IndividualActive
Ondrea Clark
NPI 1053712430 · Specialist · Watertown, NY
Ondrea Clark is a Specialist provider in Watertown, NY (NPI 1053712430).
Provider details
- NPI number
- 1053712430
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 1173386 (NY)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
21638 Reed Rd
Watertown, NY 13601-5048
Phone: (315) 786-0677
Street-level locationGet directions
Mailing address
556 County Route 5
Pulaski, NY 13142-2217
Registry dates
- Enumerated
- 2014-09-04
- Last updated
- 2014-09-04
Frequently asked questions
- What is Ondrea Clark's NPI number?
- Ondrea Clark's National Provider Identifier (NPI) is 1053712430, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ondrea Clark's specialty?
- Ondrea Clark is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Ondrea Clark located?
- Ondrea Clark's practice location on file with NPPES is 21638 Reed Rd, Watertown, NY 13601-5048.
- What is Ondrea Clark's phone number?
- The practice phone number listed in the NPPES registry for Ondrea Clark is (315) 786-0677.
- Is Ondrea Clark's NPI active?
- Yes — Ondrea Clark's NPI (1053712430) is active in the NPPES registry as of the last update on 2014-09-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.