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Deactivated NPI 1043259211 Deactivated / Inactive NPI Male Practitioner

Dr. Jeffery R Clark , MD

Surgery • Denver, CO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jeffery Clark has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 05, 2006
NPI Deactivation Date June 26, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Jeffery Clark, MD was a registered Surgery practicing in Denver, CO. Throughout an active medical career spanning 19 years, Dr. Clark provided care at the practice location at 2005 FRANKLIN ST until profile deactivation on 2025-06-26.

Practice Location & Contact Primary Location

Practice Address

2005 Franklin St
Midtown 2 #300

Denver, CO 802055401

Telephone 3033182250
Fax 3033182252
Associated Practice Facility / Clinic
🏢 Robert J Wester Mdpc Facility NPI 1215978168

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Denver, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.5 Yrs
State Avg: 23.8 Yrs
Regional Practice Density
115 Specialists

Practicing in Denver, CO (635 Statewide)

Telehealth Adoption Rate
9.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CO 20130

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Kelly Rembold , PharmD

Pharmacist - Pharmacotherapy

NPI 1245422179

Doctor of Pharmacy (Pharm.D.)

Georgia Caven , NP

Nurse Practitioner

NPI 1487692000

Nurse Practitioner

Dr. Gary Friedland , MD

Internal Medicine

NPI 1740302090

Doctor of Medicine (M.D.)

Dr. Erin Stahl , PharmD

Pharmacist - Pharmacotherapy

NPI 1962694893

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 26, 2025

Record deactivated on June 26, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2005 FRANKLIN ST, MIDTOWN 2 #300, DENVER, CO 802055401 (Tel: 3033182250)

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Updated Business Mailing Address July 08, 2007

Registered at 8300 W 38TH AVE, 2ND FLOOR, EPN CRED, WHEAT RIDGE, CO 800336005 (Tel: 3034033880)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JEFFERY CLARK, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #20130 in CO)

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Initial NPI Registration & Enumeration June 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043259211
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2006
Last Update: July 08, 2007
Deactivation Date: June 26, 2025

Mailing Address

8300 W 38th Ave, 2nd Floor, Epn Cred

Wheat Ridge, CO 800336005

Phone: 3034033880

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.