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AIDAN M CLARKE MD NPI 1215941158


NPI Information

NPI: 1215941158
Provider Name: AIDAN M CLARKE, MD
Classification: Anesthesiology - 207LP2900X
Entity Type: Individual

Specialization: Pain Medicine

PECOS Registration: Yes

Address:
1180 N INDIAN CANYON DR
SUITE W200
PALM SPRINGS, CA
ZIP 92262
Phone: (760) 416-4511
Get Directions

Aidan M Clarke, MD is a pain medicine anesthesiology in Palm Springs, CA. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. Aidan M Clarke, MD NPI is 1215941158. 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:

1180 N INDIAN CANYON DR
SUITE W200
PALM SPRINGS, CA
ZIP 92262-800
Phone: (760) 416-4511
Fax: (760) 416-4512

The NPI 1215941158 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 7/28/2006 and was last updated on 2/22/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208100000XPhysical Medicine & Rehabilitation036-114565ILLINOISNo
22081P2900XPhysical Medicine & RehabilitationPain Medicine036-114565ILLINOISNo
3208VP0014XPain MedicineInterventional Pain Medicine036-114565ILLINOISNo
42081P2900XPhysical Medicine & RehabilitationPain Medicine2004032524MISSOURINo
5208VP0014XPain MedicineInterventional Pain Medicine2004032524MISSOURINo
6207LP2900XAnesthesiologyPain MedicineG64292CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100G642920OTHERBLUE SHIELD
2P00772562MEDICARE PINCALIFORNIA
300G642920MEDICARE PINCALIFORNIA
4K23129MEDICARE PINILLINOIS
5E98751MEDICARE UPIN
6036114565MEDICAIDILLINOIS
7P00281098MEDICARE PINILLINOIS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.