National Provider Identifier
Nathan Clark, M.D.
Nathan Clark, M.D. is listed in the NPPES registry with a primary specialty of Anesthesiology Physician in Rochester, NY and a listed phone number of (585) 275-5982.
Profile Overview
- NPI
- 1518985837
- Provider Type
- Individual
- Primary Specialty
- Anesthesiology Physician
- Enumeration Date
- July 17, 2006
- Last Updated
- July 05, 2023
Practice Location
- 601 Elmwood Ave
- Box 604
- Rochester, NY 14642-0001
Phone: (585) 275-5982
Specialties
- Anesthesiology Physician (207L00000X)
Endpoints
- nclark3711@direct.urmc.rochester.edu
Direct Messaging Address | Direct | Other | Rochester, NY 14642
Full Record
- NPI
- 1518985837
- Entity Type
- Individual
- Last Name
- Clark
- First Name
- Nathan
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 601 Elmwood Ave
- Mailing Address Line 2
- Box 604
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 275-5982
- Mailing Fax
- (585) 756-0169
- Practice Street Address
- 601 Elmwood Ave
- Practice Address Line 2
- Box 604
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-5982
- Practice Fax
- (585) 756-0169
- Enumeration Date
- July 17, 2006
- Last Updated
- July 05, 2023
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Anesthesiology Physician (207L00000X)
- Other Identifiers
- 02410286 (NY), G0189393590 (NY, Blue Choice Group#), 00372225 (NY), CC0135 (NY, Railroad Medicare Group#), MDH505 (NY, Preferred Care#), 7829472 (NY, Aetna Provider#), P00013266 (NY, Railroad Medicare Provide), 2222 (NY, Blue Shield Group#), 5397952 (NY, Ghi Provider#), P010228078 (NY, Blue Choice Provider#)