DR. DAVID W CLARK M.D.
NPI 1679522924
Internal Medicine - Gastroenterology in Fort Wayne, IN

Active since May 06, 2006
11104 PARKVIEW CIRCLE DR, SUITE 310, FORT WAYNE, IN 46845(260) 266-5230(260) 266-5238 Get Directions Write a Review

NPPES record last updated: October 10, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. David W Clark M.d. NPPES

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

DR. DAVID W CLARK M.D. (NPI 1679522924) is an individual gastroenterology provider in Fort Wayne, Indiana, licensed in Indiana (01037790) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1679522924
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. DAVID W CLARKCredential: M.D.
Location Address11104 PARKVIEW CIRCLE DR, SUITE 310Fort Wayne, IN 46845-1672
Mailing Address1234 E Dupont Rd, Suite 1Fort Wayne, IN 46825-1545 · (260) 373-9965 · Fax (260) 458-5664
Fax(260) 266-5238
Sole ProprietorNo
Enumeration DateMay 6, 2006
Last NPPES UpdateOctober 10, 2013
NPI 1679522924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in IN · 01037790
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
11104 PARKVIEW CIRCLE DR, Fort Wayne, IN 46845

Other Identifiers 5

Medicare PINM400025740IN
Medicaid200015230IN
Medicare UPINF58871IN
Other000000672225IN · Anthem
Medicare PIN925060BIN

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.

Dietitian, Registered (Nutrition, Renal)
11104 PARKVIEW CIRCLE DR, SUITE 330
FORT WAYNE, IN 46845
Internal Medicine (Critical Care Medicine)
11104 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Internal Medicine (Pulmonary Disease)
11104 PARKVIEW CIRCLE DR, SUITE 410
FORT WAYNE, IN 46845
Nurse Practitioner (Family)
11104 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Internal Medicine (Nephrology)
11104 PARKVIEW CIRCLE DR, ENTRANCE 11, SUITE 330
FORT WAYNE, IN 46845
Non-Pharmacy Dispensing Site
11104 PARKVIEW CIRCLE DR, SUITE 110
FORT WAYNE, IN 46845
Internal Medicine (Gastroenterology)
11104 PARKVIEW CIRCLE DR, SUITE 310
FORT WAYNE, IN 46845
Internal Medicine (Nephrology)
11104 PARKVIEW CIRCLE DR, ENTRANCE 11, SUITE 330
FORT WAYNE, IN 46845

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 David Clark's NPI number?

The NPI number for David Clark is 1679522924. It was assigned to this individual provider in the NPPES registry on May 6, 2006.

Where is David Clark located?

David Clark practices at 11104 Parkview Circle Dr Suite 310, Fort Wayne, IN 46845. The listed phone number is (260) 266-5230.

What is David Clark's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for David Clark was last updated on October 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.