DR. LOUIS PHILLIP CLARK M.D. NPI 1598739682

NPI Information

  • NPI: 1598739682
  • Provider Name: DR. LOUIS PHILLIP CLARK, M.D.
  • Classification: Orthopaedic Surgery - 207XS0106X
  • Specialization: Hand Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4140 FERNCREEK DR
    SUITE 801
    FAYETTEVILLE, NC
    ZIP 28314
  • Phone: (910) 484-2171

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NPI Details

DR. Louis Phillip Clark, M.D. is a hand surgery orthopaedic surgery in Fayetteville, NC. The provider is an orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. DR. Louis Phillip Clark, M.D. NPI is 1598739682. 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:

4140 FERNCREEK DR
SUITE 801
FAYETTEVILLE, NC
ZIP 28314-563
Phone: (910) 484-2171
Fax: (910) 484-4568

The NPI 1598739682 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 2/15/2006 and was last updated on 10/5/2012.

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
1207X00000XOrthopaedic Surgery27779NORTH CAROLINANo
2207XS0106XOrthopaedic SurgeryHand Surgery27779NORTH CAROLINAYes

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
122718OTHERNORTH CAROLINABCBS INDIVIDUAL ID NUMBER
2205439MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINAINDIVIDUAL ID NUMBER
3D33100MEDICARE UPINNORTH CAROLINA
48922718MEDICAIDNORTH CAROLINA

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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