Rebecca Clark

MD | Pediatrics | Female

Rebecca Clark, MD is a Maumee, Ohio based Pediatric doctor with medical specialization in General Pediatrics. Current practice location of Rebecca Clark is 660 Beaver Creek Cir, Suite 100, Maumee, Ohio - 43537-1745. She can be contacted on phone at 419-891-6221 and fax number 419-893-3394. Rebecca Clark is a sole proprietor of her business.
NPI number (Unique professional ID) for Rebecca Clark is 1033111752 which was assigned by NPPES on 12 Aug, 2005 and it was last updated on 04 Apr, 2022. Rebecca Clark license number is 35080735 for Pediatrics (208000000X) in Ohio.
Rebecca 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:
Rebecca Clark basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Rebecca Clark
Credential :MD
Gender :Female
Business Address:
Rebecca 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 :660 Beaver Creek Cir, Suite 100
Maumee, OH, 43537-1745
United States
Phone Number :419-891-6221
Fax Number :419-893-3394
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 : 1033111752
NPI Entity Type : Individual
First Enrolment Date : 12 Aug, 2005
Last Updated On : 04 Apr, 2022
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 Rebecca Clark are as mentioned. Primary taxonomy code for Rebecca Clark, MD is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
208000000XPediatricsYes35080735OH
Legacy Identifiers:
Other legacy medical identifiers of Rebecca Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
04219OtherOHPARAMOUNT
12-04381OtherOHUHC
2333264MEDICAIDOH
000000246226OtherOHANTHEM
7534411OtherOHAETNA
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)
rclark22678@epicdirect.promedica.org

No affiliation



660 BEAVER CREEK CIR, SUITE 100
MAUMEE, OH, 43537-1745
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 :660 Beaver Creek Cir, Suite 100
Maumee, OH, 43537-1745
United States
Phone Number :419-891-6221
Fax Number :419-893-3394
Business Location:
Patients can refer following map for directions to Rebecca 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.