Mary Clark, M.D.
NPI 1104174846 · Anatomic Pathology & Clinical Pathology Physician · White River Junction, VT
Enrolled with Medicare as Order and Referring Only - Pathology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mary Clark, M.D. is a Anatomic Pathology & Clinical Pathology Physician provider in White River Junction, VT (NPI 1104174846).
Provider details
- NPI number
- 1104174846
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 27610 (NE)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
Mailing address
Registry dates
- Enumerated
- 2012-08-28
- Last updated
- 2021-09-17
- Certified
- 2021-09-17
Frequently asked questions
- What is Mary Clark's NPI number?
- Mary Clark's National Provider Identifier (NPI) is 1104174846, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Clark's specialty?
- Mary Clark is listed in the NPPES registry with a primary specialty of Anatomic Pathology & Clinical Pathology Physician (Allopathic & Osteopathic Physicians).
- Where is Mary Clark located?
- Mary Clark's practice location on file with NPPES is 163 Veterans Drive, White River Junction, VT 05009-4728.
- What is Mary Clark's phone number?
- The practice phone number listed in the NPPES registry for Mary Clark is (508) 776-8014.
- Does Mary Clark accept Medicare?
- Mary Clark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mary Clark's NPI active?
- Yes — Mary Clark's NPI (1104174846) is active in the NPPES registry as of the last update on 2021-09-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.