WILLIAM G CLARK (MD) – Emergency Medicine Physician, NPI 1134195241

WILLIAM G CLARK (MD) is a healthcare provider. based in Canton, Ohio. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 35067146 (OH). The NPI Number for WILLIAM G CLARK (MD) is 1134195241

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM G CLARK (MD)
NPI
1134195241
Phone
(330) 363-3926
Address
2600 SIXTH ST SW
Enumeration Date
28 February 2006
Last Update Date
1 July 2022

Doctor Profile

Medical School Name
UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Secondary Phone
3304562695
Graduation Year
1996 (30 years ago)
PAC ID
7012905565
Group Practice PAC ID
2961307319
Professional Enrollment ID
I20040504000122
Address ID
OH447101702CA2600XSWXX400

Contacts

Secure Messaging
William.Clark@direct.aultman.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

2,673 EMERGENCY MEDICINE in OH

Provider Addresses for WILLIAM G CLARK (MD)

  • 2600 SIXTH ST SW

    CANTON, OH 447101702

    Phone: (330) 363-3926

    Fax: (330) 363-5380

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-05-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040504000122IEmergency MedicineOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only257246$0
99285Emergency department visit with high level of medical decision making164161$0
99284Emergency department visit with moderate level of medical decision making110108$0
99283Emergency department visit with low level of medical decision making3130$0
99291Critical care, first 30-74 minutes2323$0
View full utilization report →

Insurance plans in this area (ZIP 44710)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961307319View full group profile
NameSpecialtyState
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineOH
Physician AssistantOH
Emergency MedicineOH
Emergency MedicineOH

Reviews

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Frequently asked questions

Does WILLIAM G CLARK (MD) have a public NPI I can cite?
Public records show WILLIAM G CLARK (MD) under NPI 1134195241.
Should I treat WILLIAM G CLARK (MD) as an active provider?
Patients and plans typically see WILLIAM G CLARK (MD) as active in the national extract.
What does the directory say WILLIAM G CLARK (MD) does?
Insurance directories may phrase it differently, but here WILLIAM G CLARK (MD) maps to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to WILLIAM G CLARK (MD)?
The directory associates WILLIAM G CLARK (MD) with Canton, Ohio. Check all listed addresses for suites or satellite offices.
Who maintains WILLIAM G CLARK (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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