DR. JANICE PATRECE CLARK


Address: 1660 S Columbian Way, Seattle, WA 98108-1532
Phone: 2067165651

DR. JANICE PATRECE CLARK (NPI# 1811168339) 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) 1811168339
Entity Type Individual
Full Name DR. JANICE PATRECE CLARK
Credential DPM
Practice Address 1660 S Columbian Way
Seattle
WA 98108-1532
Mailing Address Po Box 467
Zuni
NM 87327-0467
Practice Telephone 2067165651
Mailing Telephone (210) 842-6826
Mailing Fax Number 5057827330
Enumeration Date 2008-03-13
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207XX0004X Orthopaedic Surgery
Specialization: Foot and Ankle Surgery
POD001114 GA Allopathic & Osteopathic Physicians
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
POD001114 GA Podiatric Medicine & Surgery Service Providers
N 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
CL011 NM Podiatric Medicine & Surgery Service Providers
N 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
0689 AZ Podiatric Medicine & Surgery Service Providers
N 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
R57676 NY Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA SELECT HEALTH 20091544 01
GA WELLCARE 519981 01
GA AMERIGROUP 1289105 01
GA PSHP 2009-10-01 01
GA 294861171A 05
GA BCBSGA 52246038-001 01
SC GPD114 05
GA AETNA PAR 01
GA GREAT WEST PAR-2009-07-20 01
GA CIGNA 2009-07-20 01
GA UNITED HEALTHCARE 2009-08-01 01
GA TRICARE PAR-2009-08-28 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
201 N 21 B Avenue, Zuni, NM 87327 5057822255

Other Providers JANICE CLARK

NPI Name Taxonomy Address Enumeration
1275195547 Janice L Clark Specialist/Technologist 9713 Carson Ranch Rd, Crowley, TX 76036-9717 2019-07-08
1548597727 Janice Laurel Clark Counselor 2208 Bromfield Cir, Wichita, KS 67226-1105 2009-11-10
1942808209 Janice M Clark Technician 111 Virginia Ave, Petersburg, WV 26847-1713 2020-10-09
1346893534 Janice Clark Counselor 770 Woodlane Rd, Westampton, NJ 08060-3804 2019-07-17
1851707376 Janice Clark Social Worker 800 N 1st St, San Jose, CA 95112-6312 2014-07-03
1306141924 Janice Clark Counselor 325 Clifty St, Somerset, KY 42501-1666 2011-01-12
1639322233 Janice D Clark Dentist 2041 Silas Creek Pkwy, Winston Salem, NC 27103-5147 2008-10-28
1720131493 Janice M Clark Social Worker 5955 Zeamer Avenue, 673d Mdg, Jber, AK 99506 2007-01-18
1346329976 Janice Clark Nurse Practitioner 507 S 4th St, Clinton, IA 52732-4532 2006-11-03

Office Location

Street Address 1660 S COLUMBIAN WAY
City SEATTLE
State WA
Zip Code 98108-1532

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194729608 Charles H Beymer Internal Medicine 1660 S Columbian Way, S-111-gastro Va Puget Sound Hcs, Seattle, WA 98108-1532 2005-06-13
1285235309 Peter B Min Counselor 1660 S Columbian Way, Seattle, WA 98108-1532 2020-11-04
1548860299 Justin William Almeida Counselor 1660 S Columbian Way, Seattle, WA 98108-1532 2020-10-30
1528667516 Nicole Leacock Registered Nurse 1660 S Columbian Way, Seattle, WA 98108-1532 2020-10-20
1114525664 Melissa Anne Janke Social Worker 1660 S Columbian Way, Seattle, WA 98108-1532 2020-10-15
1154928109 Erin Schober Social Worker 1660 S Columbian Way, Seattle, WA 98108-1532 2020-10-02
1144835562 Nora Dinverno Social Worker 1660 S Columbian Way, Seattle, WA 98108-1532 2020-09-11
1114539228 Jessica Greenbaum Social Worker 1660 S Columbian Way, Seattle, WA 98108-1532 2020-08-19
1982216420 Clayton Daniel Kinney Social Worker 1660 S Columbian Way, Seattle, WA 98108-1532 2020-08-17
1871103713 Tara A Crouch Psychologist 1660 S Columbian Way, Seattle, WA 98108-1532 2020-08-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205468899 Connie Heath Counselor 13044 14th Ave S, Seattle, WA 98108 2020-02-11
1316501216 Hawa Ramazani Hamadi Massage Therapist 8811 2nd Ave S, Seattle, WA 98108 2019-04-25
1306312111 Noor Ahmad Daftani Counselor 4008 Mlk Jr. Way, Seattle, WA 98108 2018-10-18
1346726015 Erica M Meurk Counselor 3016 S Dakota St, Seattle, WA 98108 2018-07-16
1023527892 Holly Lynn Wickizer Social Worker 6160 S. Columbian Way, Seattle, WA 98108 2017-09-25
1053708628 Flora Feifei Li Student in an Organized Health Care Education/Training Program 6200 13th Avenue South, Seattle, WA 98108 2015-04-22
1174869481 Cheryll J Frazier Counselor 1600 S. Columbia Way S-116-wtrc, Seattle, WA 98108 2012-12-14
1831440973 Blissa Tanaka Pharmacist 1660 S. Columbian Way (s-119), Seattle, WA 98108 2012-09-28
1023367968 Victoria Bozzacco Registered Nurse 4515 Martin Luther King Way S, Seattle, WA 98108 2012-09-06
1992053847 Russell Larder Registered Nurse 4515 Martin Luther King Jr Way, Seattle, WA 98108 2012-08-27
Find all providers in zip 98108

Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821546540 Ata Podiatric and Integrative Medicine, Pllc Podiatrist 1950 Alaskan Way, Apt 526, Seattle, WA 98101-1075 2016-09-12
1215322532 Midori Higashi Podiatrist 515 Minor Ave Ste 200, Seattle, WA 98104 2015-04-02
1962838987 Nida Khan Nawaz Podiatrist 1660 S Columbian Way # 112-pod, Seattle, WA 98108-1532 2013-09-23
1326301870 Ian Burtenshaw Podiatrist 747 Broadway, Suite Ww-739, Swedish Medical Center General Surgery Residency Progra, Seattle, WA 98122-4307 2012-06-20
1811055890 Allan Khanh Doan Podiatrist 5200 Rainier Ave S, Seattle, WA 98118-6104 2006-12-04
1609958586 Joseph Wyham Ng Podiatrist 611 12th Ave S Ste 200, Seattle, WA 98144-1911 2006-10-19
1437196334 Edward G Blahous Jr. Podiatrist 1551 Nw 54th St, Seattle, WA 98107-3845 2006-05-31
1285634519 Daniel Adam Lowinger Podiatrist 1764 Nw 56th St, Seattle, WA 98107-5218 2005-07-28
1154324812 Gregory A. Grant Podiatrist 1101 Madison St, Suite 301, Seattle, WA 98104-1306 2005-05-24
1073169413 Amreet Kaur Podiatrist 1660 S Columbian Way, Seattle, WA 98108-1532 2019-08-12
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Competitor

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City SEATTLE
Zip Code 98108

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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