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CARSON BRANDLE CLARK MD
NPI 1679361075
Student in an Organized Health Care Education/Training Program in Columbus, OH

Active since April 28, 2025
410 W 10TH AVE, COLUMBUS, OH 43210(614) 293-8240 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carson Brandle Clark Md NPPES

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

CARSON BRANDLE CLARK MD (NPI 1679361075) is an individual student in an organized health care education/training program in Columbus, Ohio and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1679361075
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCARSON BRANDLE CLARKCredential: MD
Location Address410 W 10TH AVEColumbus, OH 43210-1240
Mailing Address410 W 10th AveColumbus, OH 43210-1240
Phone(614) 293-8240
Sole ProprietorNo
Enumeration DateApril 28, 2025
NPPES CertifiedApril 28, 2025
✔ NPI 1679361075 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.
410 W 10TH AVE, Columbus, OH 43210
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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.

LARA L. VANHUYSEN C.R.N.A.
Nurse Anesthetist, Certified Registered
410 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-8487
LAUREN TALANDA-FATH SOUTHERLAND M.D.
Emergency Medicine
410 W 10TH AVE, EMERGENCY DEPARTMENT
COLUMBUS, OH 43210
Franklin County (614) 293-8305
RAFAL KOPANCZYK DO
Anesthesiology
410 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-8487
RACHEL MARIE ASHWORTH CRNA
Nurse Anesthetist, Certified Registered
410 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-8487
ADAM T. RAMEY MD
Hospitalist
410 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-7499
DR. AMY ELIZABETH SCHULTZ PHARM.D.
Pharmacist
410 W 10TH AVE, 368 DOAN HALL
COLUMBUS, OH 43210
Franklin County (614) 366-6754
MAYA HARARY MD
Neurological Surgery
410 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-8714
NICOLE L HESS APRN-CNP
Nurse Practitioner
410 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-9600

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 Carson Clark's NPI number?

The NPI number for Carson Clark is 1679361075. It was assigned to this individual provider in the NPPES registry on April 28, 2025.

Where is Carson Clark located?

Carson Clark practices at 410 W 10th Ave, Columbus, OH 43210. The listed phone number is (614) 293-8240.

What is Carson Clark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Carson Clark was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.