Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154353720 Individual Practitioner Male Practitioner

Dr. Steven J Clark , MD

Surgery - Plastic and Reconstructive Surgery • Mount Vernon, IL

Professional Overview & Biography Verified Profile Summary

Dr. Steven Clark, MD is a registered healthcare professional specializing in Surgery - Plastic and Reconstructive Surgery in Mount Vernon, IL. Practice services are available at 2 GOOD SAMARITAN WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2 Good Samaritan Way
Suite 235

Mount Vernon, IL 628642408

Telephone 6188993980
Fax 6188994793
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Mount Vernon, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Mount Vernon, IL (138 Statewide)

Telehealth Adoption Rate
0.0% 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 - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License IL 036086955

A surgeon who specializes in plastic and reconstructive surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
257001700 (FL)

Practice Associates & Co-Workers

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

5 Associated Practitioners
Fariahh Fazil , FNP-BC

Nurse Practitioner

NPI 1053954503

Family Nurse Practitioner (Board Certified)

NPI 1235633389
NPI 1881031144

Doctor of Medicine (M.D.)

NPI 1912903857

Doctor of Medicine (M.D.)

Dr. Peter Wong , MD

Surgery - Vascular Surgery

NPI 1952344509

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 21, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location October 21, 2013

Registered at 2 GOOD SAMARITAN WAY, SUITE 235, MOUNT VERNON, IL 628642408 (Tel: 6188993980)

📍
Updated Business Mailing Address October 21, 2013

Registered at 2 GOOD SAMARITAN WAY, SUITE 235, MOUNT VERNON, IL 628642408 (Tel: 6188993980)

👤
Provider Name / Credentials Updated October 21, 2013

Recorded as STEVEN CLARK, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2013

Surgery (License #036086955 in IL)

🟢
Initial NPI Registration & Enumeration July 06, 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: 1154353720
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2006
Last Update: October 21, 2013
Sole Proprietor: Yes

Mailing Address

2 Good Samaritan Way, Suite 235

Mount Vernon, IL 628642408

Phone: 6188993980

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.