DR. CRAIG B CLARK D.O.
NPI 1780666594
Internal Medicine - Cardiovascular Disease in Des Moines, IA

Active since November 17, 2005
1301 PENN AVENUE, SUITE 100, DES MOINES, IA 50316(515) 263-2400(515) 263-2540 Get Directions Write a Review

NPPES record last updated: August 9, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Craig B Clark D.o. NPPES

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

DR. CRAIG B CLARK D.O. (NPI 1780666594) is an individual cardiovascular disease provider in Des Moines, Iowa, licensed in Iowa (03037) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1780666594
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. CRAIG B CLARKCredential: D.O.
Location Address1301 PENN AVENUE, SUITE 100Des Moines, IA 50316-2364
Mailing Address1301 Penn Ave, Suite 100Des Moines, IA 50316-2350 · (515) 263-2400 · Fax (515) 263-2540
Fax(515) 263-2540
Sole ProprietorNo
Enumeration DateNovember 17, 2005
Last NPPES UpdateAugust 9, 2012
NPI 1780666594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in IA · 03037
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

1301 PENN AVENUE, Des Moines, IA 50316

Other Identifiers 6

Medicaid1780666594IA
Medicare PINI8659002IA
Medicare UPING68154IA
Medicare PIN719260383IA
Medicare ID-Type UnspecifiedI6398IA
Medicaid1240796IA

Other Providers at the Same Location NPPES 2

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

Internal Medicine (Cardiovascular Disease)
1301 PENN AVENUE, SUITE 100
DES MOINES, IA 50316
Internal Medicine (Cardiovascular Disease)
1301 PENN AVENUE, SUITE 100
DES MOINES, IA 50316

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 Craig Clark's NPI number?

The NPI number for Craig Clark is 1780666594. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Where is Craig Clark located?

Craig Clark practices at 1301 Penn Avenue Suite 100, Des Moines, IA 50316. The listed phone number is (515) 263-2400.

What is Craig Clark's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Craig Clark was last updated on August 9, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.