MAX A. CLARK D.O. – NPI #1538152749
Obstetrics & Gynecology
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.
MAX CLARK is a physician located in CENTERVILLE, OH. NPPES has assigned the NPI number 1538152749 to MAX CLARK on August 24, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207VG0400X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecology
The NPI profile was last updated on Sep 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MAX CLARK below.
NPI Profile for
MAX A. CLARK
(about 21 years ago)
SUITE A
CENTERVILLE, OH 45459-3811 Phone: (937) 438-1340 Fax: (937) 438-4802
Identifiers for MAX CLARK
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| medicaid | OH | 0803367 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207VG0400X - Obstetrics & Gynecology / Gynecology (Primary) |
OH | 34003865 |
| 207VX0201X - Obstetrics & Gynecology / Gynecologic Oncology |
OH | 34003865 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.