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Deactivated NPI 1487037479 Deactivated / Inactive NPI Male Practitioner

David Clark

Internal Medicine • Charlottesville, VA

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

Registration / Start Date July 08, 2015
NPI Deactivation Date October 25, 2022
Total Practice Duration ~7 Years of Practice (2015 – 2022)

Professional Overview & Biography Verified Profile Summary

David Clark was a registered Internal Medicine practicing in Charlottesville, VA. Throughout an active medical career spanning 7 years, David Clark provided care at the practice location at 1138 ROSE HILL DR until profile deactivation on 2022-10-25.

Practice Location & Contact Primary Location

Practice Address

1138 Rose Hill Dr

Charlottesville, VA 229035128

Telephone 4342965625
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Charlottesville, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.9 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
149 Specialists

Practicing in Charlottesville, VA (3758 Statewide)

Telehealth Adoption Rate
35.6% 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

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License VA 0101057233

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

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

7 Associated Practitioners
Dr. Robert Amos , DDS

Dentist - Dental Public Health

NPI 1205268257

Doctor of Dental Surgery

Dr. Conrad Jenkins , DDS

Dentist - Dental Public Health

NPI 1740290394

Doctor of Dental Surgery

Sarah Owen , FNP-BC

Nurse Practitioner - Family

NPI 1912799735

Family Nurse Practitioner (Board Certified)

Abiodun Akingbemi , MPH, RDN

Dietitian, Registered

NPI 1922643303

Master of Public Health, Registered Dietitian Nutritionist

Nancy Harris , NP

Nurse Practitioner - Adult Health

NPI 1942323472

Nurse Practitioner

Leslie Steeves , CNP

Nurse Practitioner - Obstetrics & Gynecology

NPI 1972511756

Certified Nurse Practitioner

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 October 25, 2022

Record deactivated on October 25, 2022

NPI Profile Active July 08, 2015

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2015

Registered at 1138 ROSE HILL DR, CHARLOTTESVILLE, VA 229035128 (Tel: 4342965625)

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Updated Business Mailing Address July 08, 2015

Registered at 964 CANVAS BACK DR, CHARLOTTESVILLE, VA 229037865 (Tel: 4342440734)

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Provider Name / Credentials Updated July 08, 2015

Recorded as DAVID CLARK

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2015

Internal Medicine (License #0101057233 in VA)

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Initial NPI Registration & Enumeration July 08, 2015

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: 1487037479
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 08, 2015
Last Update: July 08, 2015
Deactivation Date: October 25, 2022

Mailing Address

964 Canvas Back Dr

Charlottesville, VA 229037865

Phone: 4342440734

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.