Active NPIIndividual provider

Dr. John G Clark

Orthopaedic Surgery in Bath, Maine

NPI Number1164625653
Practice location
111 Whiskeag RD, Bath, ME 04530-4127
Fax
—
Last updated
July 8, 2007

John Glenn Clark is an Orthopaedic Surgery based in Bath, ME. John Glenn Clark practices in Bath, ME. The NPI Number for John Glenn Clark is 1164625653 and holds a License No. 016756 (ME). The current practice location address for John Glenn Clark is 111 Whiskeag RD, Bath, ME 04530-4127 and can be reached out via phone at 909-435-0066.

Provider Profile Details

NPI Number
1164625653
Provider Name
John Glenn Clark
Provider Entity Type
Individual
Gender
Male
Address
111 Whiskeag RD, Bath, ME 04530-4127
Phone Number
909-435-0066
Primary Taxonomy
Orthopaedic Surgery · 207X00000X
Sole Proprietor
No
Provider Enumeration Date
June 11, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 Whiskeag RD
Bath, ME 04530-4127
City
Bath
State
Maine
Zip
04530-4127
Phone Number
909-435-0066
Bath, ME 04530Get directions →

Provider Business Mailing Address Details

Address
111 Whiskeag RD
Bath, ME 04530-4127
City
Bath
State
ME
Zip
04530-4127
Phone Number
909-435-0066

License Information

License Number (1)
016756
License State (1)
ME
Taxonomy (1)
Orthopaedic Surgery · 207X00000X · Primary
License Number (2)
A60772
License State (2)
CA
Taxonomy (2)
Orthopaedic Surgery · 207X00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. John G Clark?

The NPI number of Dr. John G Clark is 1164625653. It was assigned on June 11, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. John G Clark?

Dr. John G Clark is registered under the primary taxonomy Orthopaedic Surgery (code 207X00000X), licensed in ME under license number 016756.

Where does Dr. John G Clark practice?

The practice location is 111 Whiskeag RD, Bath, ME 04530-4127. The office can be reached at 909-435-0066 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164625653 directly on the NPPES registry website.

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