DR. MITCHELL BRENT CLARK


Address: 333 Cedar St., Yale Medical School, New Haven, CT 06510
Phone: 2038330281

DR. MITCHELL BRENT CLARK (NPI# 1669817854) 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) 1669817854
Entity Type Individual
Full Name DR. MITCHELL BRENT CLARK
Credential MD
Practice Address 333 Cedar St.
Yale Medical School
New Haven
CT 06510
Practice Telephone 2038330281
Enumeration Date 2013-05-02
Last Update Date 2020-04-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207VX0201X Obstetrics & Gynecology
Specialization: Gynecologic Oncology
65152 CT Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
267 Grant St., Bridgeport, CT 06610 2033843990

Other Providers MITCHELL CLARK

NPI Name Taxonomy Address Enumeration
1578798278 Mitchell Brady Clark Counselor 6160 Mission Gorge Rd Ste 120, San Diego, CA 92120-3425 2009-05-26
1205307204 Mitchell Clark Counselor 890 Hayes St, San Francisco, CA 94117-2615 2018-12-17

Office Location

Street Address 333 CEDAR ST.
YALE MEDICAL SCHOOL
City NEW HAVEN
State CT
Zip Code 06510

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588729750 Jeffrey Moore Testani Internal Medicine 333 Cedar St., New Haven, CT 06520-8017 2006-12-27
1962848457 Bethann Mohamed Emergency Medicine 333 Cedar St., Yale Medical School, New Haven, CT 06510-3220 2013-05-11
1740500479 Bishwajit Bhattacharya Surgery 333 Cedar St., Yale Medical School, New Haven, CT 06510 2010-06-04
1861649766 Michael E Chen Internal Medicine 333 Cedar St., New Haven, CT 06520-8017 2008-08-21
1346432820 Eugene Kevin Hall Pediatrics 333 Cedar St., Pediatric Cardiology, #208064, New Haven, CT 06510 2007-08-17
1104955699 Tariq Ahmad Internal Medicine 333 Cedar St., New Haven, CT 06520-8017 2007-03-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336757319 Matthew Peter O'connell Pharmacist 55 Park Street, Lower Level, Department of Pharmacy, New Haven, CT 06510 2020-07-16
1477171460 Huy Henry Le Pharmacist 20 York Street, Ps-ll, New Haven, CT 06510 2020-07-07
1144855263 Daniel Jacobs Student in an Organized Health Care Education/Training Program 367 Cedar Street, Bldg. D, Student Affairs Office, New Haven, CT 06510 2020-03-09
1346898467 Cem Cengiz Internal Medicine Tobb Etu Hastanesi, Yasam Cad. No.5 Sogutozu, Ankara, TURKEY 06510 2019-09-02
1295292290 Emily Elizabeth Samuel Counselor 40 Temple Street, Ste 7c, Yale Child Outpatient Clinic, New Haven, CT 06510 2019-02-26
1639652779 Laura Goldblum Social Worker 1450 Chapel Childrens Hospital, 1450 Chapel Street, New Haven, CT 06510 2018-09-14
1477049138 Joseph Lawrence Earles Otolaryngology Yale Physicians Building, 800 Howard Ave., 4th Floor, New Haven, CT 06510 2018-07-06
1508356759 Rebecca Anne Beagan Student in an Organized Health Care Education/Training Program 20 York Street- Pediatrics, New Haven, CT 06510 2018-05-14
1104316405 Emma Sophie Taylor-salmon Student in an Organized Health Care Education/Training Program 20 York Street - Pediatrics, New Haven, CT 06510 2018-05-14
1376033563 Wael S Ibrahim Student in an Organized Health Care Education/Training Program 20 York Street, Ynnh - Tompkins 226, New Haven, CT 06510 2018-05-14
Find all providers in zip 06510

Taxonomy Information

Taxonomy Code 207VX0201X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Gynecologic Oncology

Taxonomy Definition

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497835961 Gloria S Huang Obstetrics & Gynecology Smilow Cancer Center Hospital At Yale New Haven, 20 York Street, New Haven, CT 06510-3220 2006-10-17
1407114630 Gary Altwerger Obstetrics & Gynecology 333 Cedar Street, Fmb 328, New Haven, CT 06510-3220 2012-04-25
1386632206 Masoud Azodi Obstetrics & Gynecology 800 Howard Ave, Yale Physicians Building, New Haven, CT 06519-1369 2005-10-13
1033107107 Peter E Schwartz Obstetrics & Gynecology 800 Howard Ave, Yale Physicians' Building, 3rd Floor, New Haven, CT 06519-1369 2005-10-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1619594496 Terri Passante Obstetrics & Gynecology 99 Colonial Hill Dr, Wallingford, CT 06492-3470 2020-06-29
1023305455 Middlesex Hosp Dba Thoracic Surg/obgyn Onocology Obstetrics & Gynecology 540 Saybrook Rd Ste 180, Middletown, CT 06457-4759 2011-07-06
1235425521 Marguerite Palisoul Obstetrics & Gynecology 85 Seymour St Ste 705, Hartford Hospital Gynecology Oncology, Hartford, CT 06106-5501 2011-06-24
1962509653 Karen J. Nishida Obstetrics & Gynecology 1290 Summer St Ste 5200, Stamford, CT 06905-5339 2006-09-17
1376540906 John Dale Nash Obstetrics & Gynecology University of Connecticut Health Ctr, 263 Farmington Avenue - Mc1614, Farmington, CT 06030-0001 2005-06-28
1316354079 Gynecologic Cancer Care, LLC Obstetrics & Gynecology 65 High Ridge Rd, #653, Stamford, CT 06905-3800 2014-07-15
1023368370 Jennifer Rose Jorgensen Obstetrics & Gynecology 263 Farmington Avenue, Farmington, CT 06030 2012-09-13
1508129081 Erin Greenberg Hartnett Obstetrics & Gynecology 114 Woodland St, Hartford, CT 06105-1208 2012-06-20
1518175173 Melissa Susan Henretta Obstetrics & Gynecology 114 Woodland St, Hartford, CT 06105-1208 2007-05-18
1518900133 Amy K. Brown Obstetrics & Gynecology 80 Seymour St, Hartford Hospital Gynoncology Dept, Hartford, CT 06102 2006-06-13
Find all providers with the same taxonomy

Competitor

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City NEW HAVEN
Zip Code 06510

Improve Information

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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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