DR. KATELYN ELIZABETH JOHNSON-CLARK (NPI# 1285890939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285890939 |
| Entity Type | Individual |
| Full Name | DR. KATELYN ELIZABETH JOHNSON-CLARK |
| Other Name | DR. KATELYN ELIZABETH CLARK |
| Credential | D.O. |
| Practice Address |
1800 Maple Rd Ste 100 Williamsville NY 14221-2749 |
| Mailing Address |
Po Box 1252 Ellicottville NY 14731-1252 |
| Practice Telephone | 7166365437 |
| Mailing Telephone | 9414417804 |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2020-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 261977 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
1800 MAPLE RD STE 100 |
| City | WILLIAMSVILLE |
| State | NY |
| Zip Code | 14221-2749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447552 | Kuldesh Singh Ubhi | Student in an Organized Health Care Education/Training Program | 850 Hoplins Road, Williamsville, NY 14221 | 2020-11-04 |
| 1992304968 | Nicholas Robinson | Nurse Practitioner | 295 Essjay, Williamsville, NY 14221 | 2020-10-21 |
| 1457961104 | Maria Fagant | Licensed Practical Nurse | 2550 Wehrle Drive Suite 1, Williamsville, NY 14221 | 2020-08-07 |
| 1073136362 | Nicole Marie Mauro | Licensed Practical Nurse | 2550 Wehrle Drive, Williamsville, NY 14221 | 2020-05-21 |
| 1982258422 | Schenk Primary Care Medicine, Pllc | Clinic/Center | 2350 Maple Road Suite 100, Amherst, NY 14221 | 2019-08-01 |
| 1669031365 | Anh Thi Nguyet Phan | Student in an Organized Health Care Education/Training Program | 850 Hopkins Rd., Williamsville, NY 14221 | 2019-06-07 |
| 1801453394 | Buffalo Medical Group, PC | Clinic/Center | 325 Essjay, Williamsville, NY 14221 | 2019-05-21 |
| 1265097265 | Christine Marie Wolniewicz | Dietitian, Registered | 507 Maple Rd., Williamsville, NY 14221 | 2019-05-06 |
| 1750844957 | Myles S Faith | Psychologist | 190 Rollingwood Street, Williamsville, NY 14221 | 2019-04-13 |
| 1902376536 | Shane Michael Stadtmueller | Chiropractor | 5820 Main St. Suite 201, Williamsville, NY 14221 | 2018-11-27 |
| Find all providers in zip 14221 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194034926 | Devaraj Sambalingam | Pediatrics | 10 Spindrift Ct, Apt 7, Williamsville, NY 14221-7851 | 2010-09-28 |
| 1609096155 | Tracie Marie Seaman | Pediatrics | 30 No Union Road, Williamsville, NY 14221 | 2007-04-26 |
| 1811038771 | Marjorie R Pepe | Pediatrics | 8643 Sheridan Dr, Williamsville, NY 14221-6315 | 2007-02-12 |
| 1578520854 | Maple Internal Medicine & Pediatrics, Pllc | Pediatrics | 1835 Maple Rd Ste 1, Williamsville, NY 14221-2780 | 2006-04-28 |
| 1578554127 | Nga T Le | Pediatrics | 25 Hopkins Rd, Williamsville, NY 14221-4641 | 2005-11-02 |
| 1922577568 | Courtney A Stefanik | Pediatrics | 8643 Sheridan Dr, Williamsville, NY 14221-6315 | 2018-11-13 |
| 1013453273 | Medical Health Associates of Western New York Pllc | Pediatrics | 8205 Main Street, Suite 14, Williamsville, NY 14221 | 2017-01-12 |
| 1194102871 | Iris Kaushik | Pediatrics | 25 Hopkins Rd, Williamsville, NY 14221-4695 | 2015-05-01 |
| 1134487473 | Marissa Janel Burg | Pediatrics | 25 Hopkins Rd, Williamsville, NY 14221-4641 | 2012-04-24 |
| 1730465493 | Jamie M Hendrie | Pediatrics | 25 Hopkins Rd, Williamsville, NY 14221-4641 | 2011-10-26 |
| Find all providers in WILLIAMSVILLE | ||||
| City | WILLIAMSVILLE |
| Zip Code | 14221 |
Please comment or provide details below to improve the information on DR. KATELYN ELIZABETH JOHNSON-CLARK.
| 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.