DR. JOSEPH HUSTON CLARK MD NPI 1194773457

NPI Information

NPI: 1194773457
Provider Name: DR. JOSEPH HUSTON CLARK, MD
Classification: Pediatrics - 2080P0206X
Specialization: Pediatric Gastroenterology
Entity Type: Individual
PECOS Registration: Yes
Address: 301 E WENDOVER AVE
STE 311
GREENSBORO, NC
ZIP 27401
Phone: (336) 272-6161

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NPI Details

DR. Joseph Huston Clark, MD is a pediatric gastroenterology pediatrics in Greensboro, NC. The provider is a pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. DR. Joseph Huston Clark, MD NPI is 1194773457. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

301 E WENDOVER AVE
STE 311
GREENSBORO, NC
ZIP 27401-230
Phone: (336) 272-6161

The NPI 1194773457 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 5/5/2006 and was last updated on 4/15/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		200500021	NORTH CAROLINA	No
2	2080P0206X	Pediatrics	Pediatric Gastroenterology	200500021	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5900510	MEDICAID	NORTH CAROLINA
2	C24427	MEDICARE UPIN
3	1386T	OTHER	NORTH CAROLINA	BCBS NC
4	4304710	OTHER	NORTH CAROLINA	AETNA
5	B1041	OTHER	NORTH CAROLINA	MEDCOST

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: 11/21/2025

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