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ABIGALE CLARK DO
NPI 1497440861
Student in an Organized Health Care Education/Training Program in Little Rock, AR

Active since April 10, 2023PECOS Enrolled
4301 WEST MARKHAM, SLOT 634, LITTLE ROCK, AR 72205(501) 686-5545 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Abigale Clark Do NPPES

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

ABIGALE CLARK DO (NPI 1497440861) is an individual student in an organized health care education/training program in Little Rock, Arkansas and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497440861
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameABIGALE CLARKCredential: DO
Location Address4301 WEST MARKHAM, SLOT 634Little Rock, AR 72205
Mailing Address27 Dogwood DrBella Vista, AR 72715-8137 · (870) 275-2780
Phone(501) 686-5545
Sole ProprietorYes
Enumeration DateApril 10, 2023
NPPES CertifiedApril 10, 2023
✔ NPI 1497440861 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.
4301 WEST MARKHAM, Little Rock, AR 72205
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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)

Abigale Clark Do 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 20

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

CARLY ANNA LYNN PYTEL PHD
Student in an Organized Health Care Education/Training Program
4301 WEST MARKHAM, SLOT # 568
LITTLE ROCK, AR 72205
Pulaski County (501) 526-8200
CALEB BAUMAN DO
Anesthesiology
4301 WEST MARKHAM, MAIL SLOT 515
LITTLE ROCK, AR 72205
Pulaski County (501) 603-1656
CARLY MICHELLE FUNK MD
Student in an Organized Health Care Education/Training Program
4301 WEST MARKHAM, SLOT 584
LITTLE ROCK, AR 72205
Pulaski County (501) 686-6996
AMUDHA KUMAR
Student in an Organized Health Care Education/Training Program
4301 WEST MARKHAM, MAIL SLOT NO- 634
LITTLE ROCK, AR 72205
Pulaski County (501) 686-5162
RAVEENA PATEL
Student in an Organized Health Care Education/Training Program
4301 WEST MARKHAM, SLOT 520
LITTLE ROCK, AR 72205
Pulaski County (501) 686-6627
AHMED AHMED SOLIMAN ELKALASHY
Student in an Organized Health Care Education/Training Program
4301 WEST MARKHAM
LITTLE ROCK, AR 72205
Pulaski County (501) 686-7840
FRANCESCA LOBIANCO MD/PHD
Student in an Organized Health Care Education/Training Program
4301 WEST MARKHAM, SLOT 520
LITTLE ROCK, AR 72205
Pulaski County (501) 686-6627
SHANNON LEIGH DOERHOFF APN
Nurse Practitioner (Acute Care)
4301 WEST MARKHAM, #783
LITTLE ROCK, AR 72205
Pulaski County (501) 614-2125

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 Abigale Clark's NPI number?

The NPI number for Abigale Clark is 1497440861. It was assigned to this individual provider in the NPPES registry on April 10, 2023.

Where is Abigale Clark located?

Abigale Clark practices at 4301 West Markham Slot 634, Little Rock, AR 72205. The listed phone number is (501) 686-5545.

What is Abigale 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 Abigale Clark enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Abigale Clark was last updated on April 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.