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

Clark Hollingshead

Individual provider Family Medicine Physician · NPI 1033958186

Clark Hollingshead is a Family Practice in Evansville, Indiana. Graduated from Rocky Vista University College of Osteopathic Med in 2024, 2 years ago. Practices with Deaconess Clinic Inc, a 409-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
2
Trained at
Rocky Vista University College of Osteopathic Med
Licensed in
IN
In the registry since
2024

Practice location Address checks out

415 W Columbia St Ste 110
Evansville, IN 47710-1656
Phone: (812) 450-3363
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 11023533A (IN)

Record details

NPI number1033958186
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 20, 2024
Last updated in NPPESMay 22, 2024
Certification dateMay 22, 2024
Mailing address415 W Columbia St Ste 110, Evansville, IN 47710-1656

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolROCKY VISTA UNIVERSITY COLLEGE OF OSTEOPATHIC MED
Graduated 2024 (2 years in practice)
Group practice Deaconess Clinic Inc — 409 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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