Daniel James Clark, MD, PHD | |
3333 Burnet Ave Ml 1106, Cincinnati, OH 45229 | |
(531) 636-4991 | |
(513) 636-3980 |
Full Name | Daniel James Clark |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Neurology |
Location | 3333 Burnet Ave Ml 1106, Cincinnati, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417489618 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 35.146156 (Ohio) | Primary |
Entity Name | Children's Hospital Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609915784 PECOS PAC ID: 8426955733 Enrollment ID: O20031216000035 |
Mailing Address | Practice Location Address |
---|---|
Daniel James Clark, MD, PHD 3333 Burnet Ave Ml 11006, Cincinnati, OH 45229 Ph: (513) 636-4991 | Daniel James Clark, MD, PHD 3333 Burnet Ave Ml 1106, Cincinnati, OH 45229 Ph: (531) 636-4991 |
Ethan J Musgrave, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3333 Burnet Ave, Ml 3014, Cincinnati, OH 45229 Phone: 513-636-4788 Fax: 513-636-4283 | |
Dr. Tracey Goodman Skale, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2621 Victory Pkwy, Cincinnati, OH 45206 Phone: 513-861-6688 Fax: 513-559-3848 | |
Dr. Walter G Broadnax, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 5505 Fair Ln, Cincinnati, OH 45227 Phone: 513-421-7246 Fax: 513-421-7796 | |
Aurora J Bennett, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 260 Stetson St, Cincinnati, OH 45219 Phone: 513-558-7700 Fax: 513-558-0877 | |
Hilja Rebecca Ruegg, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 234 Goodman St, Psychiatry, Cincinnati, OH 45219 Phone: 513-558-7700 | |
Dr. Shanna Duffy Stryker, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2805 Gilbert Ave, Cincinnati, OH 45206 Phone: 513-815-4475 | |
Dr. Robert William Schulman, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2621 Victory Pkwy, Cincinnati, OH 45206 Phone: 513-861-6688 Fax: 513-559-3848 |