Dr. Cullen J Clark
Pediatric Emergency Medicine | Male
Dr. Cullen J Clark is a Columbus, Ohio based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Dr. Cullen J Clark is
700 Childrens Dr, Columbus, Ohio - 43205-2664. He can be contacted on phone at
614-722-2000.
Dr. Cullen J Clark is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Cullen J Clark is
1114314267 which was assigned by NPPES on 15 Apr, 2015 and it was last updated on 01 Feb, 2022.
Dr. Cullen J Clark license number is
35-138842 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Ohio.
Dr. Cullen J Clark has special qualifications to manage emergencies in infants and children.
Complete Profile:
Dr. Cullen J Clark basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
|---|
| Provider Name : | Dr. Cullen J Clark |
|---|
| Gender : | Male |
|---|
Business Address:
Dr. Cullen J Clark address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 700 Childrens Dr
Columbus, OH, 43205-2664
United States |
|---|
| Phone Number : | 614-722-2000 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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). NPI details are as mentioned below.
| NPI Number : | 1114314267 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 15 Apr, 2015 |
|---|
| Last Updated On : | 01 Feb, 2022 |
|---|
Medicare Participation:
Dr. Cullen J Clark participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 9830490051 |
|---|
| Medicare Enrollment ID : | I20200526003137 |
|---|
| Primary Specialty : | Emergency Medicine |
|---|
| Medical School : | University Of Louisville School Of Medicine |
|---|
| Graduation Year : | 2015 |
|---|
| Accepts Medicare? | Yes. Dr. Cullen J Clark accepts medicare insurance. |
|---|
Group Practice Association:
Dr. Cullen J Clark is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Cullen J Clark is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Osu Emergency Medicine Llc | 2668386673 | 129 | 410 W 10th Ave
Columbus, OH - 432101240
Ph: 6142938305 | Yes |
| Pediatric Academic Association, Inc. | 2961306774 | 173 | 700 Childrens Dr
Columbus, OH - 432052664
Ph: 6147224579 | Yes |
| Pediatric Academic Association, Inc. | 2961306774 | 173 | 444 Butterly Gardens Dr
Columbus, OH - 432157508
Ph: 6147222000 | Yes |
| Osu Observation Medicine, Llc | 3375692270 | 349 | 410 W 10th Ave
Columbus, OH - 432101240 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Cullen J Clark are as mentioned. Primary taxonomy code for Dr. Cullen J Clark is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207P00000X | Emergency Medicine | No | 35-138842 | OH |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | 35-138842 | OH |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Cullen J Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 0393860 | MEDICAID | OH | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
7450 HOSPITAL DR STE 100,
DUBLIN, OH, 43016-8364
United States | DUBLIN, OH | 614-355-7000 |
6435 E BROAD ST,
COLUMBUS, OH, 43213-1507
United States | COLUMBUS, OH | 614-355-8100 |
7853 PACER DR,
DELAWARE, OH, 43015-7571
United States | DELAWARE, OH | 614-355-7900 |
4363 ALL SEASONS DR STE 100,
HILLIARD, OH, 43026-2050
United States | HILLIARD, OH | 614-355-5900 |
7901 DILEY RD STE 150,
CANAL WINCHESTER, OH, 43110-9613
United States | CANAL WINCHESTER, OH | 614-355-9050 |
433 N CLEVELAND AVE,
WESTERVILLE, OH, 43082-8095
United States | WESTERVILLE, OH | 614-355-8300 |
100 COLEMANS XING,
MARYSVILLE, OH, 43040-7080
United States | MARYSVILLE, OH | 937-578-7600 |
444 BUTTERFLY GARDENS DRIVE,
COLUMBUS, OH, 43215-7508
United States | COLUMBUS, OH | 614-722-2000 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 700 Childrens Dr
Columbus, OH, 43205-2664
United States |
|---|
| Phone Number : | 614-722-2000 |
|---|
| Fax Number : | 614-722-4380 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Cullen J Clark practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.