DR. GARRETT CLARK


Address: 5401 Peach St, Suite 3500, Erie, PA 16509-2601
Phone: 8148682179

DR. GARRETT CLARK (NPI# 1063677524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063677524
Entity Type Individual
Full Name DR. GARRETT CLARK
Credential D.O.
Practice Address 5401 Peach St
Suite 3500
Erie
PA 16509-2601
Mailing Address 1 Lecom Pl
Erie
PA 16505-2571
Practice Telephone 8148682179
Practice Fax Number 8148682346
Mailing Fax Number 8148682522
Enumeration Date 2008-07-24
Last Update Date 2019-03-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine OS014422 PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA 1022612880004 05

Other Providers GARRETT CLARK

NPI Name Taxonomy Address Enumeration
1780217869 Garrett Clark Behavior Technician 6013 S Redwood Rd, Taylorsville, UT 84123-5220 2020-02-18

Office Location

Street Address 5401 PEACH ST
SUITE 3500
City ERIE
State PA
Zip Code 16509-2601

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558362277 Patrick Francis Leary Family Medicine 5401 Peach St, Suite 3400, Erie, PA 16509-2601 2005-08-03
1043570443 Medical Associates of Erie Inc. Non-Pharmacy Dispensing Site 5401 Peach St, 3rd Floor, Erie, PA 16509-2601 2012-05-21
1962779447 Marguerite Evanoff-jurkovic Neuromusculoskeletal Medicine & OMM 5401 Peach St, Suite 3500, Erie, PA 16509-2601 2011-11-28
1174844310 Christopher Rial Family Medicine 5401 Peach St, Suite 3400, Erie, PA 16509-2601 2010-06-22
1144459728 Jason E Lee Podiatrist 5401 Peach St, Suite 3600, Erie, PA 16509-2601 2009-07-05
1326242785 Jan T Hendryx Neuromusculoskeletal Medicine & OMM 5401 Peach St, Suite 3500, Erie, PA 16509-2601 2007-06-12
1568583326 Blake Anne-elizabeth Hoppe Psychiatry & Neurology 5401 Peach St, Suite 3600, Erie, PA 16509-2601 2007-04-02
1861539504 Yvonne Theresa Hoogland Internal Medicine 5401 Peach St, Suite 3400, Erie, PA 16509-2601 2007-01-31
1285703058 Ruel L Taylor Urology 5401 Peach St, Suite 3600, Erie, PA 16509-2601 2006-11-07
1144399619 Chevelta A Bostick-smith Obstetrics & Gynecology 5401 Peach St, Suite 3100, Erie, PA 16509-2601 2006-11-07
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598243073 Austin Dudenhoefer Physical Therapist 8270 Peach St Ste 400, Erie, PA 16509 2018-08-06
1770092884 Latasha Marie Phillips Social Worker 5100 Peach Street, Erie, PA 16509 2017-09-21
1932621307 Mitchell Meagher Internal Medicine 5515 Peach St., Attn: Medical Education, Erie, PA 16509 2017-07-07
1760903702 Tricia Lee Cubitt Social Worker 4756 Springview Drive, Apartment 310, Erie, PA 16509 2017-06-29
1790191617 Ashley Russell Physical Therapy Assistant 1267 South Hill Road, Erie, PA 16509 2014-07-11
1295084085 Michael David Mccafferty Internal Medicine 5332 Rome Court Drive, 301, Erie, PA 16509 2012-09-07
1427303619 Michelle Mary Dillaene Tobin Social Worker 828 W. Gore Road, Erie, PA 16509 2012-07-13
1962761411 Moshood B Martins Dentist 7040 Peach Street, Erie, PA 16509 2012-05-03
1770854549 Peach Street Dental & Dentures, PC. Dentist 7040 Peach St, Erie, PA 16509 2012-01-25
1881989515 Richard R Sambuchino Dentist 4944 Peach Street, Erie, PA 16509 2011-06-10
Find all providers in zip 16509

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy 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 diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932621307 Mitchell Meagher Internal Medicine 5515 Peach St., Attn: Medical Education, Erie, PA 16509 2017-07-07
1295084085 Michael David Mccafferty Internal Medicine 5332 Rome Court Drive, 301, Erie, PA 16509 2012-09-07
1124323076 Portercare Adventist Health System Internal Medicine 611 Mitchell Way Ste 103, Erie, CO 80516-5443 2011-01-24
1629235361 Regional Health Services, Inc. Internal Medicine 406 Peach Street, Erie, PA 16507-1417 2008-05-20
1851490577 Jose Luis Boggio Internal Medicine 903 Long Point Dr, Erie, PA 16505-5417 2006-09-21
1649372319 Rajesh Govindasamy Internal Medicine 300 State St Ste 207, Erie, PA 16507-1429 2006-09-02
1134232564 Norman E Bussell Internal Medicine 104 East Second Street, 5th Floor Consultants In Infectious Diseases, Erie, PA 16507 2006-08-17
1235152406 Bharathi S Voora I Internal Medicine 2005 W 8th St, Suite 200, Erie, PA 16505-4759 2006-07-26
1649205816 Medical Associates of Erie Internal Medicine 1 Lecom Pl, Erie, PA 16505-2571 2006-07-12
1427081595 Glenwood Internal Medicine, LLP Internal Medicine 213 East 41st St., Erie, PA 16504 2006-07-09
Find all providers in ERIE

Competitor

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City ERIE
Zip Code 16509

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Dataset Information

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.

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