DR. JASON M CLARK


Address: 1234 Se Magnolia Ext, Unit 1, Ocala, FL 34471-4341
Phone: 3524011218

DR. JASON M CLARK (NPI# 1649421132) 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) 1649421132
Entity Type Individual
Full Name DR. JASON M CLARK
Credential MD
Practice Address 1234 Se Magnolia Ext
Unit 1
Ocala
FL 34471-4341
Practice Telephone 3524011218
Practice Fax Number 3524011017
Mailing Telephone 3524011218
Mailing Fax Number 3524011017
Enumeration Date 2008-10-02
Last Update Date 2014-09-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208600000X Surgery ME111874 FL Allopathic & Osteopathic Physicians
Y 2086S0102X Surgery
Specialization: Surgical Critical Care
ME111874 FL Allopathic & Osteopathic Physicians
N 2086S0105X Surgery
Specialization: Surgery of the Hand
ME111874 FL Allopathic & Osteopathic Physicians
N 2086S0127X Surgery
Specialization: Trauma Surgery
ME111874 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 007273600 05

Other Providers JASON CLARK

NPI Name Taxonomy Address Enumeration
1033727425 Jason Clark Counselor 2451 N Lincoln Ave Side 2, Chicago, IL 60614-4170 2020-07-21
1548695489 Jason S. Clark Veterinarian 11800 Capital Way, Louisville, KY 40299-6332 2013-09-11
1346201431 Jason Drew Clark Dentist 7810 Providence Rd, Suite 100, Charlotte, NC 28226-2987 2006-03-29
1306197348 Jason Clark Nurse Anesthetist, Certified Registered 620 Skyline Drive, Jackson, TN 38301 2012-10-01
1568711513 Jason E Clark Case Management 4615 Philips Highway, Jacksonville, FL 32207-7265 2012-09-06
1699024695 Jason M Clark Optometrist 101 Conley Rd, Columbia, MO 65201-6465 2012-09-05
1457632705 Jason Clark Physical Therapy Assistant 1001 Giesau Dr, Ontonagon, MI 49953-1454 2011-08-31
1184912883 Jason Clark Pharmacist 3021 Reidville Rd, Spartanburg, SC 29301-5643 2011-07-14
1508150301 Jason Clark Occupational Therapist 140 Technology Ln, Johnson City, TN 37604-2004 2011-06-09
1902101959 Jason Andrew Clark Nurse Anesthetist, Certified Registered 1970 Roanoke Blvd, Salem, VA 24153-6404 2011-01-24

Office Location

Street Address 1234 SE MAGNOLIA EXT
UNIT 1
City OCALA
State FL
Zip Code 34471-4341

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851362925 Raul A. Rodas Neurological Surgery 1234 Se Magnolia Ext, Unit 1, Ocala, FL 34471-3778 2006-01-27
1639413552 Brittany Thompson Physician Assistant 1234 Se Magnolia Ext, Unit 1, Ocala, FL 34471-3778 2012-11-15
1831450584 Nichole R Williamson Physician Assistant 1234 Se Magnolia Ext, Unit 1, Ocala, FL 34471-3778 2012-05-30
1740554500 Elizabeth Irene Bajgier Physician Assistant 1234 Se Magnolia Ext, Unit 1, Ocala, FL 34471-3778 2012-02-26
1538466040 Carrie Dawn Watson Surgery 1234 Se Magnolia Ext, Ocala, FL 34471-3778 2011-02-17
1346553203 Caroli Genis Harkness Physician Assistant 1234 Se Magnolia Ext, Unit 1, Ocala, FL 34471-3778 2010-07-21
1013150564 Dana M. Houston Nurse Practitioner 1234 Se Magnolia Ext, Unit 1, Ocala, FL 34471-3778 2009-04-14
1952568602 Joshua Dennis Hagan Surgery 1234 Se Magnolia Ext, Unit 1, Ocala, FL 34471-3778 2008-05-20
1770689226 Paul Warren Mills Physician Assistant 1234 Se Magnolia Ext, Unit 1, Ocala, FL 34471-3778 2006-09-15
1992727465 David Michael Companion Nurse Practitioner 1234 Se Magnolia Ext, Unit 1, Ocala, FL 34471-3778 2006-07-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790385383 Samer Faragalla Pharmacist 2600 Sw 19th Ave Rd, Ocala, FL 34471 2020-10-31
1336789684 Anthony Smith Behavior Technician 2102 Sw 20th Place Ste 302, Ocala, FL 34471 2020-01-14
1871136788 Toni Trask Counselor 300 Se Sanchez Ave, Ocala, FL 34471 2019-10-23
1538701354 Sdx Home Care Operations, LLC In Home Supportive Care 1315 Se 25th Loop #102, Ocala, FL 34471 2019-10-14
1730666355 Next Pt Group Florida, LLC Occupational Therapist 1661 Se 31st St Unit 3, Ocala, FL 34471 2018-07-26
1902397680 Aidan Thurian Charles Student in an Organized Health Care Education/Training Program 1431 Sw First Avenue, Ocalu, FL 34471 2018-05-29
1871084426 Infectious Diseases Specialty Associates Pllc Internal Medicine 150 Se 17th St Ste 801, Ocala, FL 34471 2018-05-18
1528560950 Guillot Enterprises, LLC Hearing Instrument Specialist 2400 Sw College Rd., Suite 202, Ocala, FL 34471 2018-03-01
1518469071 Jordan Griffis Nurse Practitioner 1630 Se 18th Street Building 600 Suite 602, Ocala, FL 34471 2018-03-01
1780192112 Pmc Knee Pain & Restoration LLC Preventive Medicine 200 Sw 8th St Ste A, Ocala, FL 34471 2018-01-19
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Taxonomy Information

Taxonomy Code 2086S0102X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Surgical Critical Care

Taxonomy Definition

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124061346 Dana A. Taylor Surgery 1234 Se Magnolia Ext Unit 1, Ocala, FL 34471-3778 2006-06-14
1902429475 Giovanni Jose Flumeri-perez Surgery 1431 Sw 1st Ave Bldg Suite7, Ocala, FL 34471-6500 2020-05-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1437579489 Brandon Masi Parker Surgery 1611 Nw 12th Ave # 215, Miami, FL 33136-1005 2014-04-17
1508203100 Kathleen Relihan Surgery 77 W Underwood St Ste 200, Orlando, FL 32806-1122 2013-05-23
1992998934 Vivek Vijay Tirmal Surgery 607 Ne 11th Ave, Fort Lauderdale, FL 33304-4695 2007-08-23
1467657890 Khaled Basiouny Surgery 603 7th St S Ste 500, St Petersburg, FL 33701-4734 2007-06-16
1417028614 Derek Powell Brock Surgery 836 Lakeside Dr, North Palm Beach, FL 33408-3810 2006-11-11
1548278856 Patrick Gonzalez Jr. Surgery 12651 N Dale Mabry Hwy, #272204, Tampa, FL 33688-9001 2006-08-03
1730163643 Joseph Mcginn Surgery 8950 N Kendall Dr Ste 607w, Miami, FL 33176-2139 2005-12-05
1194384297 Jorge A. Vega Jr., M.d., Pllc Surgery 3375 Burns Rd Ste 206, Palm Beach Gardens, FL 33410-4361 2019-06-12
1831648492 Mario Rueda Md Pllc Surgery 3375 Burns Rd, Palm Beach Gardens, FL 33410-4349 2016-09-23
1457779803 Jens Baggesen Flock Iv Surgery 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 2014-04-02
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City OCALA
Zip Code 34471

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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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