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Shane B Clark, DO

Hematology & Oncology Physician in Fleming Island, FL · enumerated 2018 · practices at Baptist MD Anderson Cancer Physicians.

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

National Provider Identifier

1902391477

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Registry record

Entity type Individual (Type 1)
Name Shane B Clark
Credential DO
Sex Male
Practice address 2310 Village Square Pkwy Ste 106c, Fleming Island, FL, 32003
Phone (904) 202-7300
Fax (904) 202-2754
Enumeration date Jun 27, 2018
Last updated in NPPES Apr 30, 2025

Taxonomy & licenses

207RH0000X Hematology (Internal Medicine) Physician Allopathic & Osteopathic Physicians · License OS21375 (FL) Secondary
207RX0202X Medical Oncology Physician Allopathic & Osteopathic Physicians · License OS21375 (FL) Secondary
207RH0003X Hematology & Oncology Physician Allopathic & Osteopathic Physicians · License OS21375 (FL) Primary
DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO 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

Where does Shane Clark practice?
The practice location on file with NPPES is in Fleming Island, FL. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Shane Clark?
The National Provider Identifier (NPI) for Shane Clark is 1902391477, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-04-30.