Dr. Jameel Tamir Clark
M.D. | Pediatrics | Male
Dr. Jameel Tamir Clark, M.D. is a Louisville, Kentucky based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Jameel Tamir Clark is
4420 Dixie Hwy Ste 126, Louisville, Kentucky - 40216-2994. He can be contacted on phone at
502-810-3780 and fax number 502-394-3607.
Dr. Jameel Tamir Clark is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Jameel Tamir Clark is
1952563611 which was assigned by NPPES on 25 Jun, 2008 and it was last updated on 26 Mar, 2021.
Dr. Jameel Tamir Clark license number is
TP415 for Pediatrics (208000000X) in Kentucky.
Dr. Jameel Tamir Clark is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Jameel Tamir Clark basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Jameel Tamir Clark |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Jameel Tamir 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 : | 4420 Dixie Hwy Ste 126
Louisville, KY, 40216-2994
United States |
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| Phone Number : | 502-810-3780 |
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| Fax Number : | 502-394-3607 |
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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 : | 1952563611 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 25 Jun, 2008 |
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| Last Updated On : | 26 Mar, 2021 |
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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. Jameel Tamir Clark are as mentioned. Primary taxonomy code for Dr. Jameel Tamir Clark, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 002969 | GA |
| 208000000X | Pediatrics | No | 47695 | TN |
| 208000000X | Pediatrics | Yes | TP415 | KY |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Jameel Tamir Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1525008 | MEDICAID | TN | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | jclark108982@direct.nortonhealthcare.org
| No affiliation |
|
| 7926 PRESTON HWY, STE.210
LOUISVILLE, KY, 40219-3848
United States |
FHIR
(FHIR URL) | https://epicsoap.nortonhealthcare.org/
| No affiliation |
|
| 7926 PRESTON HWY, STE.210
LOUISVILLE, KY, 40219-3848
United States |
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 : | Po Box 776879
Chicago, IL, 60677-6879
United States |
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| Phone Number : | 502-272-5395 |
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| Fax Number : | 502-272-5339 |
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Business Location:
Patients can refer following map for directions to
Dr. Jameel Tamir 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.