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CRAIG CHARLES CLARK MD
NPI 1407840945
Family Medicine in Fairfax, VA

Active since September 09, 2005
3650 JOSEPH SIEWICK DR, SUITE 400, FAIRFAX, VA 22033(703) 391-2020(703) 391-1211 Get Directions Write a Review

NPPES record last updated: November 30, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Craig Charles Clark Md NPPES

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

CRAIG CHARLES CLARK MD (NPI 1407840945) is an individual family medicine provider in Fairfax, Virginia, licensed in Virginia (0101037862) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1407840945
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCRAIG CHARLES CLARKCredential: MD
Location Address3650 JOSEPH SIEWICK DR, SUITE 400Fairfax, VA 22033-1710
Mailing Address3650 Joseph Siewick Dr, Suite 400Fairfax, VA 22033-1710 · (703) 391-2020 · Fax (703) 391-1211
Phone(703) 391-2020
Fax(703) 391-1211
Sole ProprietorNo
Enumeration DateSeptember 9, 2005
Last NPPES UpdateNovember 30, 2007
✔ NPI 1407840945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0101037862
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.

3650 JOSEPH SIEWICK DR, Fairfax, VA 22033
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Other Identifiers 3

Medicaid05622514VA
Medicare ID-Type Unspecified00A410F32VA
Medicare UPINC88908

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.

THUY PHUONG THI VO M.D.
Family Medicine
3650 JOSEPH SIEWICK DR, 400
FAIRFAX, VA 22033
Fairfax County (703) 391-2020
KATHERINE BOOKER PT
Physical Therapist
3650 JOSEPH SIEWICK DR, SUITE 308
FAIRFAX, VA 22033
Fairfax County (703) 716-4794
DR. LAURA E. BYRNES M.D.
Pediatrics
3650 JOSEPH SIEWICK DR, STE 101
FAIRFAX, VA 22033
Fairfax County (703) 391-0900
DR. HEON SOO YI M.D.
Family Medicine
3650 JOSEPH SIEWICK DR, SUITE 400
FAIRFAX, VA 22033
Fairfax County (703) 391-2020
VICTORIA LESSINGER MERKEL MD
Family Medicine
3650 JOSEPH SIEWICK DR, STE 400
FAIRFAX, VA 22033
Fairfax County (703) 391-2020
BRENT R AIN MD
Orthopaedic Surgery
3650 JOSEPH SIEWICK DR, SUITE 300
FAIRFAX, VA 22033
Fairfax County (703) 391-0111
SANDY L. CHUNG M.D.
Pediatrics
3650 JOSEPH SIEWICK DR, STE 101
FAIRFAX, VA 22033
Fairfax County (703) 391-0900
DR. PETER STEPHEN ROSS MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3650 JOSEPH SIEWICK DR, #305
FAIRFAX, VA 22033
Fairfax County (703) 648-1831

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 Craig Clark's NPI number?

The NPI number for Craig Clark is 1407840945. It was assigned to this individual provider in the NPPES registry on September 9, 2005.

Where is Craig Clark located?

Craig Clark practices at 3650 Joseph Siewick Dr Suite 400, Fairfax, VA 22033. The listed phone number is (703) 391-2020.

What is Craig 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 Craig Clark was last updated on November 30, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.