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

Jerry A Clark, MD, CMD

Individual provider Internal Medicine Physician · NPI 1346280005

Jerry A Clark, MD, CMD is an Internal Medicine Physician in Beavercreek, Ohio. Licensed in Ohio. Registered with an NPI since 2006.

Licensed in
OH
In the registry since
2006
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

722 N Fairfield Rd
Beavercreek, OH 45434-5918
Phone: (937) 208-7000
Fax: (937) 208-7010
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 35.054620 (OH)

Record details

NPI number1346280005
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , CMD
Sole proprietorNo
NPI enumeratedJune 8, 2006
Last updated in NPPESDecember 10, 2013
Mailing address722 N Fairfield Rd, Beavercreek, OH 45434-5918

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