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

Edward Clark, MD

Individual provider Family Medicine Physician · NPI 1356318174

Edward Clark, MD is a Family Practice in Henderson, Nevada. Qualified in 2000, 26 years ago. Practices with Intermountain Medical Holdings Nevada Inc, a 308-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
26
Licensed in
NV
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

595 W Lake Mead Pkwy
Henderson, NV 89015-7015
Phone: (702) 565-1007
Fax: (702) 565-0836
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 10652 S Eastern Ave, Henderson, NV 89052-4952 — (702) 476-2800
  • 283 N Pecos Rd, Henderson, NV 89074-1918 — (702) 430-3570

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 11309 (NV)

Record details

NPI number1356318174
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 1, 2006
Last updated in NPPESOctober 17, 2022
Certification dateOctober 17, 2022
Mailing address6355 S Buffalo Dr Fl 3, Las Vegas, NV 89113-2133

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Intermountain Medical Holdings Nevada Inc — 308 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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