Jerry A Clark in Beavercreek - Internal Medicine
Jerry A Clark - NPI 1346280005
Jerry A Clark is a Internal Medicine in Beavercreek, Ohio. Jerry A Clark practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Jerry A Clark is 1346280005. The last update date is 2013-12-10.
Jerry A Clark's current location address is 722 N Fairfield Rd, Beavercreek, Ohio. You can contact this provider via phone number 9372087000 and fax number 9372087010. The mailing address for Jerry A Clark is 722 N Fairfield Rd, Beavercreek, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry A Clark |
|---|---|
| Address | 722 N Fairfield Rd, Beavercreek, Ohio |
| Phone Number | 9372087000 |
| Fax Number | 9372087010 |
| Sole Proprietor | N |
| Credentials | MD, CMD |
NPI Number Detail
| NPI Number | 1346280005 |
|---|---|
| Provider Enumeration Date | 2006-06-08 |
| Last Updated Date | 2013-12-10 |
Provider Mailing Address Detail
| Address | 722 N Fairfield Rd |
|---|---|
| City | Beavercreek |
| State | Ohio (OH) |
| Post Code | 454345918 |
| Phone Number | 9372087000 |
| Fax Number | 9372087010 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 35.05462 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 647796 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jerry A Clark by the Centers for Medicare & Medicaid Services?
The Jerry A Clark has been assigned the NPI (National Provider Identifier) 1346280005 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Jerry A Clark's facilities are situated?
The facilities of Jerry A Clark are physically located at the following address: 722 N Fairfield Rd, Beavercreek, OH, 454345918.
What is Jerry A Clark's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jerry A Clark's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.
On what date was the 1346280005 assigned to Jerry A Clark?
The Jerry A Clark was issued its 1346280005 on 2006-06-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jerry A Clark most recently updated?
The details pertaining to the Jerry A Clark, including its address, specialty, and other relevant information, were last refreshed on 2013-12-10.
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