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

Dr. Clark B Diffendaffer, MD

Individual provider Diagnostic Radiology Physician · NPI 1174612337

Dr. Clark B Diffendaffer, MD is a Diagnostic Radiology in Lincoln, Nebraska. Graduated from University of Nebraska College of Medicine in 2004, 22 years ago. Practices with Advanced Medical Imaging LLC, a 38-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Nebraska.

Years since qualifying
22
Trained at
University of Nebraska College of Medicine
Licensed in
FL, NE
In the registry since
2006
Specialties on file
2
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

7601 Pioneers Blvd
Lincoln, NE 68506-4675
Phone: (402) 484-6677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 601 E Rollins St, Orlando, FL 32803-1248 — (407) 200-2355

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence TRN9101 (FL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 24399 (NE)

Record details

NPI number1174612337
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 12, 2006
Last updated in NPPESJanuary 28, 2022
Certification dateJanuary 28, 2022
Mailing address601 E Rollins St, Orlando, FL 32803-1248

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Advanced Medical Imaging Llc — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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