DR. LYN P CLARK (NPI# 1134212343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134212343 |
| Entity Type | Individual |
| Full Name | DR. LYN P CLARK |
| Credential | MD |
| Practice Address |
2600 Denali St Suite 302 Anchorage AK 99503 |
| Practice Telephone | 9072224880 |
| Practice Fax Number | 9072724463 |
| Mailing Telephone | 9072224880 |
| Mailing Fax Number | 9072724463 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | AA1624 | AK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MD1624 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750545059 | Lyn Marie Clark | Audiologist | 3705 Medical Pkwy Ste 320, Austin, TX 78705-1023 | 2008-07-15 |
| Street Address |
2600 DENALI ST SUITE 302 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700865029 | Kristi H Fuller | Clinical Neuropsychologist | 2600 Denali St, Suite 450, Anchorage, AK 99503-2746 | 2006-01-13 |
| 1972987386 | Karin Lee Schaff | Counselor | 2600 Denali St, Suite 302, Anchorage, AK 99503-2746 | 2015-07-15 |
| 1316375793 | Sheryl Martin | Counselor | 2600 Denali St, Suite 302, Anchorage, AK 99503-2746 | 2013-10-23 |
| 1558600031 | Melissa Mae Tourtillott | Counselor | 2600 Denali St, Suite 302, Anchorage, AK 99503-2746 | 2013-02-04 |
| 1205117975 | Nova Eyecare Center, LLC | Optometrist | 2600 Denali St, Suite 603, Anchorage, AK 99503-2746 | 2011-09-07 |
| 1194029488 | Krista Ann Pemberton | Social Worker | 2600 Denali St, Suite 450, Anchorage, AK 99503-2746 | 2010-12-31 |
| 1821392119 | Maureen Young | Social Worker | 2600 Denali St, Suite 450, Anchorage, AK 99503-2746 | 2010-12-31 |
| 1205148301 | Denali Pediatric Dentistry | Clinic/Center | 2600 Denali St, Suite 500, Anchorage, AK 99503-2746 | 2010-07-07 |
| 1790015501 | Marilyn J. Carpenter | Marriage & Family Therapist | 2600 Denali St, Suite 606, Anchorage, AK 99503-2746 | 2009-12-30 |
| 1790019628 | Harden Healthcare, LLC | Psychiatry & Neurology | 2600 Denali St, Suite 606, Anchorage, AK 99503-2746 | 2009-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020772 | Miladis Mcduffie | Massage Therapist | 1350 W. Northern Lights Blvd, Ste C, Anchorage, AK 99503 | 2020-10-15 |
| 1447804984 | Bethany Lynn Becker | Optometrist | 401 E. Northern Lights Blvd. Suite 102, Anchorage, AK 99503 | 2019-08-01 |
| 1265084933 | Carr-gottstein Foods Co | Durable Medical Equipment & Medical Supplies | 2920 Seward Hwy, Anchorage, AK 99503 | 2019-07-12 |
| 1982268942 | Rukiyia Smith | Behavior Technician | 205 E Northern Lights Blvd, Suite 110, Anchorage, AK 99503 | 2019-04-25 |
| 1245894310 | Mary Kathleen Tate | Specialist/Technologist | 205 E. Northern Lights Blvd, Suite 110, Anchorage, AK 99503 | 2019-04-24 |
| 1194295766 | Kimberly Sue Trent | Registered Nurse | 670 W. Fireweed Lane Suite 160, Anchorage, AK 99503 | 2018-11-27 |
| 1659869089 | Alaska Spine & Pain Center, LLC | Chiropractor | 3901 Old Seward Hwy Ste 11, Anchorage, AK 99503 | 2018-05-01 |
| 1235643123 | Rosanne Louise Klouda | Massage Therapist | 213 Fireweed Ln, Anchorage, AK 99503 | 2017-11-30 |
| 1801309042 | Online Care Group Alaska | General Practice | 200 W. 34th Ave, Anchorage, AK 99503 | 2017-11-09 |
| 1548773849 | Leslie K Michalski | Massage Therapist | 510 W Tudor Rd Ste 9, Anchorage, AK 99503 | 2017-11-08 |
| Find all providers in zip 99503 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780195727 | Amanda Kathleen Dunlap | Pediatrics | 3340 Providence Dr Ste A-452, Anchorage, AK 99508-4691 | 2017-10-17 |
| 1841663945 | Jennifer Elisabeth Austin | Pediatrics | 751 E 36th Ave Ste 100, Anchorage, AK 99503 | 2015-11-11 |
| 1821409137 | Denise Frohlich Jones | Pediatrics | Alaska Neonatology Assoc, 3340 Providence Dr. Suite 366, Anchorage, AK 99508 | 2014-05-08 |
| 1780003376 | Carolyn Roloff | Pediatrics | 3200 Providence Dr Fl 3, Anchorage, AK 99508 | 2014-04-10 |
| 1154755056 | Begich School Based Health Center | Pediatrics | 7440 Creekside Center Dr, Anchorage, AK 99504-5234 | 2013-08-27 |
| 1710262175 | Anchorage School Based Health Centers | Pediatrics | 150 Bragaw St, Anchorage, AK 99508-1307 | 2011-10-18 |
| 1992936413 | J Robert Lovrich | Pediatrics | 10840 Vosikof Pl, Anchorage, AK 99507-6461 | 2009-07-31 |
| 1841429420 | Christina Diller | Pediatrics | 3260 Providence Dr Ste 532, Anchorage, AK 99508 | 2009-07-05 |
| 1467694620 | Polar Pediatrics | Pediatrics | 603 W. Tudor Rd, Anchorage, AK 99503 | 2009-04-01 |
| 1952570418 | Cory Vincent Noel | Pediatrics | 3841 Piper St Ste T345, Anchorage, AK 99508-4694 | 2008-02-28 |
| Find all providers in ANCHORAGE | ||||
Please comment or provide details below to improve the information on DR. LYN P CLARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.