DR. JOHN MITCHELL CLARKE (NPI# 1023110418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023110418 |
| Entity Type | Individual |
| Full Name | DR. JOHN MITCHELL CLARKE |
| Credential | MD |
| Practice Address |
1615 Pasadena Ave S Suite 330 South Pasadena FL 33707-4516 |
| Practice Telephone | 7273452929 |
| Practice Fax Number | 7273450340 |
| Mailing Telephone | 7273452929 |
| Mailing Fax Number | 7273450340 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2016-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | ME0012246 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 040195100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356786909 | John Philip Clarke | Orthotist | 118 Nash St E, Suite E, Wilson, NC 27893 | 2013-05-08 |
| 1154674398 | John A Clarke | Pharmacist | 4932 Raccoon Valley Rd Se, Olympia, WA 98513-9271 | 2012-10-25 |
| 1851662654 | John P Clarke | Surgery | 1297 Holly Point Rd, Virginia Beach, VA 23454-1932 | 2012-01-25 |
| 1689888422 | John Clarke | Surgery | 2345 W Harrison St, Chicago, IL 60612-3500 | 2007-05-10 |
| 1467539643 | John O'brien Clarke IIi | Internal Medicine | 450 Broadway St # D, Redwood City, CA 94063 | 2006-11-01 |
| 1750464574 | John Thomas Clarke | Internal Medicine | 50 E Bellevue Pl Apt 706, Chicago, IL 60611-6106 | 2006-10-23 |
| 1639169808 | John Joseph Clarke | Podiatrist | 1900 Hayes Ave, Fremont, OH 43420-2755 | 2005-10-27 |
| 1003811928 | John Samuel Clarke | Surgery | 119 Lake Bluff Dr, Bullard, TX 75757-9740 | 2005-06-16 |
| 1407342884 | John Christopher Clarke | Dentist | 1810 Decatur Hwy Ste 212, Fultondale, AL 35068-1700 | 2018-07-09 |
| 1831597830 | John Clarke | Rehabilitation Practitioner | 6055 E Washington Blvd, Commerce, CA 90040-2449 | 2014-12-08 |
| Street Address |
1615 PASADENA AVE S SUITE 330 |
| City | SOUTH PASADENA |
| State | FL |
| Zip Code | 33707-4516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871574186 | Michael Diaz | Internal Medicine | 1615 Pasadena Ave S, Suite 400, South Pasadena, FL 33707-4516 | 2005-11-14 |
| 1730514969 | Bridget M Nakielski | Nurse Practitioner | 1615 Pasadena Ave S, Suite 200, South Pasadena, FL 33707-4516 | 2013-09-06 |
| 1386962439 | David A Long Md, Pa | Internal Medicine | 1615 Pasadena Ave S, 250, South Pasadena, FL 33707-4516 | 2010-05-13 |
| 1437482171 | Crystal Anne Bujold | Internal Medicine | 1615 Pasadena Ave S, Suite 300, South Pasadena, FL 33707-4516 | 2009-09-14 |
| 1396981635 | Pasadena Center for Asthma & Lung Disorders LLC | Internal Medicine | 1615 Pasadena Ave S, Suite 200, South Pasadena, FL 33707-4516 | 2008-12-16 |
| 1639325533 | Shayne N Moyles Do Pl | Internal Medicine | 1615 Pasadena Ave S, Suite 100, South Pasadena, FL 33707-4516 | 2008-08-11 |
| 1659578938 | Paul F Foti, Md, Fccp, Pa | Specialist | 1615 Pasadena Ave S, Suite 480, South Pasadena, FL 33707-4516 | 2007-06-29 |
| 1780895961 | Dominiek Denise Schelfaut | Mechanotherapist | 1615 Pasadena Ave S, South Pasadena, FL 33707-4516 | 2007-05-27 |
