DR. VIVIAN L CLARK M.D. NPI 1427014737

NPI Information

NPI: 1427014737
Provider Name: DR. VIVIAN L CLARK, M.D.
Classification: Internal Medicine - 207RC0000X
Specialization: Cardiovascular Disease
Entity Type: Individual
PECOS Registration: Yes
Address: 1 ATWELL RD
COOPERSTOWN, NY
ZIP 13326
Phone: (607) 547-3909

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NPI Details

DR. Vivian L Clark, M.D. is a cardiovascular disease internal medicine in Cooperstown, NY. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Vivian L Clark, M.D. NPI is 1427014737. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 ATWELL RD
COOPERSTOWN, NY
ZIP 13326-301
Phone: (607) 547-3909
Fax: (607) 547-6325

The NPI 1427014737 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 enumeration date for this NPI number is 4/25/2006 and was last updated on 9/11/2025.

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	207R00000X	Internal Medicine		233275	NEW YORK	No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	233275	NEW YORK	Yes
3	207RI0011X	Internal Medicine	Interventional Cardiology	233275	NEW YORK	No

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	02588067	MEDICAID	NEW YORK

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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