DR. EDWARD HOLTON CLARKE (NPI# 1407845878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407845878 |
| Entity Type | Individual |
| Full Name | DR. EDWARD HOLTON CLARKE |
| Credential | M.D. |
| Practice Address |
147 W Gray St Mark Twain Building Elmira NY 14901-3017 |
| Mailing Address |
722 W Water St Elmira NY 14905-2435 |
| Practice Telephone | 6077336698 |
| Practice Fax Number | 6077336762 |
| Mailing Telephone | 6072712050 |
| Mailing Fax Number | 6072712099 |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2012-08-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 1039991 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 0685823 | 05 | |
| PA | 0006323570001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891801783 | Edward F Clarke | Internal Medicine | 324 Se Ninth, Suite D, Hillsboro, OR 97123 | 2006-08-22 |
| 1750494662 | Edward A Clarke | Social Worker | 3700 Josephine Ln, Mason, MI 48854-9540 | 2006-08-16 |
| 1205050069 | Edward Clarke | Counselor | 7101 Baird Ave, Reseda, CA 91335-4150 | 2007-04-12 |
| Street Address |
147 W GRAY ST MARK TWAIN BUILDING |
| City | ELMIRA |
| State | NY |
| Zip Code | 14901-3017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558701854 | Marriage and Family Therapy Services of The Southern Tier, P.C. | Behavioral Analyst | 147 W Gray St, Suite 217a, Elmira, NY 14901-3017 | 2013-07-01 |
| 1740505734 | Melissa Lynne Devincentis | Marriage & Family Therapist | 147 W Gray St, Suite 217a, Elmira, NY 14901-3017 | 2010-04-01 |
| 1558597930 | Crystal Gullo-buzzetti | Chiropractor | 147 W Gray St, 207, Elmira, NY 14901-3017 | 2009-05-30 |
| 1194927632 | Ernest Joseph Germano | Counselor | 147 W Gray St, Suite 202b, Elmira, NY 14901-3017 | 2007-06-05 |
| 1205967445 | Edward H Clarke Md | Surgery | 147 W Gray St, Elmira, NY 14901-3017 | 2007-03-08 |
| 1205963857 | Timothy J Huddle Md PC | Surgery | 147 W Gray St, Elmira, NY 14901-3017 | 2007-02-28 |
| 1225186356 | Paul J Wingard Jr. | Social Worker | 147 W Gray St, Suite 214, Elmira, NY 14901-3017 | 2007-01-08 |
| 1194884577 | Sandra Frances Bauer | Nurse Practitioner | 147 W Gray St, Elmira, NY 14901-3017 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447818182 | Davida Reane Moss | Case Manager/Care Coordinator | 310 Pensyvania Avenue, Elmira, NY 14901 | 2019-05-29 |
| 1316504889 | Jessica Leigh Badilla | Counselor | 1013 Water St, Elmira, NY 14901 | 2019-05-21 |
| 1427508811 | Cynthia Ann Sullivan | Counselor | 1019 E. Water Street, Elmira, NY 14901 | 2016-10-10 |
| 1508313362 | Kim Burlew | Case Manager/Care Coordinator | 1019 W. Water Street Family Services of Chemung County, Elmire, NY 14901 | 2016-09-08 |
| 1396195095 | State of New York Comptrollers Office | Clinic/Center | 164 Sullivan Street, Elmira, NY 14901 | 2016-06-14 |
| 1285089581 | Tasha R Miller | Licensed Practical Nurse | 426 Woodawn Ct, Elmira, NY 14901 | 2016-04-25 |
| 1750628111 | Kelly E Bartle-bush | Social Worker | 711 Sullivan St., Elmira, NY 14901 | 2013-01-04 |
| 1144594946 | Brian Mustico | Occupational Therapist | 512 West Clinton Street, Apartment B, Elmira, NY 14901 | 2012-02-27 |
| 1063780880 | Deidre Ann Callaghan | Physical Therapy Assistant | 555 St.josephs Blvd, Elmira, NY 14901 | 2011-12-07 |
| 1972889467 | Arnot Health | General Acute Care Hospital | 1 St.joseph's Blvd., Elmira, NY 14901 | 2011-10-27 |
| Find all providers in zip 14901 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962415372 | Douglas Denton Mckane | Surgery | 812 W 2nd St, Elmira, NY 14905-2113 | 2006-08-15 |
| 1548290729 | Subramaniam Sadhasivam | Surgery | 1138 Broadway St, Elmira, NY 14904-2502 | 2006-07-04 |
| 1457506867 | Basem Nady Azab | Surgery | 1138 Broadway St, Elmira, NY 14904-2502 | 2008-11-26 |
| 1780894113 | Carlos Gabriel Martinez | Surgery | 1138 Broadway St, Elmira, NY 14904-2502 | 2007-05-23 |
| 1164642096 | Georgios Hatzoudis | Surgery | 1138 Broadway St, Elmira, NY 14904-2502 | 2007-04-25 |
| 1205967445 | Edward H Clarke Md | Surgery | 147 W Gray St, Elmira, NY 14901-3017 | 2007-03-08 |
| 1205963857 | Timothy J Huddle Md PC | Surgery | 147 W Gray St, Elmira, NY 14901-3017 | 2007-02-28 |
| 1447325790 | Raj K Gulati | Surgery | 600 Ivy St, Suite 201, Elmira, NY 14905-1627 | 2006-11-22 |
| 1760567572 | Gary Neil Mann | Surgery | 600 Ivy St, Suite 201, Elmira, NY 14905-1627 | 2006-10-27 |
| 1700806494 | Robert Harry Huddle Jr. | Surgery | 200 Madison Ave, Suite 2c, Elmira, NY 14901-3218 | 2006-07-19 |
| Find all providers in ELMIRA | ||||
Please comment or provide details below to improve the information on DR. EDWARD HOLTON CLARKE.
| 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.