EDITH CLARK DPM PLLC
NPI 1023174273
Podiatrist in Clare, MI

Active since December 29, 2006

NPPES record last updated: June 10, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Edith Clark Dpm Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDITH CLARK DPM PLLC (NPI 1023174273) is a healthcare organization registered as a podiatrist in Clare, Michigan and active in the NPI registry since December 2006. The organization lists Edith Clark, Physician, as its authorized official.

NPPES Registry Identity

NPI1023174273
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameEDITH CLARK DPM PLLC
Location Address125 DWYER STClare, MI 48617-1002
Mailing Address4310 Leonard St Nw, Suite 103Walker, MI 49534-8447 · (616) 453-6329 · Fax (616) 453-1725
Organization SubpartNo
Authorized OfficialEdith ClarkPhysician · (989) 386-9721
Enumeration DateDecember 29, 2006
Last NPPES UpdateJune 10, 2010
NPI 1023174273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in MI · EC001742
Definition

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.

125 DWYER ST, Clare, MI 48617

Other Identifiers 4

Medicare UPINU58868MI
Medicare ID-Type Unspecified0N91350MI · Medicare
Medicaid4613888MI
Medicare NSC5809480001MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist
125 DWYER ST
CLARE, MI 48617
Podiatrist
125 DWYER ST
CLARE, MI 48617

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023174273, enumerated as an "organization" on December 29, 2006.

The provider is located at 125 DWYER ST CLARE, MI 48617 and the phone number is (989) 386-9721.

Podiatrist with taxonomy code 213E00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.