DR. PAUL M CLARK (NPI# 1467454827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467454827 |
| Entity Type | Individual |
| Full Name | DR. PAUL M CLARK |
| Credential | M.D. |
| Practice Address |
2213 Cherry St #303 Acc Toledo OH 43608-2603 |
| Mailing Address |
2213 Cherry St 303 Acc Toledo OH 43608-2603 |
| Practice Telephone | 4192513112 |
| Practice Fax Number | 4192513712 |
| Mailing Telephone | 4192513312 |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2007-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
35.039569 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | PARAMOUNT | 00340 | 01 |
| OH | 0314814 | 05 | |
| MI | 1539188 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235540931 | Paul A Clark | Physical Therapist | 410 Avenue G, Levelland, TX 79336-3719 | 2014-05-15 |
| 1154338945 | Paul K Clark | Chiropractor | 725 E Commercial Ave, Lowell, IN 46356-2303 | 2006-08-02 |
| 1396769154 | Paul Anthony Clark | Dentist | 759 E 200th St, Euclid, OH 44119-2504 | 2006-07-26 |
| 1124594742 | Paul Edward Clark | Social Worker | 100 Emancipation Dr, Hampton, VA 23667-0001 | 2018-10-22 |
| 1619362597 | Paul Ray Clark | Student in an Organized Health Care Education/Training Program | 6431 Fannin St, Msb 4.331, Houston, TX 77030-1501 | 2015-03-30 |
| 1174939102 | Paul Clark | Physical Therapist | 1800 Bluegrass Ave, Louisville, KY 40215-1130 | 2014-07-10 |
| 1619388659 | Paul Richard Clark | Student in an Organized Health Care Education/Training Program | 2500 N State St, Department of Neurosurgery, Jackson, MS 39216-4500 | 2014-05-13 |
| 1083051684 | Paul E Clark | Social Worker | 47 Town St, Norwich, CT 06360-2315 | 2013-05-23 |
| 1306289699 | Paul Allen Clark | Occupational Therapist | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2013-04-17 |
| 1174893945 | Paul G Clark | Social Worker | 4400 University Dr, Fairfax, VA 22030-4422 | 2012-01-10 |
| Street Address |
2213 CHERRY ST #303 ACC |
| City | TOLEDO |
| State | OH |
| Zip Code | 43608-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699778837 | Theodore M Braun | Surgery | 2213 Cherry St, 1st Floor, Toledo, OH 43608-2603 | 2005-05-23 |
| 1902403579 | Christopher Robert Colter | Registered Nurse | 2213 Cherry St, Toledo, OH 43608-2603 | 2020-10-06 |
| 1235736943 | Tessa Shea Palazzolo | Registered Nurse | 2213 Cherry St, Toledo, OH 43608-2603 | 2020-10-06 |
| 1952916363 | Courtney Bea May | Social Worker | 2213 Cherry St, Toledo, OH 43608-2603 | 2020-09-11 |
| 1083234975 | Landon Ryan Bowerbank | Student in an Organized Health Care Education/Training Program | 2213 Cherry St, Toledo, OH 43608-2603 | 2020-04-21 |
| 1255951380 | Sanju Riti Wadhwa | Student in an Organized Health Care Education/Training Program | 2213 Cherry St, Toledo, OH 43608-2603 | 2020-04-18 |
| 1770102360 | Mohinder Kaur Gill | Student in an Organized Health Care Education/Training Program | 2213 Cherry St, Toledo, OH 43608-2603 | 2020-04-13 |
| 1093334773 | Swathi Yarlagadda | Student in an Organized Health Care Education/Training Program | 2213 Cherry St, Toledo, OH 43608-2603 | 2020-04-13 |
| 1558980326 | Jillian Sampair | Student in an Organized Health Care Education/Training Program | 2213 Cherry St, Toledo, OH 43608-2603 | 2020-04-13 |
