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JOHN J. CLARKE D.P.M. NPI 1841384039


NPI Information

NPI: 1841384039
Provider Name: JOHN J. CLARKE, D.P.M.

Doing Business As: JOHN J. CLARKE, D.P.M.,LLC

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1900 HAYES AVE
FREMONT, OH
ZIP 43420
Phone: (419) 332-8105
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JOHN J. CLARKE, D.P.M. is a foot and ankle surgery podiatrist in Fremont, OH. JOHN J. CLARKE, D.P.M. NPI is 1841384039. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As John J. Clarke, D.p.m.,llc.

The provider's business location address is:

1900 HAYES AVE
FREMONT, OH
ZIP 43420-755
Phone: (419) 332-8105
Fax: (419) 332-8608

The provider's authorized official is John J Clarke .
The authorized official title is Owner and has the following contact phone number (419) 332-8105.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 1/24/2008.


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
1213ES0103XPodiatristFoot & Ankle Surgery1898OHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19279321MEDICARE PINOHIO
24880080001MEDICARE NSCOHIO
3CB9902OTHEROHIORAILROAD MEDICARE
40166056MEDICAIDOHIO

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

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