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

Dr. Gary Wayne Clark, DO

Individual provider Family Medicine Physician · NPI 1013987759

Dr. Gary Wayne Clark, DO is a Family Practice in Carrollton, Ohio. Qualified in 1988, 38 years ago. Practices with Cleveland Clinic Mercy Hospital, a 91-clinician group and accepts Medicare assignment. Licensed in Ohio and Tennessee.

Years since qualifying
38
Licensed in
OH, TN
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

125 Canton Rd NW
Carrollton, OH 44615-1009
Phone: (330) 627-7641
Fax: (330) 627-5796
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 011418 (OH)
Family Medicine Physician Taxonomy 207Q00000X · Licence DO785 (TN)

Record details

NPI number1013987759
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJanuary 25, 2006
Last updated in NPPESApril 24, 2015
Mailing address82 5th St Ne, Carrollton, OH 44615-1214

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Cleveland Clinic Mercy Hospital — 91 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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