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

Dr. Ted Robert Clark, MD, MPP

Individual provider Emergency Medicine Physician · NPI 1497914741

Dr. Ted Robert Clark, MD, MPP is an Emergency Medicine Physician in Springfield, Illinois. Licensed in Indiana. Registered with an NPI since 2008.

Licensed in
IN
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

701 N 1st St
Springfield, IL 62781
Phone: (217) 545-7409
Fax: (217) 545-2711
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 01064079A (IN)

Record details

NPI number1497914741
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MPP
Sole proprietorNo
NPI enumeratedJune 3, 2008
Last updated in NPPESMarch 14, 2013
Mailing addressPo Box 19638, Springfield, IL 62794-9638

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