Douglas A Clark MD PC
NPI 1780952259ActiveOrganization· Orthopaedic Surgery· Tempe, AZ
Orthopaedic Surgery in Tempe, Arizona, registered in NPPES in December 2011. The authorized official on file is Douglas A. Clark, M.D., Owner. Enrolled in Medicare as dme supplier - physician - general practice and part b supplier - clinic/group practice.
Overview
| NPI | 1780952259 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 12, 2011 |
| Last updated in NPPES | Dec 12, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | 14762 | AZ |
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 - General Practice (AZ); Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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