Rebecca S Clark, MD
Emergency Medicine in Dover, OH. Individual provider (NPI-1).
NPI number1528034600
StatusActive
Last updated in NPPESAug 24, 2016
Details
- NPI
- 1528034600
- Entity type
- Individual (NPI-1)
- Name
- Rebecca S Clark
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 27, 2006
- Last updated
- Aug 24, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 35062614 | OH | Yes |
Practice location
340 Oxford St#110
Dover, OH 44622-1965
Phone 330-343-0753 · Fax 330-343-4787
Mailing address
340 Oxford St#110
Dover, OH 44622-1965
Phone 330-343-0753 · Fax 330-343-4787
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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