EVAN CLARK DO
NPI 1699565085
Student in an Organized Health Care Education/Training Program in Farmington, CT

Active since May 08, 2025
263 FARMINGTON AVENUE, FARMINGTON, CT 06030(860) 679-4477(860) 679-1025 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Evan Clark Do NPPES

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

EVAN CLARK DO (NPI 1699565085) is an individual student in an organized health care education/training program in Farmington, Connecticut and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1699565085
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameEVAN CLARKCredential: DO
Location Address263 FARMINGTON AVENUEFarmington, CT 06030-8021
Mailing Address263 Farmington AveFarmington, CT 06030-1921 · (860) 679-2147
Fax(860) 679-1025
Sole ProprietorNo
Enumeration DateMay 8, 2025
NPPES CertifiedMay 8, 2025
NPI 1699565085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

263 FARMINGTON AVENUE, Farmington, CT 06030

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.

Pathology (Anatomic Pathology)
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Physician Assistant (Medical)
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Neurological Surgery
263 FARMINGTON AVENUE, UCONN HEALTH, DEPARTMENT OF SURGERY
FARMINGTON, CT 06030
Obstetrics & Gynecology (Maternal & Fetal Medicine)
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Orthopaedic Surgery
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Ophthalmology
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Dermatology
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Nurse Practitioner (Family)
263 FARMINGTON AVENUE
FARMINGTON, CT 06030

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 Evan Clark's NPI number?

The NPI number for Evan Clark is 1699565085. It was assigned to this individual provider in the NPPES registry on May 8, 2025.

Where is Evan Clark located?

Evan Clark practices at 263 Farmington Avenue, Farmington, CT 06030. The listed phone number is (860) 679-4477.

What is Evan 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 Evan Clark was last updated on May 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.