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THOMAS ROBERT CLARK
NPI 1922896570
Student in an Organized Health Care Education/Training Program in Fredericksburg, VA

Active since April 25, 2025PECOS Enrolled
1001 SAM PERRY BLVD, FREDERICKSBURG, VA 22401(540) 741-1100 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Thomas Robert Clark NPPES

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

THOMAS ROBERT CLARK (NPI 1922896570) is an individual student in an organized health care education/training program in Fredericksburg, Virginia and active in the NPI registry since April 2025. The provider is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922896570
Entity TypeIndividual
Primary Taxonomy390200000X
Provider Legal NameTHOMAS ROBERT CLARK
Location Address1001 SAM PERRY BLVDFredericksburg, VA 22401-4453
Mailing Address3005 Apple Brook LnOakton, VA 22124-1842
Phone(540) 741-1100
Sole ProprietorNo
Enumeration DateApril 25, 2025
NPPES CertifiedApril 25, 2025
✔ NPI 1922896570 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.
1001 SAM PERRY BLVD, Fredericksburg, VA 22401
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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)

Thomas Robert Clark 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 20

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

JUSTIN HAMWAY RACKLEY MD
Anesthesiology
1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 741-7614
MELYSSA CARROLL MOONEY CRNA
Nurse Anesthetist, Certified Registered
1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 741-7614
JENNIFER LYNN BRIDY CRNA
Nurse Anesthetist, Certified Registered
1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 741-7614
DR. THOMAS EDWARD BORSARI MD
Anesthesiology
1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 741-7614
MARY WASHINGTON HOSPITAL, INC.
Internal Medicine (Cardiovascular Disease)
1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 741-1041
NARINDER NITIN SETHI MD, MS
Radiology (Diagnostic Radiology)
1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 361-1000
AMANDA LYNN RAE CRNA
Nurse Anesthetist, Certified Registered
1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 741-7614
DAVID SCOTT M.D.
Radiology (Diagnostic Radiology)
1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 741-1571

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 Thomas Clark's NPI number?

The NPI number for Thomas Clark is 1922896570. It was assigned to this individual provider in the NPPES registry on April 25, 2025.

Where is Thomas Clark located?

Thomas Clark practices at 1001 Sam Perry Blvd, Fredericksburg, VA 22401. The listed phone number is (540) 741-1100.

What is Thomas 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 Thomas Clark enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Thomas Clark was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.