| 1427677129 | Huda Fatima | Student in an Organized Health Care Education/Training Program | 2213 Cherry St, Toledo, OH 43608-2603 | 2020-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972126167 | Gunbir Singh | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Acc Building, 1st Floor, Mercy St., Toledo, OH 43608 | 2020-05-21 |
| 1285257600 | Srikanth Popuri | Student in an Organized Health Care Education/Training Program | 2213 Cherry St Acc Building 1st Floor, Mercy St Vincent Medical Center, Toledo, OH 43608 | 2020-05-20 |
| 1003438961 | Krishna Chaudhary | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Acc Building, 1st Floor, Mercy St. Vincent Medical Center, Toledo, OH 43608 | 2020-05-14 |
| 1538780440 | Abdul Baqi | Student in an Organized Health Care Education/Training Program | Mercy Health-st. Vincent's Medical Center, 2213 Cherry Street, Toledo, OH 43608 | 2020-05-01 |
| 1538780556 | Abid Nawaz Khan Adil | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street 1st Floor Acc, Mercy Health St Vincent Medical Center, Toledo, OH 43608 | 2020-04-30 |
| 1578184750 | E Chin Mak | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, 1st Floor, Mercy St Vincent Medical Center, Ambulatory Care Center, Toledo, OH 43608 | 2020-04-29 |
| 1184244618 | Ghulam Mujtaba Ghumman | Student in an Organized Health Care Education/Training Program | Mercy Health St Vincent Medical Center, 2213 Cherry St Acc 1st Floor, Topedo, OH 43608 | 2020-04-24 |
| 1841853694 | Casey Clark | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Ambulatory Care Center 1st Floor, Toledo, OH 43608 | 2019-04-17 |
| 1164910899 | Israr Ul Haq | Student in an Organized Health Care Education/Training Program | Mercy St. Vincent Medical Center, 2213 Cherry St., Toledo, OH 43608 | 2018-04-27 |
| 1124516380 | Alexander Payvandi | Student in an Organized Health Care Education/Training Program | 2213 Cherry St Fl, Toledo, OH 43608 | 2018-04-24 |
| Find all providers in zip 43608 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 |
|---|---|---|---|---|
| 1538159983 | Bernardo D Martinez | Surgery | 5122 Heatherdowns Blvd, Suite 105, Toledo, OH 43614-2182 | 2005-10-26 |
| 1831724897 | Kholoud K. Amrou | Surgery | 2222 Cherry St, Mob 2, Ste 1250, Toledo, OH 43608 | 2020-03-10 |
| 1013398676 | Bernardo D. Martinez Md Facs Inc | Surgery | 5122 Heatherdowns Blvd, Ste. 105, Toledo, OH 43614-2182 | 2015-06-09 |
| 1720324098 | Nikolaos Tsekouras | Surgery | 2109 Hughes Dr, Suite 400, Toledo, OH 43606-3856 | 2012-12-14 |
| 1538405808 | Hussein Barayan | Surgery | 2109 Hughes Dr, Suite 400, Toledo, OH 43606-3856 | 2012-12-14 |
| 1275811200 | Ayman Eltayeb Elhag Ahmed | Surgery | 3000 Arlington Ave, Toledo, OH 43614 | 2011-07-25 |
| 1679861975 | Sophia Afridi | Surgery | 2109 Hughes Dr, # 450, Toledo, OH 43606-3856 | 2011-07-20 |
| 1689998551 | Mohamed F Osman | Surgery | 3000 Arlington Ave, Toledo, OH 43614 | 2010-03-22 |
| 1356675656 | Mohammed Junaid Akbani | Surgery | 2222 Cherry St Ste 1250, Toledo, OH 43608-2687 | 2009-09-21 |
| 1598925067 | Babatunde Ayokunle Oriowo | Surgery | 2109 Hughes Dr, # 450, Toledo, OH 43606-3856 | 2008-06-09 |
| Find all providers in TOLEDO | ||||
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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.