Shawn Gerald Clark in Wilkes Barre - Emergency Medicine

Shawn Gerald Clark - NPI 1285661306

Shawn Gerald Clark is a Emergency Medicine in Wilkes Barre, Pennsylvania. Shawn Gerald Clark practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Shawn Gerald Clark is 1285661306. The last update date is 2013-08-01.

Shawn Gerald Clark's current location address is 1000 East Mountain Drive, Geisinger Medical Center, Wilkes Barre, Pennsylvania. You can contact this provider via phone number 5708087818. The mailing address for Shawn Gerald Clark is 1000 East Mountain Drive, Geisinger Medical Center, Wilkes Barre, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Shawn Gerald Clark
Address 1000 East Mountain Drive, Geisinger Medical Center, Wilkes Barre, Pennsylvania
Phone Number 5708087818
Fax Number
Sole Proprietor N
Credentials D.O.

NPI Number Detail

NPI Number 1285661306
Provider Enumeration Date 2006-06-26
Last Updated Date 2013-08-01

Provider Mailing Address Detail

Address 1000 East Mountain Drive, Geisinger Medical Center
City Wilkes Barre
State Pennsylvania (PA)
Post Code 18711
Phone Number 5708087818
Fax Number

Provider's Primary Taxonomy Detail

Speciality Emergency Medicine
Taxonomy 207P00000X
Licence No OS012489
Definition:
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
101386321 PA --

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FAQs about Shawn Gerald Clark

What is the unique 10-digit identifier code issued to Shawn Gerald Clark by the Centers for Medicare & Medicaid Services?

The Shawn Gerald Clark has been assigned the NPI (National Provider Identifier) 1285661306 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Shawn Gerald Clark?

The Shawn Gerald Clark is physically situated at 1000 East Mountain Drive, Geisinger Medical Center, in the city of Wilkes Barre, state of PA, with the postal code 18711.

What is Shawn Gerald Clark's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Shawn Gerald Clark is Emergency Medicine, and the taxonomy code that categorizes this field of expertise is 207P00000X.

On what date did Shawn Gerald Clark receive its 1285661306 assignment from the Centers for Medicare & Medicaid Services?

The Shawn Gerald Clark was assigned its 1285661306 on 2006-06-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Shawn Gerald Clark most recently updated or revised?

The information pertaining to Shawn Gerald Clark, including its address, specialty, and other relevant details, was last updated or revised on 2013-08-01.

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