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

Shane Chamberlain Clark, MD

Individual provider Dermatology Physician · NPI 1548495336

Shane Chamberlain Clark, MD is a Dermatology in Wooster, Ohio. Graduated from Ohio State University College of Medicine in 2009, 17 years ago. Practices with Dermatologists of Southwestern Ohio, LLC, a 116-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
17
Trained at
Ohio State University College of Medicine
Licensed in
OH
In the registry since
2009
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

347 W Milltown Rd Ste B
Wooster, OH 44691-7216
Phone: (330) 345-1540
Fax: (330) 345-1541
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 35121081 (OH)

Record details

NPI number1548495336
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 21, 2009
Last updated in NPPESApril 9, 2024
Certification dateApril 9, 2024
Mailing address347 W Milltown Rd Ste B, Wooster, OH 44691-7216

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Dermatologists Of Southwestern Ohio, Llc — 116 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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