Gary W. Clark Inc
NPI 1629140173ActiveOrganization· Podiatrist· Cedar City, UT
Podiatrist in Cedar City, Utah, registered in NPPES in November 2006. The authorized official on file is Gary W. Clark, DPM, Owner. Enrolled in Medicare as dme supplier - physician - podiatry and part b supplier - clinic/group practice.
Overview
| NPI | 1629140173 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 13, 2006 |
| Last updated in NPPES | Feb 22, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | 320729-0501 | UT |
| Durable Medical Equipment & Medical Supplies, Customized Equipment | 332BC3200X | 3207290501 | UT |
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 DME Supplier - Physician - Podiatry (UT); Part B Supplier - Clinic/Group Practice (UT) |
|---|
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