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

Krista Noel Clark, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1457811515

Krista Noel Clark, DO is an Obstetrics/Gynecology in Montgomery, Ohio. Graduated from Lincoln Memorial University Medical Department in 2019, 7 years ago. Practices with Trihealth H LLC, a 848-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
7
Trained at
Lincoln Memorial University Medical Department
Licensed in
OH
In the registry since
2019
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.

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Practice location Address checks out

10496 Montgomery Rd Ste 110
Montgomery, OH 45242-5220
Phone: (513) 671-7700
Fax: (513) 671-5435
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 375 Dixmyth Ave, Cincinnati, OH 45220-2475 — (513) 862-2563

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 34.016635 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1457811515
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 23, 2019
Last updated in NPPESSeptember 8, 2023
Certification dateSeptember 8, 2023
Mailing address10496 Montgomery Rd Ste 110, Montgomery, OH 45242-5220

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolLINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduated 2019 (7 years in practice)
Group practice Trihealth H Llc — 848 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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