EDITH CLARK DPM NPI 1770559528

NPI Information

  • NPI: 1770559528
  • Provider Name: EDITH CLARK, DPM
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 125 DWYER ST
    CLARE, MI
    ZIP 48617
  • Phone: (989) 386-9721

Map and Directions

Get Directions

NPI Details

Edith Clark, DPM is a podiatrist in Clare, MI with 33 years of experience. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. Edith Clark, DPM NPI is 1770559528. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Graduation Year:1993

The provider's business location address is:

125 DWYER ST
CLARE, MI
ZIP 48617-002
Phone: (989) 386-9721

The NPI 1770559528 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).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Removal of fingernails or toenails, 1-5 nails (HCPCS:11720)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Trimming of fingernails or toenails (HCPCS:11719)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • X-ray of foot, 2 views (HCPCS:73620)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Removal of tissue from wound, 20.0 sq cm or less (HCPCS:97597)
  • Placement of strapping to ankle or foot (HCPCS:29540)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)

The enumeration date for this NPI number is 2/23/2006 and was last updated on 6/10/2010.

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
1213E00000XPodiatristEC001742MICHIGANYes

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
15809480001MEDICARE NSCMICHIGAN
2U58868MEDICARE UPINMICHIGAN
34613888MEDICAIDMICHIGAN
40N91350MEDICARE ID-TYPE UNSPECIFIEDMICHIGANMEDICARE

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

NPI Synchronization or Removal

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.