National Provider Identifier Database

GREGORY CLARKE, MD – NPI #1881671766
Cardiovascular Disease

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Contact Information

GREGORY CLARKE, MD
2123 AUBURN AVE
SUITE 138
CINCINNATI, OH  45219-2906
Phone: 513-206-1120
Fax: 512-206-1122
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X

* Indicates primary specialty

NPI Profile & details for GREGORY CLARKE

NPI Number 1881671766
Credentials MD
Entity Individual
Enumeration date 12/30/2005
Last updated 10/21/2020 - About 6 years ago
Sole proprietor1 No
Identifiers
  • OH License #: 35069414
  • IN Medicaid: 200076710
  • KY Medicaid: 64298508
  • OH Medicaid: 64298508
  • Other: 0659341 AETNA
  • Other: 283291 AMERIGROUP MEDICAID
  • Other: 000000215174 ANTHEM
  • Other: 311438871044 CARESOURCE MEDICAID
  • Other: 69414-01 HUMANA
  • Other: 25-20465 UNITED
  • OH Other: 263070266 CARESOURCE
  • OH Other: P00222905 RAILROAD MEDICARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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