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
Provider Name :Dr. Jameel Tamir Clark
Credential :M.D.
Gender :Male
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
Phone Number :502-810-3780
Fax Number :502-394-3607
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
NPI Entity Type : Individual
First Enrolment Date : 25 Jun, 2008
Last Updated On : 26 Mar, 2021
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 SpecialityPrimaryLicense No.State
208000000XPediatricsNo002969GA
208000000XPediatricsNo47695TN
208000000XPediatricsYesTP415KY
Legacy Identifiers:
Other legacy medical identifiers of Dr. Jameel Tamir Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
1525008MEDICAIDTN
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 TypeEndpointAffiliationUseContentAddress
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
Phone Number :502-272-5395
Fax Number :502-272-5339
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. Last updated on 08 January, 2024.