John Elliott Clark in Washington - Surgery
John Elliott Clark - NPI 1174610570
John Elliott Clark is a Surgery in Washington, District Of Columbia. John Elliott Clark practices all healthcare services and medical treatments related to Surgery. The NPI Number for John Elliott Clark is 1174610570. The last update date is 2017-02-10.
John Elliott Clark's current location address is 50 Irving St Nw, Washington, District Of Columbia. You can contact this provider via phone number 2025079952 and fax number 2028366921. The mailing address for John Elliott Clark is 50 Irving St Nw, Washington, District Of Columbia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Elliott Clark |
|---|---|
| Address | 50 Irving St Nw, Washington, District Of Columbia |
| Phone Number | 2025079952 |
| Fax Number | 2028366921 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1174610570 |
|---|---|
| Provider Enumeration Date | 2006-10-06 |
| Last Updated Date | 2017-02-10 |
Provider Mailing Address Detail
| Address | 50 Irving St Nw |
|---|---|
| City | Washington |
| State | District Of Columbia (DC) |
| Post Code | 204220001 |
| Phone Number | 2025079952 |
| Fax Number | 2028366921 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | MD14155 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7666 | DC | CAREFIRST | |
| 247377 | DC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to John Elliott Clark by the Centers for Medicare & Medicaid Services?
The John Elliott Clark has been assigned the NPI (National Provider Identifier) 1174610570 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where John Elliott Clark is physically located?
The John Elliott Clark is physically situated at the following address: 50 Irving St Nw, Washington, DC, 204220001.
What is John Elliott Clark's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for John Elliott Clark is Surgery, and the taxonomy classification code that categorizes this area of expertise is 208600000X.
When did the John Elliott Clark receive its 1174610570?
The John Elliott Clark was issued its 1174610570 on 2006-10-06, which is the date when the organization was assigned this unique identifier.
When was the information related to John Elliott Clark most recently updated or refreshed?
The details pertaining to the John Elliott Clark, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-02-10.