Active NPIIndividual provider

John D Clark, PA-C

Physician Assistant, Surgical in Damariscotta, Maine

NPI Number1841228889
Practice location
39 Miles St., Damariscotta, ME 04543-0000
Fax
207-563-1039
Last updated
November 7, 2018

John D Clark is a Physician Assistant, Surgical based in Damariscotta, ME. John D Clark practices in Damariscotta, ME and has the professional credentials of PA-C. The NPI Number for John D Clark is 1841228889 and holds a License No. PA-319 (ME). The current practice location address for John D Clark is 39 Miles St., Damariscotta, ME 04543-0000 and can be reached out via phone at 207-563-1040 and via fax at 207-563-1039.

Provider Profile Details

NPI Number
1841228889
Provider Name
John D Clark
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
39 Miles St., Damariscotta, ME 04543-0000
Phone Number
207-563-1040
Fax Number
207-563-1039
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
June 29, 2006
Last Update Date
November 7, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
39 Miles St.
Damariscotta, ME 04543-0000
State
Maine
Zip
04543-0000
Phone Number
207-563-1040
Fax Number
207-563-1039
Damariscotta, ME 04543Get directions →

Provider Business Mailing Address Details

Address
4 Glen Cove Dr Ste 206
Rockport, ME 04856-4239
City
Rockport
State
ME
Zip
04856-4239
Phone Number
207-921-5454
Fax Number
207-921-5353

License Information

License Number
PA-319
License State
ME
Taxonomy
Physician Assistant, Surgical · 363AS0400X · Primary

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 John D Clark, PA-C?

The NPI number of John D Clark, PA-C is 1841228889. It was assigned on June 29, 2006 and is currently active in the NPPES registry.

What is the specialty of John D Clark, PA-C?

John D Clark, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in ME under license number PA-319.

Where does John D Clark, PA-C practice?

The practice location is 39 Miles St., Damariscotta, ME 04543-0000. The office can be reached at 207-563-1040 (phone) or 207-563-1039 (fax).

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 1841228889 directly on the NPPES registry website.

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