Active NPIIndividual provider

Jackson R Clark, DO

Internal Medicine, Hematology & Oncology in Allentown, Pennsylvania

NPI Number1316438690
Practice location
1240 S Cedar Crest Blvd Ste 401, Allentown, PA 18103-6218
Fax
—
Last updated
February 9, 2026

Jackson Rhinehardt Clark is an Internal Medicine, Hematology & Oncology based in Allentown, PA. Jackson Rhinehardt Clark practices in Allentown, PA and has the professional credentials of DO. The NPI Number for Jackson Rhinehardt Clark is 1316438690 and holds a License No. OS025594 (PA). The current practice location address for Jackson Rhinehardt Clark is 1240 S Cedar Crest Blvd Ste 401, Allentown, PA 18103-6218 and can be reached out via phone at 610-402-7880.

Provider Profile Details

NPI Number
1316438690
Provider Name
Jackson Rhinehardt Clark
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1240 S Cedar Crest Blvd Ste 401, Allentown, PA 18103-6218
Phone Number
610-402-7880
Primary Taxonomy
Internal Medicine, Hematology & Oncology · 207RH0003X
Sole Proprietor
No
Provider Enumeration Date
May 23, 2018
Last Update Date
February 9, 2026
Certification Date
February 9, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1240 S Cedar Crest Blvd Ste 401
Allentown, PA 18103-6218
Zip
18103-6218
Phone Number
610-402-7880
Allentown, PA 18103Get directions →

Provider Business Mailing Address Details

Address
265 Western Ave Ste 2
South Portland, ME 04106-2458
City
South Portland
State
ME
Zip
04106-2458

License Information

License Number (1)
OS025594
License State (1)
PA
Taxonomy (1)
Internal Medicine, Hematology & Oncology · 207RH0003X · Primary
License Number (2)
DO3823
License State (2)
ME
License Number (3)
32003
License State (3)
NH

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jackson R Clark, DO?

The NPI number of Jackson R Clark, DO is 1316438690. It was assigned on May 23, 2018 and is currently active in the NPPES registry.

What is the specialty of Jackson R Clark, DO?

Jackson R Clark, DO is registered under the primary taxonomy Internal Medicine, Hematology & Oncology (code 207RH0003X), licensed in PA under license number OS025594.

Where does Jackson R Clark, DO practice?

The practice location is 1240 S Cedar Crest Blvd Ste 401, Allentown, PA 18103-6218. The office can be reached at 610-402-7880 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316438690 directly on the NPPES registry website.

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