IndividualActive
Jeremy Clark, M.D.
NPI 1588717417 · Gynecology Physician · Louisville, KY
Provider details
- NPI number
- 1588717417
- Entity type
- Individual
- Primary specialty
- Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 41069 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
401 E Chestnut St
Suite 410
Louisville, KY 40202-5700
Phone: (502) 271-5999
Fax: (502) 271-5994
Street-level locationGet directions
Mailing address
550 S Jackson St Fl 2
Louisville, KY 40202-1622
Registry dates
- Enumerated
- 2007-01-22
- Last updated
- 2021-11-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.