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Jerry A Clark, MD, CMD

Internal Medicine Physician in Beavercreek, OH · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1346280005

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Registry record

Entity type Individual (Type 1)
Name Jerry A Clark
Credential MD, CMD
Sex Male
Practice address 722 N Fairfield Rd, Beavercreek, OH, 45434
Phone (937) 208-7000
Fax (937) 208-7010
Enumeration date Jun 8, 2006
Last updated in NPPES Dec 10, 2013

Taxonomy & licenses

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 35.054620 (OH) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
0647796 Medicaid OH -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Jerry Clark?
Jerry Clark is registered in NPPES with the primary taxonomy of Internal Medicine Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-12-10.