EDWARD CLARK MD NPI 1356318174

NPI Information

NPI: 1356318174
Provider Name: EDWARD CLARK, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: HEALTHCARE PARTNERS MEDICAL GROUP COATS LTD

PECOS Registration: Yes

Address:
283 N PECOS RD
HENDERSON, NV
ZIP 89074
Phone: (702) 430-3570
Get Directions

Edward Clark, MD is a family medicine in Henderson, NV with 24 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Edward Clark, MD NPI is 1356318174. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

283 N PECOS RD
HENDERSON, NV
ZIP 89074-918
Phone: (702) 430-3570
Fax: (702) 430-3571

The NPI 1356318174 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/1/2006 and was last updated on 12/13/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		11309	NEVADA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1005063739	MEDICAID	NEVADA
2	11309	OTHER	NEVADA	NV LICENSE
3	1356318174	MEDICAID	NEVADA
4	100506374	MEDICAID	NEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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