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DR. SHEALAGH LEIGH CLARK DO
NPI 1821793183
Student in an Organized Health Care Education/Training Program in Hartford, CT

Active since April 04, 2023PECOS Enrolled
114 WOODLAND STREET, DEPARTMENT OF OB-GYN, HARTFORD, CT 06105(860) 714-5170(860) 714-8008 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shealagh Leigh Clark Do NPPES

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

DR. SHEALAGH LEIGH CLARK DO (NPI 1821793183) is an individual student in an organized health care education/training program in Hartford, Connecticut and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821793183
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. SHEALAGH LEIGH CLARKCredential: DO
Location Address114 WOODLAND STREET, DEPARTMENT OF OB-GYNHartford, CT 06105
Mailing Address31 Arnold WayWest Hartford, CT 06119-1207 · (860) 539-3080
Phone(860) 714-5170
Fax(860) 714-8008
Sole ProprietorNo
Enumeration DateApril 4, 2023
NPPES CertifiedApril 4, 2023
✔ NPI 1821793183 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.
114 WOODLAND STREET, Hartford, CT 06105
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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. Shealagh Leigh Clark Do 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 12

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

BRIAN MOREY PA-C
Physician Assistant (Surgical)
114 WOODLAND STREET, DEPT OF SURGERY
HARTFORD, CT 06105
Capitol Planning Region (860) 714-7446
PAMELA D H KOWALCZYK MD
Pathology (Anatomic Pathology & Clinical Pathology)
114 WOODLAND STREET, DEPARTMENT OF PATHOLOGY
HARTFORD, CT 06105
Capitol Planning Region (860) 714-4280
DR. NEIL YOUNG M.D.
Emergency Medicine
114 WOODLAND STREET, EMERGENCY DEPARTMENT
HARTFORD, CT 06105
Capitol Planning Region (860) 714-4001
DR. HOWARD AVORY GRAYSON JR. MD
Internal Medicine
114 WOODLAND STREET, DEPT OF MEDICINE
HARTFORD, CT 06105
Capitol Planning Region (860) 714-7446
KAVEH BARAMI MD
Neurological Surgery
114 WOODLAND STREET
HARTFORD, CT 06105
Capitol Planning Region (904) 588-2596
LINDSAY DEGRASSE
Nurse Anesthetist, Certified Registered
114 WOODLAND STREET
HARTFORD, CT 06105
Capitol Planning Region (860) 714-6654
ANN O'BRIEN NELSON APRN-FNP
Nurse Practitioner (Family)
114 WOODLAND STREET
HARTFORD, CT 06105
Capitol Planning Region (860) 714-4801
DR. JOHN VACKINER SCHOLES MD
Pathology (Anatomic Pathology & Clinical Pathology)
114 WOODLAND STREET, ST FRANCIS HOSPITAL DEPARTMENT OF PATHOLOGY
HARTFORD, CT 06105
Capitol Planning Region (860) 714-4280

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 Shealagh Clark's NPI number?

The NPI number for Shealagh Clark is 1821793183. It was assigned to this individual provider in the NPPES registry on April 4, 2023.

Where is Shealagh Clark located?

Shealagh Clark practices at 114 Woodland Street Department Of Ob-Gyn, Hartford, CT 06105. The listed phone number is (860) 714-5170.

What is Shealagh Clark's specialty?

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

Is Shealagh Clark enrolled in Medicare?

Yes. Shealagh Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shealagh Clark was last updated on April 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.