Dwight S. Clarke, MD, PLLC
NPI 1114150778ActiveOrganization· Internal Medicine, Infectious Disease· Phoenix, AZ
Internal Medicine, Infectious Disease in Phoenix, Arizona, registered in NPPES in August 2009. The authorized official on file is Bobbie Ronsman, Credentialing Mgr. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1114150778 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 31, 2009 |
| Last updated in NPPES | Jul 14, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Infectious Disease Primary | 207RI0200X | — | — |
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 Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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