BARRY A CLARK (NPI# 1336249341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336249341 |
| Entity Type | Individual |
| Full Name | BARRY A CLARK |
| Credential | MD |
| Practice Address |
1b Main St Wellsboro PA 16901-1601 |
| Practice Telephone | 5707247100 |
| Practice Fax Number | 5707241501 |
| Mailing Telephone | 5707247100 |
| Mailing Fax Number | 5707241501 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2012-02-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD029130E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0009089200001 | 05 | |
| GHI | 2603062 | 01 | |
| UPHC | 304219 | 01 | |
| PA | CLEA | 39D0980728 | 01 |
| PERSONAL CHOICE | 0065299000 | 01 | |
| GHP | 13037 | 01 | |
| HEALTH ASSURANCE | CX28 | 01 | |
| FIRST PRIORITY | 002502 | 01 | |
| PA | BLUE SHIELD | 070598 | 01 |
| AETNA | 4623938 | 01 | |
| HEALTH CARE ADVANTAGE | 794397 | 01 | |
| NY | 01032526 | 05 | |
| PA | ACCESS CARE II | 0606293 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750330288 | Barry Paul Clark | Family Medicine | 1512 13th St Nw, Washington, DC 20005-3763 | 2006-05-10 |
| 1891795985 | Barry Lee Clark | Orthopaedic Surgery | 700 Medical Park Dr, Hartsville, SC 29550-4765 | 2005-07-29 |
| 1295241586 | Barry Scott Clark | Case Manager/Care Coordinator | 307 Main St, Rocky, OK 73661-9000 | 2017-12-21 |
| 1972840999 | Barry James Clark | Counselor | 55 W 125th St Fl 10, New York, NY 10027-4516 | 2013-01-10 |
| 1962413070 | Barry Kent Clark Jr. | Counselor | 100 W 7th St, Okmulgee, OK 74447-5007 | 2006-08-11 |
| Street Address |
1B MAIN ST |
| City | WELLSBORO |
| State | PA |
| Zip Code | 16901-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871693879 | Ann R Vayansky | Nurse Practitioner | 1b Main St, Wellsboro, PA 16901-1601 | 2006-09-22 |
| 1801453980 | North Penn Comprehensive Health Services | Pediatrics | 1b Main St, Wellsboro, PA 16901-1601 | 2019-05-23 |
| 1538314976 | Edith A Condict | Nurse Practitioner | 1b Main St, Wellsboro, PA 16901-1601 | 2008-11-26 |
| 1407034077 | Kathryn S Abadi | Physician Assistant | 1b Main St, Wellsboro, PA 16901-1601 | 2008-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053964940 | Alyssa Lapp | Occupational Therapist | 32 Central Avenue, Wellsboro, PA 16901 | 2019-07-19 |
| 1437701190 | Kari Donnele Root | Occupational Therapist | 36 Central Avenue, Wellsboro, PA 16901 | 2019-07-12 |
| 1205377835 | Brett Long | Physical Therapy Assistant | 37 Central Avenue, Wellsboro, PA 16901 | 2017-03-15 |
| 1487072526 | Mary Caitlin Jones | Physical Therapist | 100 Plaza Ln, Wellsboro, PA 16901 | 2014-04-05 |
| 1144650607 | Amy Chalot | Occupational Therapy Assistant | 1883 Shumway Hill Road, Broad Acres Health and Rehabilitation Center, Wellsboro, PA 16901 | 2013-11-20 |
| 1780844209 | Upmc Wellsboro | Pathology | 32 36 Central Avenue, Pathology, Wellsboro, PA 16901 | 2008-06-10 |
| 1639369606 | Well Adjusted Chiropractic Center PC | Chiropractor | 82 East Avenue, Wellsboro, PA 16901 | 2007-07-26 |
| 1538362991 | John W Eaton | Dentist | 23 Water Street, Wellsboro, PA 16901 | 2007-06-06 |
| 1437210242 | James Michael Stewart | Technician/Technologist | 16 Pearl St, Wellsboro, PA 16901 | 2006-12-13 |
| 1508879560 | Edward Jeffrey Candela | Dentist | 16 Water St, Wellsboro, PA 16901 | 2006-08-14 |
| Find all providers in zip 16901 | ||||
| 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 |
|---|---|---|---|---|
| 1437210325 | Wellsboro Pediatric Health Care Associates | Pediatrics | 1b Main Street, Wellsboro, PA 16901-1601 | 2006-12-13 |
| 1801453980 | North Penn Comprehensive Health Services | Pediatrics | 1b Main St, Wellsboro, PA 16901-1601 | 2019-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093321622 | St Luke's Physician Group Inc | Pediatrics | 514 Delaware Ave, Fountain Hill, PA 18015-1104 | 2020-09-18 |
| 1972138204 | Margarita Bello | Pediatrics | 448 Walton Ave Unit 217, Hummelstown, PA 17036-4010 | 2020-03-06 |
| 1548809494 | Childen's Community Care | Pediatrics | 1811 Boulevard of The Allies Ste 200, Pittsburgh, PA 15219-5964 | 2019-12-24 |
| 1164069241 | Ayala Laufer-cahana | Pediatrics | 647 Montgomery School Ln, Wynnewood, PA 19096-1013 | 2019-12-08 |
| 1023652708 | Pediatric Care Group, P.C. | Pediatrics | 890 2nd Street Pike Ste 904, Richboro, PA 18954-1021 | 2019-11-05 |
| 1861036279 | Stc Pediatrics LLC | Pediatrics | 300 E Hunting Park Ave, Philadelphia, PA 19124-6018 | 2019-10-30 |
| 1679115760 | Rural Health Corporation of Northeastern Pennsylvania | Pediatrics | 1730 E Broad St Ste 2, Hazleton, PA 18201-5657 | 2019-10-10 |
| 1003462797 | Lucyndia Rose Marino | Pediatrics | 130 Classic Ln, New Castle, PA 16105-5304 | 2019-08-18 |
| 1861048803 | Geisinger Clinic | Pediatrics | 55 Medical Drive, Lewisburg, PA 17837-6343 | 2019-08-15 |
| 1447818729 | Elizabeth Edmondston Tarr | Pediatrics | 3401 Civic Center Blvd Fl 9nw55, Philadelphia, PA 19104-4319 | 2019-06-03 |
| Find all providers with the same taxonomy | ||||
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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.