Kristin Marie Clark, MD
NPI 1083312904ActiveIndividual· General Practice· Tacoma, WA
General Practice (MD) in Tacoma, Washington, licensed in VA, with an NPI issued in February 2023. Enrolled in Medicare as order and referring only - general surgery.
Overview
| NPI | 1083312904 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Feb 20, 2023 |
| Last updated in NPPES | Nov 13, 2024 |
| Certified by provider | Nov 13, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 0101284165 | VA |
| Military Health Care Provider | 171000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - General Surgery (VA) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other General Practice providers in Tacoma
- 1992075576
- 1649058215
- 1194050773
- 1871703256
- 1205929411
- 1487747796
- 1578649752
- 1821229741
- 1881633998
- 1952637332
- 1770514937
- 1205770401