DR. CHARLES THOMAS CLARK D.O. NPI 1568434397

NPI Information

NPI: 1568434397
Provider Name: DR. CHARLES THOMAS CLARK, D.O.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
313 PARKS HALL
ATHENS, OH
ZIP 45701
Phone: (740) 593-2444
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DR. Charles Thomas Clark, D.O. is a pediatrics in Athens, OH. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Charles Thomas Clark, D.O. NPI is 1568434397. 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:

313 PARKS HALL
ATHENS, OH
ZIP 45701
Phone: (740) 593-2444
Fax: (740) 593-0905

The enumeration date for this NPI number is 2/6/2006 and was last updated on 5/31/2011.

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	208000000X	Pediatrics		34--003631	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
1	F23043	MEDICARE UPIN	OHIO
2	0542158	MEDICAID	OHIO
3	CL0819622	MEDICARE PIN	OHIO

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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