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Alysa Michelle Clark, MD

Pediatric Emergency Medicine (Emergency Medicine) Physician in Grand Rapids, MI · enumerated 2019.

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

National Provider Identifier

1356903371

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Registry record

Entity type Individual (Type 1)
Name Alysa Michelle Clark
Credential MD
Sex Female
Practice address 100 Michigan St Ne # Mc049, Grand Rapids, MI, 49503
Phone (616) 391-1680
Enumeration date Jun 29, 2019
Last updated in NPPES Apr 9, 2024

Taxonomy & licenses

207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians · License 4351045601 (MI) Secondary
207PP0204X Pediatric Emergency Medicine (Emergency Medicine) Physician Allopathic & Osteopathic Physicians · License 4301504949 (MI) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

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 Alysa Clark?
Alysa Clark is registered in NPPES with the primary taxonomy of Pediatric Emergency Medicine (Emergency 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 2024-04-09.