DR. JOHN O'BRIEN CLARKE III (NPI# 1467539643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467539643 |
| Entity Type | Individual |
| Full Name | DR. JOHN O'BRIEN CLARKE III |
| Credential | M.D. |
| Practice Address |
450 Broadway St # D Redwood City CA 94063 |
| Mailing Address |
450 Broadway St # D Redwood City CA 94063-3132 |
| Practice Telephone | 6507365555 |
| Mailing Telephone | 6507365555 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2019-10-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | C143081 | CA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | D58832 | MD | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
C143081 | CA | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
D58832 | MD | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | D58832 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | AMERIGROUP | 105367 | 01 |
| MD | KAISER | 240553 | 01 |
| MD | 411750600 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 600 N Wolfe St, Baltimore, MD 212870005 | 4109559696 | 4106147631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356786909 | John Philip Clarke | Orthotist | 118 Nash St E, Suite E, Wilson, NC 27893 | 2013-05-08 |
| 1154674398 | John A Clarke | Pharmacist | 4932 Raccoon Valley Rd Se, Olympia, WA 98513-9271 | 2012-10-25 |
| 1851662654 | John P Clarke | Surgery | 1297 Holly Point Rd, Virginia Beach, VA 23454-1932 | 2012-01-25 |
| 1689888422 | John Clarke | Surgery | 2345 W Harrison St, Chicago, IL 60612-3500 | 2007-05-10 |
| 1750464574 | John Thomas Clarke | Internal Medicine | 50 E Bellevue Pl Apt 706, Chicago, IL 60611-6106 | 2006-10-23 |
| 1639169808 | John Joseph Clarke | Podiatrist | 1900 Hayes Ave, Fremont, OH 43420-2755 | 2005-10-27 |
| 1003811928 | John Samuel Clarke | Surgery | 119 Lake Bluff Dr, Bullard, TX 75757-9740 | 2005-06-16 |
| 1407342884 | John Christopher Clarke | Dentist | 1810 Decatur Hwy Ste 212, Fultondale, AL 35068-1700 | 2018-07-09 |
| 1831597830 | John Clarke | Rehabilitation Practitioner | 6055 E Washington Blvd, Commerce, CA 90040-2449 | 2014-12-08 |
| 1376975847 | John Clarke | Counselor | 1801 E 5th St, Suite 210, Charlotte, NC 28204-2379 | 2013-08-06 |
| Street Address |
450 BROADWAY ST # D |
| City | REDWOOD CITY |
| State | CA |
| Zip Code | 94063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023539673 | Michaela Marie Cerrato | Physician Assistant | 450 Broadway St # D, Redwood City, CA 94063-3132 | 2017-07-05 |
| 1093079550 | Alice Gabrielle Cheng | Internal Medicine | 450 Broadway St # D, Redwood City, CA 94063-3132 | 2012-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578104378 | Jade Francetich | Psychologist | 450 Broadway St., Pavilion B 2nd Floor, Redwood City, CA 94063 | 2019-10-02 |
| 1861052060 | County of San Mateo | Clinic/Center | 1300 Maple St., Redwood City, CA 94063 | 2019-06-19 |
| 1750941977 | County of San Mateo | Clinic/Center | 300 Bradford St., Redwood City, CA 94063 | 2019-06-19 |
| 1023678661 | Linda K Watanabe | Preventive Medicine | 700 Bay Rd. #2803, Redwood City, CA 94063 | 2019-06-17 |
| 1235630369 | Waverly Place Apartments, Lp | Case Management | 105 Waverly Place, Redwood City, CA 94063 | 2018-02-23 |
| 1306371679 | Caely Alise Hambro | Student in an Organized Health Care Education/Training Program | Stanford Dermatology, 430 Broadway, Redwood City, CA 94063 | 2017-04-25 |
| 1609316736 | Justine Nicole Dela Cruz | Nurse Practitioner | 420 Broadway St # D, Redwood City, CA 94063 | 2017-03-08 |
| 1336683234 | Babita Chopra | Pharmacist | 2300 Middlefield Road, Redwood City, CA 94063 | 2016-12-12 |
| 1073065595 | Diana Genoveva Posner I | Counselor | 604 Prince Ave. Ste A, Redwood City, CA 94063 | 2016-11-01 |
| 1295288264 | Benjamin Dickter | Student in an Organized Health Care Education/Training Program | 1107 2nd Ave, Apt 103, Redwood City, CA 94063 | 2016-07-26 |
| Find all providers in zip 94063 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346515426 | Allison June Kwong | Internal Medicine | 430 Broadway St Fl C3, Redwood City, CA 94063-3132 | 2012-03-21 |
| 1851477467 | James Torosis | Internal Medicine | 2900 Whipple Ave Ste 245, Redwood City, CA 94062-2851 | 2006-10-27 |
| 1235573379 | Meredith Marie Clary | Internal Medicine | 1150 Veterans Blvd, Redwood City, CA 94063-2037 | 2013-04-19 |
| 1558434589 | Peninsula Gastroenterology Medical Group Inc | Internal Medicine | 2900 Whipple Ave Ste 245, Redwood City, CA 94062-2851 | 2006-11-16 |
| 1952489502 | Henry G. Chun | Internal Medicine | 1150 Veterans Blvd, Redwood City, CA 94063-2037 | 2006-11-01 |
| 1033297684 | Francis Chui | Internal Medicine | 1150 Veterans Blvd, Redwood City, CA 94063-2037 | 2006-11-01 |
| 1154409712 | Ming-shing Chiu | Internal Medicine | 1150 Veterans Blvd, Redwood City, CA 94063-2037 | 2006-11-01 |
| 1710063334 | Vicky Yang | Internal Medicine | 2900 Whipple Ave Ste 245, Redwood City, CA 94062-2851 | 2006-10-27 |
| 1033295662 | Daniel Rengstorff | Internal Medicine | 2900 Whipple Ave Ste 245, Redwood City, CA 94062-2851 | 2006-10-27 |
| 1750303152 | Linda Anh Bui Nguyen | Internal Medicine | 450 Broadway St, Pavillion A, Redwood City, CA 94063-3132 | 2006-07-24 |
| Find all providers in REDWOOD CITY | ||||
| City | REDWOOD CITY |
| Zip Code | 94063 |
Please comment or provide details below to improve the information on DR. JOHN O'BRIEN CLARKE III.
| 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.