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ANDREW BURNHAM CLARK DPM NPI 1679572796


NPI Information

NPI: 1679572796
Provider Name: ANDREW BURNHAM CLARK, DPM
Classification: Podiatrist - 213E00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
609 FORD ST
MAUMEE, OH
ZIP 43537
Phone: (419) 893-5539
Get Directions

Andrew Burnham Clark, DPM is a podiatrist in Maumee, OH with 30 years of experience. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. Andrew Burnham Clark, DPM NPI is 1679572796. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

609 FORD ST
MAUMEE, OH
ZIP 43537-947
Phone: (419) 893-5539
Fax: (419) 893-6853

The NPI 1679572796 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)
  • Removal of 2 to 4 thickened skin growths (HCPCS:11056)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Removal of single thickened skin growth (HCPCS:11055)
  • Injections of tendon sheath, ligament, or muscle membrane (HCPCS:20550)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Destruction of up to 14 skin growths (HCPCS:17110)

The enumeration date for this NPI number is 7/20/2005 and was last updated on 2/12/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatrist36.002902OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U61210MEDICARE UPIN
20321182MEDICAIDOHIO
30537250004MEDICARE NSCOHIO
4480020310MEDICARE PINOHIO
50537250002MEDICARE NSCOHIO
6CL0801891MEDICARE PINOHIO
7CL0801892MEDICARE PINOHIO
8480020309MEDICARE PINOHIO
9000000135414OTHERANTHEM
1002222OTHEROHIOPARAMOUNT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.