Susan Christine Clark, MD
NPI 1104096650ActiveIndividual· Surgery· Portsmouth, VA
Surgery (MD) with Chesapeake Regional Medical Group and 1 other group, practicing in Portsmouth, Virginia. Enrolled in Medicare as practitioner - general surgery and practitioner - general surgery. Lists Chesapeake General Hospital and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1104096650 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Mar 11, 2008 |
| Last updated in NPPES | Feb 20, 2024 |
| Certified by provider | Feb 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 0101253279 | VA |
| Surgery | 208600000X | 2011-00718 | NC |
| Surgery | 208600000X | MD426779 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Surgery (ME); Practitioner - General Surgery (VA) |
|---|
Education and affiliations
| Graduation year | 1999 |
|---|---|
| Medicare specialty | General Surgery |
Medical groups
- Chesapeake Regional Medical GroupChesapeake, VA · 151 clinicians
- Mrh CorpDover Foxcroft, ME · 35 clinicians
Hospital affiliations
- Chesapeake General HospitalChesapeake, VA
- Glendive Medical CenterGlendive, MT
- Northern Light Mayo HospitalDover Foxcroft, ME
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Surgery providers in Portsmouth
- 1578502423
- 1639564644
- 1548614704
- 1447319348
- 1831163104
- 1487074662
- 1194233536
- 1487899316
- 1356803647
- 1326591348
- 1598056160
- 1346706140