Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charles E Clark IV, MD

Individual provider Anesthesiology Physician · NPI 1194745851

Charles E Clark IV, MD is an Anesthesiology in Salem, Virginia. Graduated from Brody School of Medicine at East Carolina University in 1992, 34 years ago. Practices with Gate City Anesthesia, Inc, a 17-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
34
Trained at
Brody School of Medicine at East Carolina University
Licensed in
VA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1900 Electric Rd
Salem, VA 24153-7474
Phone: (540) 772-7200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 0101053907 (VA)

Record details

NPI number1194745851
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 19, 2006
Last updated in NPPESFebruary 14, 2008
Mailing addressPo Box 13888, Roanoke, VA 24038-3888

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolBRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
Graduated 1992 (34 years in practice)
Group practice Gate City Anesthesia, Inc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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