OrganizationActive
Clark Medical, PLLC
NPI 1164905535 · Family Medicine Physician · Phoenix, AZ
Clark Medical, PLLC is a Family Medicine Physician organization in Phoenix, AZ (NPI 1164905535).
Provider details
- NPI number
- 1164905535
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Phillip Clark, Owner(405) 693-5612
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
2601 N 3rd St Ste 106
Phoenix, AZ 85004-1144
Phone: (405) 693-5612
Street-level locationGet directions
Mailing address
2601 N 3rd St Ste 106
Phoenix, AZ 85004-1144
Registry dates
- Enumerated
- 2018-09-12
- Last updated
- 2018-09-12
Frequently asked questions
- What is Clark Medical, PLLC's NPI number?
- Clark Medical, PLLC's National Provider Identifier (NPI) is 1164905535, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clark Medical, PLLC?
- Clark Medical, PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Clark Medical, PLLC located?
- Clark Medical, PLLC's practice location on file with NPPES is 2601 N 3rd St Ste 106, Phoenix, AZ 85004-1144.
- What is Clark Medical, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Clark Medical, PLLC is (405) 693-5612.
- Who is the authorized official for Clark Medical, PLLC?
- The authorized official listed on Clark Medical, PLLC's NPPES record is Phillip Clark, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clark Medical, PLLC's NPI active?
- Yes — Clark Medical, PLLC's NPI (1164905535) is active in the NPPES registry as of the last update on 2018-09-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.