MICHAEL T CLARKE


Address: 5719 Widewaters Pkwy, Syracuse, NY 13214-1880
Phone: 3152513100

MICHAEL T CLARKE (NPI# 1871598805) 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) 1871598805
Entity Type Individual
Full Name MICHAEL T CLARKE
Credential MD
Practice Address 5719 Widewaters Pkwy
Syracuse
NY 13214-1880
Practice Telephone 3152513100
Practice Fax Number 3154499923
Mailing Telephone 3152513100
Mailing Fax Number 3154499923
Enumeration Date 2005-06-16
Last Update Date 2018-04-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207X00000X Orthopaedic Surgery 229062 NY Allopathic & Osteopathic Physicians
Y 207XS0114X Orthopaedic Surgery
Specialization: Adult Reconstructive Orthopaedic Surgery
229062 NY Allopathic & Osteopathic Physicians

Other Providers MICHAEL CLARKE

NPI Name Taxonomy Address Enumeration
1891219267 Michael Alan Clarke Jr. Counselor 2603 Bridgeport Way W Ste D, University Place, WA 98466-4724 2017-07-27
1467901553 Michael Kevin Clarke Counselor 1600 Lena St Ste C16, Santa Fe, NM 87505-4339 2016-09-29
1669838736 Michael Henry Clarke Physical Therapist 17325 Bell North Dr., Suite 2-b, Shertz, TX 78154 2016-01-05
1801134291 Michael Timothy Clarke Chiropractor 6705 W 41st St, Sioux Falls, SD 57106-1290 2013-01-21
1912064569 Michael J Clarke Speech-Language Pathologist 1412 Landon Ave, Winthrop Harbor, IL 60096-1844 2007-01-02
1619065133 Michael Andrew Clarke Dentist 31 E Lanikaula St, Suite B, Hilo, HI 96720-4362 2006-10-10
1316908296 Michael Ellsworth Clarke Oral & Maxillofacial Surgery 24 N Church St, #206, Wailuku, HI 96795 2006-03-30
1609874569 Michael S Clarke Specialist 3150 S National Ave, Springfield, MO 65807-7301 2005-07-13
1659992923 Michael J Clarke Internal Medicine 5841 S Maryland Ave Ste Mc7082, Chicago, IL 60637-1465 2020-04-28
1720632821 Michael William Clarke II Behavior Technician 6400 Tupelo Dr, Citrus Heights, CA 95621-1741 2019-07-26

Office Location

Street Address 5719 WIDEWATERS PKWY
City SYRACUSE
State NY
Zip Code 13214-1880

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700486065 Heather M. Stamour Nurse Practitioner 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 2020-10-27
1962062364 Onondaga Orthopedics LLP Durable Medical Equipment & Medical Supplies 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 2019-06-18
1548711583 Laura Yasuko Goodwell-velez Specialist/Technologist 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 2016-10-14
1811448855 Laurance Goodwin IIi Specialist/Technologist 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 2016-10-14
1326486754 Nicole I. Jones Physician Assistant 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 2013-06-07
1821330176 Anthony M Orio Orthopaedic Surgery 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 2013-03-25
1790036697 Marvin Balmir Physician Assistant 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 2012-10-02
1295093763 Cassandra Riggs Orthopaedic Surgery 5719 Widewaters Pkwy, Syracuse, NY 13214 2012-05-02
1275845760 Melissa A Cullinan Physician Assistant 5719 Widewaters Pkwy, Syracuse, NY 13214-1877 2010-07-13
1225359532 Justin Iorio Orthopaedic Surgery 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 2010-06-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881108983 Nathan Fowler Dentist 3469 Erie Blvd E # 3a, Syracuse, NY 13214 2017-11-28
1841716875 Walgreen Co Durable Medical Equipment & Medical Supplies 3649 Erie Blvd E Ste 215b, Syracuse, NY 13214 2017-08-22
1124568993 Jose Alvarez Dentist 3425 Erie Blvd E Ste 1, De Witt, NY 13214 2017-02-27
1205258365 Margaret Miller Social Worker 4101 E. Genesee St, Syracuse, NY 13214 2014-01-09
1124367669 Marni Marie Millet Counselor 4309 E Genesee St Ste 4, Syracuse, NY 13214 2013-02-04
1477817401 Runa Acharya Internal Medicine 3229 East Genesee St, Syracuse, NY 13214 2012-06-25
1487949913 Angela Patricia Mojica Sanabria Pediatrics 3229 East Genesee St Ste 1, Syracuse, NY 13214 2011-06-13
1346530169 Affinity Rehabilitation LLP Clinic/Center 18 Arbor Lane, Dewitt, NY 13214 2011-04-13
1003105768 David William Hansen Pediatrics 3229 E. Genesee St, Suite 1, Syracuse, NY 13214 2011-04-04
1558676411 Jamesville-dewitt Central School District Local Education Agency (LEA) Edinger Drive, Dewitt, NY 13214 2010-08-16
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Taxonomy Information

Taxonomy Code 207XS0114X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Adult Reconstructive Orthopaedic Surgery

Taxonomy Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1366077760 City Motion Orthopaedics Pllc Orthopaedic Surgery 51 E 25th St Fl 6, New York, NY 10010-8207 2020-03-05
1760967723 William J Lackey Md PC Orthopaedic Surgery 153 W 27th St Ste 1101, New York, NY 10001-6251 2018-09-26
1427438753 Cameron Yau Orthopaedic Surgery 50 E 76th St, Apt 5a, New York, NY 10021-2707 2015-06-02
1790027415 Seth Korbin Orthopaedic Surgery Department of Orthopaedics Hsc T 18, Stony Brook University Medical Ctr, Stony Brook, NY 11794-8181 2013-03-20
1689973091 Jonathan Robert Danoff Orthopaedic Surgery 611 Northern Blvd Ste 200, Great Neck, NY 11021-5208 2011-03-24
1689971434 Dassa Orthopedic Medical Services, P.C. Orthopaedic Surgery 453 State Route 211 E, Middletown, NY 10940 2011-02-14
1215231485 Abhijit Pawar Orthopaedic Surgery 400 E 71st St Apt 11-0, New York, NY 10021-4808 2011-01-03
1386963254 Mcculloch Orthopaedic Surgical Services, Pllc Orthopaedic Surgery 12510 Queens Blvd Ste 9, Kew Gardens, NY 11415 2010-05-18
1194959577 John J. Demarchi M.d., P.C. Orthopaedic Surgery 3673 Southwestern Blvd., Orchard Park, NY 14127-1732 2009-05-13
1811142367 Amrit Goyal Orthopaedic Surgery 130 E 77th Street, Lenox Hill Hospital, New York, NY 10021 2008-11-25
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Competitor

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City SYRACUSE
Zip Code 13214

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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