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

Jacob Andrew Clark, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1871735167

Jacob Andrew Clark, MD is an Anesthesiology in Burlington, Massachusetts. Graduated from Medical College of Wisconsin in 2009, 17 years ago. Practices with Southcoast Physicians Group Inc, a 872-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
17
Trained at
Medical College of Wisconsin
Licensed in
MA
In the registry since
2009
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

41 Mall Rd Lahey Hospital And Medical Ctr
Burlington, MA 01805-0001
Phone: (781) 744-8514
Fax: (781) 744-2273
Show map & directions

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

Additional practice locations (1)

  • 101 Page St, New Bedford, MA 02740-3464 — (508) 973-5425

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 254625 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1871735167
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 1, 2009
Last updated in NPPESNovember 12, 2024
Certification dateNovember 12, 2024
Mailing address41 Mall Rd, Lahey Hospital And Medical Center, Burlington, MA 01805-0001

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2009 (17 years in practice)
Group practice Southcoast Physicians Group Inc — 872 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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