DR. JOHN E CLARK
NPI 1881736593
Specialist in Baton Rouge, LA
About Dr. John E Clark NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN E CLARK (NPI 1881736593) is an individual specialist in Baton Rouge, Louisiana, licensed in Louisiana (08015R) and active in the NPI registry since February 2007. He has opted out of Medicare through January 1, 2028.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. John E Clark has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2018 through January 1, 2028.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BATON ROUGE, LA 70809
BATON ROUGE, LA 70809
BATON ROUGE, LA 70809
BATON ROUGE, LA 70809
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 John Clark's NPI number?
The NPI number for John Clark is 1881736593. It was assigned to this individual provider in the NPPES registry on February 12, 2007.
Where is John Clark located?
John Clark practices at 4545 Bluebonnet Blvd, Baton Rouge, LA 70809. The listed phone number is (225) 766-2311.
What is John Clark's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is John Clark enrolled in Medicare?
No. John Clark has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for John Clark was last updated on May 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Dr. John E Clark · NPI 1881736593
Specialist provider in Baton Rouge, Louisiana. Individual provider, active in the CMS NPPES registry since February 12, 2007.
## Identity
- **NPI:** 1881736593 (Entity type: Individual)
- **Enumerated:** February 12, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **State license:** 08015R (Louisiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4545 BLUEBONNET BLVD, Baton Rouge, LA 70809-5600
- **Phone:** (225) 766-2311 · **Fax:** (225) 767-7134
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 1, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** May 18, 2009
- **Other identifiers:** Medicare PIN 250002036 (LA); Medicare UPIN D83723 (LA); Medicaid 1388483 (LA); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1881736593) · Data from the CMS NPPES public registry.