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North Clark Medical Group LLC

General Practice Physician in Jeffersonville, IN · enumerated 2016 · authorized official Suhas Gandhi, Authorized Official.

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

National Provider Identifier

1376095711

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Registry record

Entity type Organization (Type 2)
Legal business name North Clark Medical Group LLC
Practice address 1802 E 10th St, Jeffersonville, IN, 47130
Fax (812) 288-6603
Enumeration date Nov 2, 2016
Last updated in NPPES Apr 9, 2026

Taxonomy & classification

207RA0401X Addiction Medicine (Internal Medicine) Physician Allopathic & Osteopathic Physicians Secondary
207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians Secondary
2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians Secondary
208600000X Surgery Physician Allopathic & Osteopathic Physicians Secondary
208D00000X General Practice Physician Allopathic & Osteopathic Physicians Primary
208VP0014X Interventional Pain Medicine Physician Allopathic & Osteopathic Physicians Secondary
251B00000X Case Management Agency Agencies Secondary
261QM0850X Adult Mental Health Clinic/Center Ambulatory Health Care Facilities Secondary
261QM1300X Multi-Specialty Clinic/Center Ambulatory Health Care Facilities Secondary
261QM2800X Methadone Clinic Ambulatory Health Care Facilities Secondary
261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Secondary
261QU0200X Urgent Care Clinic/Center Ambulatory Health Care Facilities Secondary
291U00000X Clinical Medical Laboratory Laboratories Secondary
324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities Secondary
367500000X Certified Registered Nurse Anesthetist Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Suhas Gandhi
Title Authorized Official

Other identifiers

Identifier Type State Issuer
7100535740 Medicaid KY -
300010664 Medicaid IN -
K258180 Other KY MEDICARE KY
IN3604 Other IN MEDICARE IN

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

Who is the authorized official for North Clark Medical Group LLC?
NPPES lists Suhas Gandhi (Authorized Official) as the authorized official for this organization.
What is the NPI number for North Clark Medical Group LLC?
The NPI for North Clark Medical Group LLC is 1376095711, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-04-09.