Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1679575385 Deactivated / Inactive NPI Male Practitioner

Peter Clark

Contractor • Rye Beach, NH

⚠️

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, Peter Clark has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 12, 2005
NPI Deactivation Date March 22, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Peter Clark was a registered Contractor practicing in Rye Beach, NH. Throughout an active medical career spanning 1 years, Peter Clark provided care at the practice location at 785 CENTRAL RD until profile deactivation on 2006-03-22.

Practice Location & Contact Primary Location

Practice Address

785 Central Rd

Rye Beach, NH 038719005

Telephone 6039647740
Fax 6039647783
Associated Practice Facility / Clinic
🏢 Harbour Medical, Inc. Facility NPI 1326001116

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor in Rye Beach, NH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Rye Beach, NH (15 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

Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

State License NH 02894

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Dmerc
1048350001 (NH)
Commercial Insurance / Payer ID Harvard Pilgrim
702777 (MA)
Commercial Insurance / Payer ID Tufts
803745 (MA)
Commercial Insurance / Payer ID Blue Shield Nh
1207563Y0NH01 (NH)
Commercial Insurance / Payer ID Cigna
30437 (NH)

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location July 08, 2007

Registered at 785 CENTRAL RD, RYE BEACH, NH 038719005 (Tel: 6039647740)

📍
Updated Business Mailing Address July 08, 2007

Registered at 325 MAIN ST, PO BOX 882, PLAISTOW, NH 038653033 (Tel: 6033825400)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PETER CLARK

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

Contractor (License #02894 in NH)

🔄
NPI Profile Reactivated March 31, 2006

Record officially reactivated for active practice on March 31, 2006

⚠️
NPI Profile Deactivated March 22, 2006

Record deactivated on March 22, 2006

🟢
Initial NPI Registration & Enumeration August 12, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Peter Clark. Be the first to share your experience!

Sign in to leave a review for Peter Clark

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1679575385
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 12, 2005
Last Update: July 08, 2007
Deactivation Date: March 22, 2006
Sole Proprietor: No

Mailing Address

325 Main St, Po Box 882

Plaistow, NH 038653033

Phone: 6033825400

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.