Active NPIIndividual provider

Michaela M Clark, PA-C

Physician Assistant in Hingham, Massachusetts

NPI Number1861080095
Practice location
2 Pond Park RD Ste 102, Hingham, MA 02043-4354
Fax
—
Last updated
March 16, 2022

Michaela Marie Clark is a Physician Assistant based in Hingham, MA. Michaela Marie Clark practices in Hingham, MA and has the professional credentials of PA-C. The NPI Number for Michaela Marie Clark is 1861080095. The current practice location address for Michaela Marie Clark is 2 Pond Park RD Ste 102, Hingham, MA 02043-4354 and can be reached out via phone at 781-337-5555.

Provider Profile Details

NPI Number
1861080095
Provider Name
Michaela Marie Clark
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2 Pond Park RD Ste 102, Hingham, MA 02043-4354
Phone Number
781-337-5555
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
January 4, 2021
Last Update Date
March 16, 2022
Certification Date
March 16, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Pond Park RD Ste 102
Hingham, MA 02043-4354
Zip
02043-4354
Phone Number
781-337-5555
Hingham, MA 02043Get directions →

Provider Business Mailing Address Details

Address
506 E Broadway Apt 4
Boston, MA 02127-4427
City
Boston
State
MA
Zip
02127-4427
Phone Number
617-980-8994

License Information

Taxonomy
Physician Assistant · 363A00000X · 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 Michaela M Clark, PA-C?

The NPI number of Michaela M Clark, PA-C is 1861080095. It was assigned on January 4, 2021 and is currently active in the NPPES registry.

What is the specialty of Michaela M Clark, PA-C?

Michaela M Clark, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X).

Where does Michaela M Clark, PA-C practice?

The practice location is 2 Pond Park RD Ste 102, Hingham, MA 02043-4354. The office can be reached at 781-337-5555 (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 1861080095 directly on the NPPES registry website.

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