DR. PAUL M CLARK M.D. NPI 1467454827

NPI Information

  • NPI: 1467454827
  • Provider Name: DR. PAUL M CLARK, M.D.
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • Address: 2213 CHERRY ST
    #303 ACC
    TOLEDO, OH
    ZIP 43608
  • Phone: (419) 251-3112

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NPI Details

DR. Paul M Clark, M.D. is a vascular surgery surgery in Toledo, OH. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Paul M Clark, M.D. NPI is 1467454827. 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:

2213 CHERRY ST
#303 ACC
TOLEDO, OH
ZIP 43608-603
Phone: (419) 251-3112
Fax: (419) 251-3712

The enumeration date for this NPI number is 8/15/2005 and was last updated on 10/16/2007.

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
12086S0129XSurgeryVascular Surgery35.039569OHIOYes

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
1D32022MEDICARE UPINOHIO
2CL0435633MEDICARE ID-TYPE UNSPECIFIEDOHIOMEDPIN
31539188MEDICAIDMICHIGAN
40314814MEDICAIDOHIO
500340OTHEROHIOPARAMOUNT

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: 11/21/2025

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