| 1447379466 | Jill Tornyos Parker | Surgery | 1615 Pasadena Ave S, Suite 330, South Pasadena, FL 33707-4516 | 2007-03-29 |
| 1194852657 | J. Paonessa M.d. P.a. | Specialist | 1615 Pasadena Ave S, Suite 400, South Pasadena, FL 33707-4516 | 2007-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013475466 | Baycare Urgent Care, LLC | Pharmacy | 900 Carillon Parkway Ste 106, St. Petersburg, FL 33707 | 2019-03-05 |
| 1245754449 | S Dunkelberger Do LLC | Family Medicine | 6801 Gulfport Blvd S., Suite 6, Sout Pasadena, FL 33707 | 2017-07-29 |
| 1497196828 | Montego Mckinnon Sr. | Pharmacy Technician | 1501 Pasadena Shores Dr, St. Petersburg, FL 33707 | 2013-07-15 |
| 1558551580 | Linda K Barchie | Massage Therapist | 7230 Central Avenue, St Petersburg, FL 33707 | 2007-07-26 |
| 1487790770 | Margaret Helen Young | Dentist | 509 Pasadena Avenue South, St Petersburg, FL 33707 | 2007-01-30 |
| 1063567279 | Jack M Hafer | Dentist | 2525 Pasadena Ave S, Ste E, Pasadena, FL 33707 | 2007-01-25 |
| 1740331305 | Suncoast O2 Systems Inc. | Durable Medical Equipment & Medical Supplies | 5213 1st Avenue S, St. Petersburg, FL 33707 | 2007-01-12 |
| 1902987902 | Demekisa Sidamo Davis | Acupuncturist | 5301 Gulfport Blvd, Gulfport, FL 33707 | 2006-10-17 |
| 1689767691 | Mark A. Roberts | Family Medicine | 1240 81st Street South, St. Petersburg, FL 33707 | 2006-10-02 |
| 1457443004 | Darla Marie Keyes | Physical Therapist | 2825 Seabreeze Dr, Gulfport, FL 33707 | 2006-09-29 |
| Find all providers in zip 33707 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| 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; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205830692 | Tiffany M. Jessee | Surgery | 1609 Pasasena Ave S, Suite 3m, South Pasadena, FL 33707 | 2005-06-13 |
| 1154684538 | Katharine Schulz-costello | Surgery | 209 Fair Oaks Ave, South Pasadena, CA 91030-1814 | 2012-06-20 |
| 1053542100 | Aaron G Lewis | Surgery | 209 Fair Oaks Ave, South Pasadena, CA 91030-1814 | 2009-08-06 |
| 1073760815 | Amy Caton Polverini | Surgery | 209 Fair Oaks Ave, South Pasadena, CA 91030-1814 | 2008-08-22 |
| 1336307735 | Loretta Erhunmwunsee | Surgery | 209 Fair Oaks Ave, South Pasadena, CA 91030-1814 | 2008-06-02 |
| 1639346851 | Poornima B. Rao | Surgery | 209 Fair Oaks Ave, South Pasadena, CA 91030-1814 | 2008-05-15 |
| 1952420978 | John M Clarke Md Pa | Surgery | 1609 Pasadena Ave S, #4c, South Pasadena, FL 33707-4565 | 2007-03-29 |
| 1447379466 | Jill Tornyos Parker | Surgery | 1615 Pasadena Ave S, Suite 330, South Pasadena, FL 33707-4516 | 2007-03-29 |
| 1023117538 | Ernest C Rehnke Md Facs Pllc | Surgery | 1615 Pasadena Ave S, Suite 460, South Pasadena, FL 33707-4516 | 2006-09-21 |
| 1245293760 | Stephen M Sentovich | Surgery | 209 Fair Oaks Ave, South Pasadena, CA 91030-1814 | 2006-04-07 |
| Find all providers in SOUTH PASADENA | ||||
| City | SOUTH PASADENA |
| Zip Code | 33707 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.