Samantha Anne Clark, D.O.
NPI 1982086492ActiveIndividual· Pediatrics· Lansing, MI
Pediatrics (D.O.) in Lansing, Michigan, licensed in MI and ND, with an NPI issued in June 2015. Enrolled in Medicare as practitioner - pediatric medicine.
Overview
| NPI | 1982086492 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | No |
| NPI issued | Jun 19, 2015 |
| Last updated in NPPES | Mar 25, 2025 |
| Certified by provider | Mar 25, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | 5101022012 | MI |
| Hospitalist | 208M00000X | 18840 | ND |
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 - Pediatric Medicine (MI) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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