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PETER EARL CLARK MD NPI 1073595401


NPI Information

NPI: 1073595401
Provider Name: PETER EARL CLARK, MD
Classification: Urology - 208800000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1021 MOREHEAD MEDICAL DR
STE 6100
CHARLOTTE, NC
ZIP 28204
Phone: (980) 442-2000
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Peter Earl Clark, MD is an urology in Charlotte, NC with 30 years of experience. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. Peter Earl Clark, MD NPI is 1073595401. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: HARVARD MEDICAL SCHOOL
Graduation Year:1994

The provider's business location address is:

1021 MOREHEAD MEDICAL DR
STE 6100
CHARLOTTE, NC
ZIP 28204-990
Phone: (980) 442-2000

The NPI 1073595401 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope (HCPCS:52000)

The enumeration date for this NPI number is 11/21/2005 and was last updated on 12/18/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrology200200506NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.