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 |
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| Gender : | Female |
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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 |
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| First Enrolment Date : | 12 Aug, 2005 |
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| Last Updated On : | 04 Apr, 2022 |
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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 Rebecca Clark are as mentioned. Primary taxonomy code for Rebecca Clark, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 35080735 | OH |
Legacy Identifiers:
Other legacy medical identifiers of Rebecca Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 04219 | Other | OH | PARAMOUNT |
| 12-04381 | Other | OH | UHC |
| 2333264 | MEDICAID | OH | |
| 000000246226 | Other | OH | ANTHEM |
| 7534411 | Other | OH | AETNA |
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) | 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.