npidexNPI registry + Medicare data

ELLEN CLARK, MD

Gastroenterology Physician · SALT LAKE CITY, UT

Individual Active NPI 1154061711

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Gastroenterology Physician207RG0100X✓14211395-1205UT
Student in an Organized Health Care Education/Training Program390200000X——

Medicare eligibility

Part B
No
DME
Yes
Home health
No
Power mobility
Yes
Hospice
No

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.