Mr John Clarke, MD | |
8012 Glendevan St Nw, Massillon, OH 44646-9017 | |
(504) 717-9733 | |
Not Available |
Full Name | Mr John Clarke |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 8012 Glendevan St Nw, Massillon, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689888422 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 125070699 (Illinois) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 35.144215 (Ohio) | Primary |
Entity Name | Radiology Associates Of Canton, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912982034 PECOS PAC ID: 7012829260 Enrollment ID: O20031105000231 |
Entity Name | Orrville Hospital Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891718375 PECOS PAC ID: 7911890546 Enrollment ID: O20040206000004 |
Entity Name | Columbus Radiology Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669408159 PECOS PAC ID: 6507754983 Enrollment ID: O20040308000742 |
Entity Name | Aultman Now Urgent Care, Llc |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1225662927 PECOS PAC ID: 7719318633 Enrollment ID: O20200509000328 |
Entity Name | Mercy Health Physicians Youngstown Specialty Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649892225 PECOS PAC ID: 3476950296 Enrollment ID: O20210921003835 |
Entity Name | Bsmh Cincinnati Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225797426 PECOS PAC ID: 1850774167 Enrollment ID: O20220819000827 |
Mailing Address | Practice Location Address |
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Mr John Clarke, MD 8012 Glendevan St Nw, Massillon, OH 44646-9017 Ph: (504) 717-9733 | Mr John Clarke, MD 8012 Glendevan St Nw, Massillon, OH 44646-9017 Ph: (504) 717-9733 |