DR. ANN L CLARK MD NPI 1487748968

NPI Information

  • NPI: 1487748968
  • Provider Name: DR. ANN L CLARK, MD
  • Classification: Obstetrics & Gynecology - 207VM0101X
  • Specialization: Maternal & Fetal Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2211 MAYFAIR DR
    SUITE 305
    OWENSBORO, KY
    ZIP 42301
  • Phone: (270) 688-2018

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NPI Details

DR. Ann L Clark, MD is a maternal and fetal medicine obstetrics gynecology in Owensboro, KY. The provider is an obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. DR. Ann L Clark, MD NPI is 1487748968. 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:

2211 MAYFAIR DR
SUITE 305
OWENSBORO, KY
ZIP 42301-568
Phone: (270) 688-2018
Fax: (270) 688-2029

The NPI 1487748968 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 10/2/2006 and was last updated on 4/7/2017.

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
1207VM0101XObstetrics & GynecologyMaternal & Fetal Medicine28017KENTUCKYYes

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
164036437MEDICAIDKENTUCKY
2K219670MEDICARE PINKENTUCKY
3000000759531OTHERKENTUCKYANTHEM- NMFM SPEC.
4F81162MEDICARE UPINKENTUCKY
5200036070MEDICAIDINDIANA
6K030861OTHERKENTUCKYMEDICARE- NMFM SPEC.

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: 3/30/2025

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