DR. WILLIAM ROBERT CLARKE (NPI# 1699907485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699907485 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM ROBERT CLARKE |
| Credential | MD |
| Practice Address |
300 Longwood Ave Boston MA 02115-5724 |
| Practice Telephone | 6173556000 |
| Mailing Telephone | 6173556000 |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2019-05-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP3000X |
Anesthesiology Specialization: Pediatric Anesthesiology |
278846 | MA | Allopathic & Osteopathic Physicians |
| N | 207LP3000X |
Anesthesiology Specialization: Pediatric Anesthesiology |
MD00018770 | WA | Allopathic & Osteopathic Physicians |
| N | 207LP3000X |
Anesthesiology Specialization: Pediatric Anesthesiology |
47307-020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1699907485 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134648074 | William Taylor Clarke | Physical Therapist | 3061 N Market Ave Ste 4, Fayetteville, AR 72703-3561 | 2017-09-12 |
| 1477996650 | William Thomas Clarke | Internal Medicine | 330 Brookline Ave # Rabb400, Boston, MA 02215-5400 | 2013-04-08 |
| 1518075142 | William Jay Clarke | Social Worker | 1380 Craig Dr, Lompoc, CA 93436 | 2006-08-25 |
| 1336135789 | William Parker Clarke | Family Medicine | 5811 Point Bayou, Jacksonville, FL 32211-7028 | 2005-09-21 |
| 1457559718 | William A Clarke | Pathology | 401 N Broadway St, Weinberg 2327, Baltimore, MD 21287-0019 | 2007-07-10 |
| 1144360538 | William Anthony Clarke | Marriage & Family Therapist | 1989 Vicente Dr, San Luis Obispo, CA 93405-6863 | 2007-02-07 |
| 1922148956 | William George Clarke Jr. | Pharmacist | 1401 Ne Mcwilliams Rd, Bremerton, WA 98311-3149 | 2007-02-07 |
| 1720154305 | William Robert Clarke | Preventive Medicine | 107 H Street East, Poplar, MT 59255 | 2006-11-27 |
| 1295804813 | William L. Clarke | Pediatrics | Lee St, Charlottesville, VA 22908-0001 | 2006-11-07 |
| 1356353643 | William Paschal Clarke | Emergency Medicine | 1705 Jackson St, Richmond, TX 77469-3246 | 2006-08-13 |
| Street Address |
300 LONGWOOD AVE |
| City | BOSTON |
| State | MA |
| Zip Code | 02115-5724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588667539 | Barry Grant Zallen | Pediatrics | 300 Longwood Ave, Children's Hospital, Au 105, Boston, MA 02115-5724 | 2005-05-23 |
| 1730780669 | Hannah Fraser | Registered Nurse | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-11-06 |
| 1164023776 | Hannah Brewer | Social Worker | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-11-02 |
| 1104423680 | Justin Matthias Hintze | Otolaryngology | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-10-07 |
| 1295340388 | Kathryn Theresa Moffa | Psychologist | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-09-15 |
| 1144835224 | Abby Elizabeth Bandi | Social Worker | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-09-15 |
| 1558976845 | Hilary Segar Garber | Nurse Practitioner | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-09-13 |
| 1063026003 | Lauren M Dilullo | Psychologist | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-09-08 |
| 1013521004 | Carl Britto | Student in an Organized Health Care Education/Training Program | 300 Longwood Ave, Boston, MA 02115-5737 | 2020-09-07 |
| 1760096887 | Rebecca Marie Leslie | Nurse Practitioner | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
| 1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
| 1679189112 | Tara Baxter | Orthopaedic Surgery | Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 | 2020-09-21 |
| 1053923110 | Wendy Tu | Student in an Organized Health Care Education/Training Program | 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 | 2020-08-20 |
| 1477177335 | Nicolas Wyvekens | Student in an Organized Health Care Education/Training Program | 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 | 2020-06-05 |
| 1669095923 | Erin Crocker | Student in an Organized Health Care Education/Training Program | Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 | 2020-05-21 |
| 1033732417 | Tyler Francis Hayes | Student in an Organized Health Care Education/Training Program | Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 | 2020-05-20 |
| 1982225090 | Emily Blake | Student in an Organized Health Care Education/Training Program | 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 | 2020-04-29 |
| 1891315495 | Stephanie Schoch | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| 1427678093 | Meghan Miles | Student in an Organized Health Care Education/Training Program | 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| Find all providers in zip 02115 | ||||
| Taxonomy Code | 207LP3000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pediatric Anesthesiology |
| An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255612586 | Harold David Rosen | Anesthesiology | 3 Copley Pl, Suite 400, Boston, MA 02116-6503 | 2011-08-31 |
| 1740423946 | John F Ryan | Anesthesiology | Massachusetts General Hospital, 50 Blossom Street, Boston, MA 02114 | 2009-04-17 |
| 1407377914 | Lee Patrick Ferguson | Anesthesiology | 300 Longwood Ave, Boston, MA 02115-5724 | 2017-07-06 |
| 1275061665 | Kristin Gemmill | Anesthesiology | 300 Longwood Ave, Boston, MA 02115-5724 | 2017-05-30 |
| 1326402017 | Veronique Raphaelle Falciola | Anesthesiology | 300 Longwood Ave, Bch3216, Boston, MA 02115-5724 | 2016-04-08 |
| 1740650266 | Ariane Boivin | Anesthesiology | 300 Longwood Ave, Boston, MA 02115-5724 | 2015-09-26 |
| 1598143026 | Sanasi Kulkarni | Anesthesiology | 243 Charles St, Boston, MA 02114-3002 | 2015-05-17 |
| 1881011088 | Keri Borden Koszela | Anesthesiology | 300 Longwood Ave, Boston, MA 02115-5724 | 2014-03-25 |
| 1295178549 | Maricarmen Roche Rodriguez | Anesthesiology | 300 Longwood Ave Dept Of, Boston, MA 02115-5724 | 2013-04-16 |
| 1710223474 | Enda Connolly | Anesthesiology | 300 Longwood Ave, Dept of Anesthesia, Boston, MA 02115-5724 | 2012-12-27 |
| Find all providers in BOSTON | ||||
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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.