DR. MICHAEL S CLARKE M.D.
NPI 1609874569
Specialist in Springfield, MO

Active since July 13, 2005PECOS Enrolled
3150 S NATIONAL AVE, SPRINGFIELD, MO 65807(417) 881-5529(417) 885-3921 Get Directions Write a Review

NPPES record last updated: August 8, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Michael S Clarke M.d. NPPES

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

DR. MICHAEL S CLARKE M.D. (NPI 1609874569) is an individual specialist in Springfield, Missouri, licensed in Missouri (32388) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609874569
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. MICHAEL S CLARKECredential: M.D.
Location Address3150 S NATIONAL AVESpringfield, MO 65807-7301
Mailing Address3150 S National AveSpringfield, MO 65807-7301 · (417) 881-5529 · Fax (417) 885-3921
Fax(417) 885-3921
Sole ProprietorYes
Enumeration DateJuly 13, 2005
Last NPPES UpdateAugust 8, 2008
NPI 1609874569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in MO · 32388
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3150 S NATIONAL AVE, Springfield, MO 65807

Other Identifiers 6

Medicare NSC0722010001
Other431552300Tricare West
Medicare UPINA12904MO
Medicare ID-Type UnspecifiedOOOOO8481MO
Medicaid200505824MO
Other201077503Palmetto Gba

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. Michael S Clarke M.d. 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

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

Clinic/Center (Ambulatory Surgical)
3150 S NATIONAL AVE
SPRINGFIELD, MO 65807

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 Michael Clarke's NPI number?

The NPI number for Michael Clarke is 1609874569. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Where is Michael Clarke located?

Michael Clarke practices at 3150 S National Ave, Springfield, MO 65807. The listed phone number is (417) 881-5529.

What is Michael Clarke's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Michael Clarke enrolled in Medicare?

Yes. Michael Clarke is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Clarke was last updated on August 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.