Jill Elisabeth Clark in Bellevue - Colon & Rectal Surgery
Jill Elisabeth Clark - NPI 1295922052
Jill Elisabeth Clark is a Colon & Rectal Surgery in Bellevue, Washington. Jill Elisabeth Clark practices all healthcare services and medical treatments related to Colon & Rectal Surgery. The NPI Number for Jill Elisabeth Clark is 1295922052. The last update date is 2021-08-10.
Jill Elisabeth Clark's current location address is 1135 116th Ave Ne Ste 550, Bellevue, Washington. You can contact this provider via phone number 4256467400. The mailing address for Jill Elisabeth Clark is 1135 116th Ave Ne Ste 550, Bellevue, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jill Elisabeth Clark |
|---|---|
| Address | 1135 116th Ave Ne Ste 550, Bellevue, Washington |
| Phone Number | 4256467400 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1295922052 |
|---|---|
| Provider Enumeration Date | 2007-09-26 |
| Last Updated Date | 2021-08-10 |
Provider Mailing Address Detail
| Address | 1135 116th Ave Ne Ste 550 |
|---|---|
| City | Bellevue |
| State | Washington (WA) |
| Post Code | 980044623 |
| Phone Number | 4256467400 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Colon & Rectal Surgery |
|---|---|
| Taxonomy | 208C00000X |
| Licence No | 61161110 |
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Definition: A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1295922052 | UT | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jill Elisabeth Clark by the Centers for Medicare & Medicaid Services?
The Jill Elisabeth Clark has been assigned the NPI (National Provider Identifier) 1295922052. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jill Elisabeth Clark?
The Jill Elisabeth Clark is physically situated at 1135 116Th Ave Ne Ste 550, in the city of Bellevue, state of WA, with the postal code 980044623.
What is Jill Elisabeth 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 Jill Elisabeth Clark is Colon & Rectal Surgery, and the taxonomy classification code that categorizes this area of expertise is 208C00000X.
On what date did Jill Elisabeth Clark receive its 1295922052 assignment from the Centers for Medicare & Medicaid Services?
The Jill Elisabeth Clark was assigned its 1295922052 on 2007-09-26, 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 pertaining to Jill Elisabeth Clark last refreshed?
The information related to the Jill Elisabeth Clark, including its address, specialty, and other relevant details, was last updated on 2021-08-10.
NPI Number: 1215930573
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