434(937) 208-7000(937) 208-7010 Get Directions Write a Review

NPPES record last updated: December 10, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jerry A Clark Md, Cmd NPPES

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

JERRY A CLARK MD, CMD (NPI 1346280005) is an individual internal medicine provider in Beavercreek, Ohio, licensed in Ohio (35.054620) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1346280005
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJERRY A CLARKCredential: MD, CMD
Location Address722 N FAIRFIELD RDBeavercreek, OH 45434-5918
Mailing Address722 N Fairfield RdBeavercreek, OH 45434-5918 · (937) 208-7000 · Fax (937) 208-7010
Phone(937) 208-7000
Fax(937) 208-7010
Sole ProprietorNo
Enumeration DateJune 8, 2006
Last NPPES UpdateDecember 10, 2013
✔ NPI 1346280005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35.054620
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
722 N FAIRFIELD RD, Beavercreek, OH 45434
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Other Identifiers 4

Medicare PIN0625811OH
Medicare UPIND97859
Medicaid0647796OH
Medicare PIN0625812OH

Other Providers at the Same Location NPPES 3

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

MVHE INC
Internal Medicine
722 N FAIRFIELD RD
BEAVERCREEK, OH 45434
Greene County (937) 208-7000
PREMIER HEART ASSOCIATES, INC
Internal Medicine (Cardiovascular Disease)
722 N FAIRFIELD RD
BEAVERCREEK, OH 45434
Greene County (937) 832-2425
MVHE INC
Psychiatry & Neurology (Psychiatry)
722 N FAIRFIELD RD, STE 200
BEAVERCREEK, OH 45434
Greene County (937) 208-7022

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 Jerry Clark's NPI number?

The NPI number for Jerry Clark is 1346280005. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Jerry Clark located?

Jerry Clark practices at 722 N Fairfield Rd, Beavercreek, OH 45434. The listed phone number is (937) 208-7000.

What is Jerry Clark's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Jerry Clark was last updated on December 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.