Dr. Janice Patrece Clark
Foot and Ankle Orthopaedic Surgeon Foot & Ankle Surgery and 1 more
1660 S Columbian Way
Seattle
, Washington 98108-1532
Dr. Janice Patrece Clark
Foot and Ankle Orthopaedic Surgeon Foot & Ankle Surgery and 1 more
1660 S Columbian Way
Seattle
, Washington 98108-1532
(505) 782-7330
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About
Features
Specialties
- Foot and Ankle Orthopaedic Surgeon
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Dr. Janice Patrece Clark
- Po Box 467
- Zuni, NM
- Zip : 87327-0467
- Fax : (505) 782-7330
- Phone : (210) 842-6826
Second Address
- Dr. Janice Patrece Clark
- 1660 S Columbian Way
- Seattle, WA
- Zip : 98108-1532
- Phone : (206) 716-5651
Reviews
FAQs
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What type of doctor is Dr. Janice Patrece Clark
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Is Dr. Janice Patrece Clark a sole practitioner?
Is Dr. Janice Patrece Clark accepting new patients?
What languages does Dr. Janice Patrece Clark speak?
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Does Dr. Janice Patrece Clark have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | POD001114 | GA |
| N | 213ES0103X | Foot & Ankle Surgery | 0689 | AZ |
| N | 213ES0103X | Foot & Ankle Surgery | CL011 | NM |
| Y | 213ES0103X | Foot & Ankle Surgery | POD001114 | GA |
| N | 213ES0103X | Foot & Ankle Surgery | R57676 | NY |
National Provider Identifier
| NPI | 1811168339 |
|---|---|
| Provider Name | Dr. Janice Patrece Clark |
| First Address | Zuni, NM 87327-0467 |
| Second Address | Seattle, WA 98108-1532 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/03/2008 |
| Last Update Date | 17/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1289105 | AMERIGROUP (01) | GA |
| 2009-07-20 | CIGNA (01) | GA |
| 2009-08-01 | UNITED HEALTHCARE (01) | GA |
| 2009-10-01 | PSHP (01) | GA |
| 20091544 | SELECT HEALTH (01) | GA |
| 294861171A | (05) | GA |
| 519981 | WELLCARE (01) | GA |
| 52246038-001 | BCBSGA (01) | GA |
| GPD114 | (05) | SC |
| PAR | AETNA (01) | GA |
| PAR-2009-07-20 | GREAT WEST (01) | GA |
| PAR-2009-08-28 | TRICARE (01) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.