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

Individual provider Family Medicine Physician · NPI 1053316364

Richard Don Clark, MD is a Family Practice in Marietta, Ohio. Graduated from Ohio State University College of Medicine in 1987, 39 years ago. Practices with Genesis Primary Care Physicians, LLC, a 45-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
39
Trained at
Ohio State University College of Medicine
Licensed in
OH
In the registry since
2005
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

802 Wayne St Ste 202
Marietta, OH 45750-3300
Phone: (740) 374-4950
Fax: (740) 374-4953
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 35061501 (OH)

Record details

NPI number1053316364
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 15, 2005
Last updated in NPPESAugust 17, 2011

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 1987 (39 years in practice)
Group practice Genesis Primary Care Physicians, Llc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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