DR. JACK PROW CLARK M.D.
NPI 1346320140
Family Medicine in Syracuse, IN

Q: What is Jack Clark's NPI number?

The NPI number for Jack Clark is 1346320140. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Q: What is Jack Clark's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since October 16, 2006

518 EMS D15 LN, SYRACUSE, IN 46567(574) 457-3292 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jack Prow Clark M.d. NPPES

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

DR. JACK PROW CLARK M.D. (NPI 1346320140) is an individual family medicine provider in Syracuse, Indiana, licensed in Indiana (01017687) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1346320140

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JACK PROW CLARKCredential: M.D.

Location Address518 EMS D15 LNSyracuse, IN 46567-8026

Mailing Address518 Ems D15 LnSyracuse, IN 46567-8026 · (574) 457-3292

Phone(574) 457-3292

Sole ProprietorYes

Enumeration DateOctober 16, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1346320140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IN · 01017687

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

518 EMS D15 LN, Syracuse, IN 46567

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Other Identifiers 4

OtherAC2674922IN · Bndd Number

Medicare UPINC24673IN

Other01017687BIN · Csr Certificate

Other01017687AIN · Medical License

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 Jack Clark's NPI number?

The NPI number for Jack Clark is 1346320140. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Jack Clark located?

Jack Clark practices at 518 Ems D15 Ln, Syracuse, IN 46567. The listed phone number is (574) 457-3292.

What is Jack Clark's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jack Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.