Andrew Burnham Clark is a Maumee, Ohio based male podiatrist with 30 years of experience in Podiatry. He completed his graduation in 1994. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Andrew Burnham Clark for Podiatry is 36.002902 in Ohio. Andrew Burnham Clark is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Andrew Burnham 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:
Podiatrist
Credentials:
DPM
Experience:
30+ years
Medical School Attended:
Other
Graduation Year:
1994
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
609 Ford St, Maumee, Ohio, 43537-1947
Phone:
419-893-5539
Fax:
419-893-6853
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.
PAC ID:
2062488448
Enrollment ID:
I20100730000020
NPI Number:
1679572796
NPI Enumeration Date:
20 Jul, 2005
NPI Last Update On:
12 Feb, 2010
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Andrew Burnham Clark are as mentioned below.
License Number
Specialization
State
Status
36.002902
Podiatry
Ohio
Primary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Andrew Burnham Clark is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Podiatric Associates Of Northwest Ohio, Inc. (5496720906)
6
Other Medical Identifiers:
Other legacy medical identifiers associated with Andrew Burnham Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0321182
Medicaid
Ohio
000000135414
Other
ANTHEM
02222
Other
Ohio
PARAMOUNT
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
609 Ford St, Maumee, Ohio
Zip:
43537-1947
Phone Number:
419-893-5539
Fax Number:
419-893-6853
Patients can reach Andrew Burnham Clark at 609 Ford St, Maumee, Ohio or can call to book an appointment on 419-893-5539. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.