DR. PAUL M CLARK M.D. NPI 1467454827

NPI Information

NPI: 1467454827
Provider Name: DR. PAUL M CLARK, M.D.
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

Address:
2213 CHERRY ST
#303 ACC
TOLEDO, OH
ZIP 43608
Phone: (419) 251-3112
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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
1	2086S0129X	Surgery	Vascular Surgery	35.039569	OHIO	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	D32022	MEDICARE UPIN	OHIO
2	CL0435633	MEDICARE ID-TYPE UNSPECIFIED	OHIO	MEDPIN
3	1539188	MEDICAID	MICHIGAN
4	0314814	MEDICAID	OHIO
5	00340	OTHER	OHIO	PARAMOUNT

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: 4/28/2024

NPI Synchronization or Removal

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