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

Shannon Wang Clark, MD

Individual provider Neurological Surgery Physician · NPI 1316258569

Shannon Wang Clark, MD is a Neurosurgery in Norfolk, Virginia. Graduated from University of South Florida College of Medicine in 2010, 16 years ago. Practices with Sentara Medical Group, a 1,403-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania and Virginia.

Years since qualifying
16
Trained at
University of South Florida College of Medicine
Licensed in
PA, VA
In the registry since
2010
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

301 Riverview Ave Ste 202A
Norfolk, VA 23510-1065
Phone: (757) 252-9140
Fax: (757) 793-4149
Show map & directions

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

Additional practice locations (1)

  • 1000 Walnut St, Philadelphia, PA 19107-5795 — (813) 527-4403

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 0101261902 (VA)
Neurological Surgery Physician Taxonomy 207T00000X · Licence MT197142 (PA)

Record details

NPI number1316258569
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 22, 2010
Last updated in NPPESOctober 5, 2021
Certification dateOctober 5, 2021
Mailing address301 Riverview Ave Ste 202a, Norfolk, VA 23510-1065

Medicare enrollment

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

Medicare specialtyNEUROSURGERY
Medical schoolUNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Sentara Medical Group — 1403 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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