DR. DAVID W CLARK M.D. NPI 1679522924

NPI Information

  • NPI: 1679522924
  • Provider Name: DR. DAVID W CLARK, M.D.
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Individual
  • Address: 11104 PARKVIEW CIRCLE DR
    SUITE 310
    FORT WAYNE, IN
    ZIP 46845
  • Phone: (260) 266-5230

Map and Directions

Get Directions

NPI Details

DR. David W Clark, M.D. is a gastroenterology internal medicine in Fort Wayne, IN. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. DR. David W Clark, M.D. NPI is 1679522924. 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:

11104 PARKVIEW CIRCLE DR
SUITE 310
FORT WAYNE, IN
ZIP 46845-672
Phone: (260) 266-5230
Fax: (260) 266-5238

The enumeration date for this NPI number is 5/6/2006 and was last updated on 10/10/2013.

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
1207RG0100XInternal MedicineGastroenterology01037790INDIANAYes

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
1M400025740MEDICARE PININDIANA
2200015230MEDICAIDINDIANA
3F58871MEDICARE UPININDIANA
4000000672225OTHERINDIANAANTHEM
5925060BMEDICARE PININDIANA

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

NPI Synchronization or Removal

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.

Previous NPI
Next NPI