Dr. Nicholas Clark M.D.
Orthopaedic Surgery of the Spine Physician in Naples, FL(View on Map)
Full Name
Dr. Nicholas Clark M.D.
NPI Number
1407235724
NPI Type
Individual Provider
Gender
Male
Enumeration Date
05/19/2015
Specialties
(Taxonomies)Code
207XS0117X
207X00000X
Primary Taxonomy
Yes
No
Licenses
State
Florida
Minnesota
Washington
License Number
ME166354
60704
MD61156092
Contact
Information
Purpose
Mailing
Location
Address
1285 CREEKSIDE BLVD E UNIT 102
1285 CREEKSIDE BLVD E UNIT 102
City
Naples
Naples
State
FL
FL
Postal Code
34109-0595
34109-0595
Country
US
US
Telephone Number
(239) 624-1700
(239) 624-4200
Identifiers
Identifier
121214100
O7SZB
Identifier State
FL
FL
Identifier Issuer
Unknown
BCBS
Health Information Exchange
Endpoint Type
FHIR
DIRECT
FHIR
Endpoint
https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/
nclark132899@direct.HSS.edu
https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2
Endpoint Description
Unknown
Unknown
Unknown
Use
Direct
Direct
Direct
Content Type
Other
Other Description:CCDA
Other
Other Description:CCDA
Other
Other Description:CCDA
Affiliation
N
N
N
Endpoint Location
535 E 70th StNew York, NY100214823US
535 E 70th StNew York, NY100214823US
535 E 70th StNew York, NY100214823US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/05/2024