DR. SAMUEL DAVID CLARK D.O.
NPI 1346391752
Pediatrics in Waco, TX
About Dr. Samuel David Clark D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SAMUEL DAVID CLARK D.O. (NPI 1346391752) is an individual pediatrics provider in Waco, Texas, licensed in Texas (N4354) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Samuel David Clark D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76712 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WACO, TX 76712
WACO, TX 76712
WACO, TX 76712
WACO, TX 76712
WACO, TX 76712
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 Samuel Clark's NPI number?
The NPI number for Samuel Clark is 1346391752. It was assigned to this individual provider in the NPPES registry on January 13, 2007.
Where is Samuel Clark located?
Samuel Clark practices at 120 Hillcrest Medical Blvd Suite 200, Waco, TX 76712. The listed phone number is (254) 297-0400.
What is Samuel Clark's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Samuel Clark enrolled in Medicare?
Yes. Samuel Clark is registered in the Medicare PECOS enrollment system.
What insurance does Samuel Clark accept?
Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Samuel Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Samuel Clark was last updated on January 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Samuel David Clark, D.O. · NPI 1346391752
Pediatrics physician in Waco, Texas. Individual provider, active in the CMS NPPES registry since January 13, 2007.
## Identity
- **NPI:** 1346391752 (Entity type: Individual)
- **Enumerated:** January 13, 2007
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** N4354 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 120 HILLCREST MEDICAL BLVD, SUITE 200, Waco, TX 76712-8948
- **Phone:** (254) 297-0400
## 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:** January 13, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1346391752) · Data from the CMS NPPES public registry.