JENNIFER D. CLARK


Address: 14732 Village Square Pl, Midlothian, VA 23112-2253
Phone: 8046390717

JENNIFER D. CLARK (NPI# 1871556878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871556878
Entity Type Individual
Full Name JENNIFER D. CLARK
Credential M.D.
Practice Address 14732 Village Square Pl
Midlothian
VA 23112-2253
Practice Telephone 8046390717
Practice Fax Number 8046390767
Mailing Telephone 8046390717
Mailing Fax Number 8046390767
Enumeration Date 2006-04-10
Last Update Date 2008-05-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 0101 056329 VA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA UNITED HEALTH CARE 1240927 01
VA TRICARE 432058755 01
VA ANTHEM BCBS 171941 01
VA AETNA PPO 5214032 01
VA OPTIMA HEALTH 10007264 01
VA GREAT WEST 432058755 01
VA PHCS 432058755 01
VA AETNA HMO 3649627 01
VA 010121086 05
VA SOUTHERN HEALTH 299592 01
VA CIGNA 4768718 01
VA FIRST HEALTH NETWORK 1382954 01
VA FHN PRODUCT, CCN 5056305 01

Other Providers JENNIFER CLARK

NPI Name Taxonomy Address Enumeration
1932723038 Jennifer Michelle Clark Social Worker 22 Norva Ave, Frederick, MD 21701-6279 2020-06-04
1982249926 Jennifer Rae Clark Nurse Practitioner 2800 E League City Pkwy Apt 216, League City, TX 77573-1676 2019-11-13
1528546827 Jennifer Clark Technician 59 Forrester St Sw Apt B, Washington, DC 20032-2120 2018-07-30
1265940340 Jennifer Anne Clark Counselor 35 Pulaski Rd, Whitehouse Station, NJ 08889-3516 2018-01-11
1598118572 Jennifer Clark Internal Medicine 1120 W. Michigan Street Gatch Hall Cl 630, Indianapolis, IN 46204 2016-07-14
1295124899 Jennifer Clark Behavioral Analyst 662 Lake George Dr, Melbourne, FL 32940-2221 2015-01-20
1851707194 Jennifer Sara Clark Physical Therapist 797 Evergreen Dr, West Hempstead, NY 11552-3406 2014-07-08
1083988794 Jennifer Makiki Clark Health Educator 5858 Wilshire Blvd Ste 300, Los Angeles, CA 90036-4509 2012-02-27
1639484520 Jennifer Ann Clark Speech-Language Pathologist 5903 Neptune Dr, Fort Collins, CO 80525-3905 2010-08-16
1245567247 Jennifer Selleck Clark Nurse Practitioner 1840 Martin Luther King Jr Blvd Ste C4, Chapel Hill, NC 27514 2009-11-11

Office Location

Street Address 14732 VILLAGE SQUARE PL
City MIDLOTHIAN
State VA
Zip Code 23112-2253

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578681946 Woodlake Village Pediatrics LLC Specialist 14732 Village Square Pl, Midlothian, VA 23112-2253 2007-03-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982170080 Shonmarra Ylexus Glover Behavior Technician 5950 Harbour Lane, Midlothian, VA 23112 2018-10-17
1841778917 Brett Stires Behavior Technician 5950 Harbourt Park Dr, Midlothian, VA 23112 2018-08-01
1538655899 Surbhi Chandna Dentist 5921 Harbour Ln Ste 500, Midlothian, VA 23112 2018-07-10
1184121584 Katie Marie Kashmer Behavioral Analyst 5950 Barbour Park Lane, Midlothian, WA 23112 2018-04-11
1497259832 Ruth Lynn Kitchens Occupational Therapist 13900 Hull Street Rd., Midlothian, VA 23112 2018-03-21
1487157301 Susan Stoodt Price Occupational Therapist Chesterfield Technical Center Hull, 13900 Hull Street Rd., Midlothian, VA 23112 2018-03-16
1922500495 Rayna Veney Piper Speech-Language Pathologist 13900 Hull Street Road, Midlothian, VA 23112 2018-03-01
1891202883 Rochelle Wallace Behavioral Analyst 5950 Harbourt Park Dr., Midlothian, VA 23112 2017-12-29
1184138448 Virginia Medical & Therapeutic Services Counselor 13540 E Boundary Rd, Midlothian, VA 23112 2017-11-24
1386169118 Brandon Poen Physical Therapist 2820 Waterford Lake Dr., Unit 013, Midlothian, VA 23112 2017-08-14
Find all providers in zip 23112

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619575487 Sreebhavi Professional Corporation Pediatrics 340 Hawkins Run Rd, Midlothian, TX 76065-6638 2020-10-14
1508493883 Katie Marie Davis Pediatrics 5807 Fox Briar Way, Midlothian, VA 23112-6364 2020-03-25
1538694203 Alexandra Rose Przybylo Pediatrics 11601 Robious Rd Ste 100, Midlothian, VA 23113-5605 2017-05-01
1952756710 Allie Ojugbeli Pediatrics 15400 Westchester Commons Way, Midlothian, VA 23113-7341 2016-04-29
1790078236 Linden E Foos Pediatrics 14507 Forest Row Trl, Midlothian, VA 23112-1637 2011-05-17
1861698342 Kassandra Jane Phillips Pediatrics 2937 Fox Chase Ln, Midlothian, VA 23112-4400 2007-06-22
1841388360 Barry Seth Auerbach Pediatrics 4902 Millridge Pkwy E, Midlothian, VA 23112-4828 2006-10-10
1851321095 Monette W Wood Pediatrics 11601 Robious Rd, Suite 100, Midlothian, VA 23113-5605 2006-07-04
1962457564 Thenmathi Sivarajan Pediatrics 14735 S Pulaski, Midlothian, IL 60445 2006-05-23
1104880038 Linda A Burk Pediatrics 16213 Saville Chase Ln, Midlothian, VA 23112-4585 2006-04-17
Find all providers in MIDLOTHIAN

Competitor

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City MIDLOTHIAN
Zip Code 23112

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Dataset Information

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.

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