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STEPHANIE LYNN CLARK M.D. NPI 1275707358


NPI Information

NPI: 1275707358
Provider Name: STEPHANIE LYNN CLARK, M.D.
Classification: Pediatrics - 2080P0210X
Entity Type: Individual

Specialization: Pediatric Nephrology

Organization: CHILDRENS HEALTH CARE ASSOCIATES INC

PECOS Registration: Yes

Address:
34TH & CIVIC CENTER BLVD
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 590-2449
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Stephanie Lynn Clark, M.D. is a pediatric nephrology pediatrics in Philadelphia, PA with 16 years of experience. The provider is a pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. Stephanie Lynn Clark, M.D. NPI is 1275707358. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2008

The provider's business location address is:

34TH & CIVIC CENTER BLVD
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 590-2449

The NPI 1275707358 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 4/18/2008 and was last updated on 7/19/2012.


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
1208000000XPediatrics35.096286OHIONo
22080P0210XPediatricsPediatric NephrologyMT201541PENNSYLVANIAYes

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.