DR. MITCHELL BRENT CLARK (NPI# 1669817854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669817854 |
| Entity Type | Individual |
| Full Name | DR. MITCHELL BRENT CLARK |
| Credential | MD |
| Practice Address |
333 Cedar St. Yale Medical School New Haven CT 06510 |
| Practice Telephone | 2038330281 |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2020-04-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
65152 | CT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 267 Grant St., Bridgeport, CT 06610 | 2033843990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578798278 | Mitchell Brady Clark | Counselor | 6160 Mission Gorge Rd Ste 120, San Diego, CA 92120-3425 | 2009-05-26 |
| 1205307204 | Mitchell Clark | Counselor | 890 Hayes St, San Francisco, CA 94117-2615 | 2018-12-17 |
| Street Address |
333 CEDAR ST. YALE MEDICAL SCHOOL |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588729750 | Jeffrey Moore Testani | Internal Medicine | 333 Cedar St., New Haven, CT 06520-8017 | 2006-12-27 |
| 1962848457 | Bethann Mohamed | Emergency Medicine | 333 Cedar St., Yale Medical School, New Haven, CT 06510-3220 | 2013-05-11 |
| 1740500479 | Bishwajit Bhattacharya | Surgery | 333 Cedar St., Yale Medical School, New Haven, CT 06510 | 2010-06-04 |
| 1861649766 | Michael E Chen | Internal Medicine | 333 Cedar St., New Haven, CT 06520-8017 | 2008-08-21 |
| 1346432820 | Eugene Kevin Hall | Pediatrics | 333 Cedar St., Pediatric Cardiology, #208064, New Haven, CT 06510 | 2007-08-17 |
| 1104955699 | Tariq Ahmad | Internal Medicine | 333 Cedar St., New Haven, CT 06520-8017 | 2007-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336757319 | Matthew Peter O'connell | Pharmacist | 55 Park Street, Lower Level, Department of Pharmacy, New Haven, CT 06510 | 2020-07-16 |
| 1477171460 | Huy Henry Le | Pharmacist | 20 York Street, Ps-ll, New Haven, CT 06510 | 2020-07-07 |
| 1144855263 | Daniel Jacobs | Student in an Organized Health Care Education/Training Program | 367 Cedar Street, Bldg. D, Student Affairs Office, New Haven, CT 06510 | 2020-03-09 |
| 1346898467 | Cem Cengiz | Internal Medicine | Tobb Etu Hastanesi, Yasam Cad. No.5 Sogutozu, Ankara, TURKEY 06510 | 2019-09-02 |
| 1295292290 | Emily Elizabeth Samuel | Counselor | 40 Temple Street, Ste 7c, Yale Child Outpatient Clinic, New Haven, CT 06510 | 2019-02-26 |
| 1639652779 | Laura Goldblum | Social Worker | 1450 Chapel Childrens Hospital, 1450 Chapel Street, New Haven, CT 06510 | 2018-09-14 |
| 1477049138 | Joseph Lawrence Earles | Otolaryngology | Yale Physicians Building, 800 Howard Ave., 4th Floor, New Haven, CT 06510 | 2018-07-06 |
| 1508356759 | Rebecca Anne Beagan | Student in an Organized Health Care Education/Training Program | 20 York Street- Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1104316405 | Emma Sophie Taylor-salmon | Student in an Organized Health Care Education/Training Program | 20 York Street - Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1376033563 | Wael S Ibrahim | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynnh - Tompkins 226, New Haven, CT 06510 | 2018-05-14 |
| Find all providers in zip 06510 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497835961 | Gloria S Huang | Obstetrics & Gynecology | Smilow Cancer Center Hospital At Yale New Haven, 20 York Street, New Haven, CT 06510-3220 | 2006-10-17 |
| 1407114630 | Gary Altwerger | Obstetrics & Gynecology | 333 Cedar Street, Fmb 328, New Haven, CT 06510-3220 | 2012-04-25 |
| 1386632206 | Masoud Azodi | Obstetrics & Gynecology | 800 Howard Ave, Yale Physicians Building, New Haven, CT 06519-1369 | 2005-10-13 |
| 1033107107 | Peter E Schwartz | Obstetrics & Gynecology | 800 Howard Ave, Yale Physicians' Building, 3rd Floor, New Haven, CT 06519-1369 | 2005-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619594496 | Terri Passante | Obstetrics & Gynecology | 99 Colonial Hill Dr, Wallingford, CT 06492-3470 | 2020-06-29 |
| 1023305455 | Middlesex Hosp Dba Thoracic Surg/obgyn Onocology | Obstetrics & Gynecology | 540 Saybrook Rd Ste 180, Middletown, CT 06457-4759 | 2011-07-06 |
| 1235425521 | Marguerite Palisoul | Obstetrics & Gynecology | 85 Seymour St Ste 705, Hartford Hospital Gynecology Oncology, Hartford, CT 06106-5501 | 2011-06-24 |
| 1962509653 | Karen J. Nishida | Obstetrics & Gynecology | 1290 Summer St Ste 5200, Stamford, CT 06905-5339 | 2006-09-17 |
| 1376540906 | John Dale Nash | Obstetrics & Gynecology | University of Connecticut Health Ctr, 263 Farmington Avenue - Mc1614, Farmington, CT 06030-0001 | 2005-06-28 |
| 1316354079 | Gynecologic Cancer Care, LLC | Obstetrics & Gynecology | 65 High Ridge Rd, #653, Stamford, CT 06905-3800 | 2014-07-15 |
| 1023368370 | Jennifer Rose Jorgensen | Obstetrics & Gynecology | 263 Farmington Avenue, Farmington, CT 06030 | 2012-09-13 |
| 1508129081 | Erin Greenberg Hartnett | Obstetrics & Gynecology | 114 Woodland St, Hartford, CT 06105-1208 | 2012-06-20 |
| 1518175173 | Melissa Susan Henretta | Obstetrics & Gynecology | 114 Woodland St, Hartford, CT 06105-1208 | 2007-05-18 |
| 1518900133 | Amy K. Brown | Obstetrics & Gynecology | 80 Seymour St, Hartford Hospital Gynoncology Dept, Hartford, CT 06102 | 2006-06-13 |
| Find all providers with the same taxonomy | ||||
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| 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.