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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: August 16, 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
Phone(989) 386-9721
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
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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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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.

EDITH CLARK DPM
Podiatrist
125 DWYER ST
CLARE, MI 48617
Clare County (989) 386-9721
DR. TIMOTHY J DAILEY
Podiatrist
125 DWYER ST
CLARE, MI 48617
Clare County (989) 386-9721

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edith Clark Dpm PLLC's NPI number?

The NPI number for Edith Clark Dpm PLLC is 1023174273. It was assigned to this organization in the NPPES registry on December 29, 2006.

Where is Edith Clark Dpm PLLC located?

Edith Clark Dpm PLLC is located at 125 Dwyer St, Clare, MI 48617. The listed phone number is (989) 386-9721.

What is Edith Clark Dpm PLLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

What insurance does Edith Clark Dpm PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Edith Clark Dpm PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edith Clark Dpm PLLC was last updated on June 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.