Provider Type Icon

DR. MITCHELL BRENT CLARK MD NPI 1669817854


NPI Information

NPI: 1669817854
Provider Name: DR. MITCHELL BRENT CLARK, MD
Classification: Obstetrics & Gynecology - 207VX0201X
Entity Type: Individual

Specialization: Gynecologic Oncology

Organization: YALE UNIVERSITY

PECOS Registration: Yes

Address:
333 CEDAR ST.
YALE MEDICAL SCHOOL
NEW HAVEN, CT
ZIP 06510
Phone: (203) 833-0281
Get Directions

DR. Mitchell Brent Clark, MD is a gynecologic oncology obstetrics gynecology in New Haven, CT with 4 years of experience. The provider is an obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. DR. Mitchell Brent Clark, MD NPI is 1669817854. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

333 CEDAR ST.
YALE MEDICAL SCHOOL
NEW HAVEN, CT
ZIP 06510
Phone: (203) 833-0281

The NPI 1669817854 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 5/2/2013 and was last updated on 4/9/2020.


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
1207VX0201XObstetrics & GynecologyGynecologic Oncology65152CONNECTICUTYes
2390200000XStudent in an Organized Health Care Education/Training ProgramNo

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.