DR. CRAIG B CLARK D.O. NPI 1780666594

NPI Information

  • NPI: 1780666594
  • Provider Name: DR. CRAIG B CLARK, D.O.
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • Address: 1301 PENN AVENUE
    SUITE 100
    DES MOINES, IA
    ZIP 50316
  • Phone: (515) 263-2400

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NPI Details

DR. Craig B Clark, D.O. is a cardiovascular disease internal medicine in Des Moines, IA. 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. Craig B Clark, D.O. NPI is 1780666594. 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:

1301 PENN AVENUE
SUITE 100
DES MOINES, IA
ZIP 50316-364
Phone: (515) 263-2400
Fax: (515) 263-2540

The enumeration date for this NPI number is 11/17/2005 and was last updated on 8/9/2012.

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
1207RC0000XInternal MedicineCardiovascular Disease03037IOWAYes

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
11780666594MEDICAIDIOWA
2I8659002MEDICARE PINIOWA
3G68154MEDICARE UPINIOWA
4719260383MEDICARE PINIOWA
5I6398MEDICARE ID-TYPE UNSPECIFIEDIOWA
61240796MEDICAIDIOWA

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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