Dr. Janice Patrece Clark is a Seattle, Washington based female orthopedic surgeon who is specialized in Foot and Ankle Surgery. Active license number of Dr. Janice Patrece Clark is POD001114 for Podiatrist in Georgia.
Dr. Janice Patrece Clark deals with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
Complete Profile:
Dr. Janice Patrece Clark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Orthopedic - Foot and Ankle Surgery
Credentials:
DPM
Gender:
Female
Practice Address:
1660 S Columbian Way, Seattle, Washington, 98108-1532
Phone:
206-716-5651
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1811168339
NPI Enumeration Date:
13 Mar, 2008
NPI Last Update On:
21 Jul, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Janice Patrece Clark are as mentioned below.
License Number
Specialization
State
Status
POD001114
Podiatrist Foot & Ankle Surgery
Georgia
Primary
POD001114
Foot and Ankle Surgery
Georgia
Secondary
CL011
Podiatrist Foot & Ankle Surgery
New Mexico
Secondary
0689
Podiatrist Foot & Ankle Surgery
Arizona
Secondary
R57676
Podiatrist Foot & Ankle Surgery
New York
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Janice Patrece Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
519981
Other
Georgia
WELLCARE
52246038-001
Other
Georgia
BCBSGA
PAR
Other
Georgia
AETNA
PAR-2009-07-20
Other
Georgia
GREAT WEST
GPD114
Medicaid
South Carolina
2009-07-20
Other
Georgia
CIGNA
294861171A
Medicaid
Georgia
1289105
Other
Georgia
AMERIGROUP
2009-10-01
Other
Georgia
PSHP
20091544
Other
Georgia
SELECT HEALTH
PAR-2009-08-28
Other
Georgia
TRICARE
2009-08-01
Other
Georgia
UNITED HEALTHCARE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 467, Zuni, New Mexico
Zip:
87327-0467
Phone Number:
210-842-6826
Fax Number:
505-782-7330
Patients can reach Dr. Janice Patrece Clark at 1660 S Columbian Way, Seattle, Washington or can call to book an appointment on 206-716-5651. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
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