CLINTON EDWARD CLARKE MD
NPI 1164459319
Dermatology in Phoenix, AZ

Active since June 26, 2006
1300 N 12TH ST, SUITE 605, PHOENIX, AZ 85006(602) 839-2668(602) 839-2067 Get Directions Write a Review

NPPES record last updated: November 10, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Clinton Edward Clarke Md NPPES

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

CLINTON EDWARD CLARKE MD (NPI 1164459319) is an individual dermatology provider in Phoenix, Arizona, licensed in Arizona (33324) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1164459319
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameCLINTON EDWARD CLARKECredential: MD
Location Address1300 N 12TH ST, SUITE 605Phoenix, AZ 85006-2848
Mailing Address1300 N 12th St, Suite 605Phoenix, AZ 85006-2848 · (602) 839-2668 · Fax (602) 839-2067
Fax(602) 839-2067
Sole ProprietorNo
Enumeration DateJune 26, 2006
Last NPPES UpdateNovember 10, 2011
NPI 1164459319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in AZ · 33324
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License 33324 (AZ)
1300 N 12TH ST, Phoenix, AZ 85006

Other Identifiers 8

Medicare PINZ145980AZ
OtherP00616915AZ · Railroad Medicare
Medicare PIN120646AZ
OtherZ145980AZ · Medicare Ptan
Medicare PINZ130602AZ
Medicare PINZ131411AZ
OtherP00745791AZ · Railroad Medicare 8/1/09
Medicare PIN120447AZ

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
1300 N 12TH ST, STE 301
PHOENIX, AZ 85006
Specialist
1300 N 12TH ST, SUITE 619
PHOENIX, AZ 85006
Internal Medicine (Hematology & Oncology)
1300 N 12TH ST, SUITE 612
PHOENIX, AZ 85006
Internal Medicine
1300 N 12TH ST, SUITE #516
PHOENIX, AZ 85006
Nurse Practitioner
1300 N 12TH ST, SUITE 404
PHOENIX, AZ 85006
Obstetrics & Gynecology
1300 N 12TH ST, SUITE 501
PHOENIX, AZ 85006
Physician Assistant (Medical)
1300 N 12TH ST, STE 500
PHOENIX, AZ 85006
Family Medicine
1300 N 12TH ST, SUITE 605
PHOENIX, AZ 85006

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 Clinton Clarke's NPI number?

The NPI number for Clinton Clarke is 1164459319. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is Clinton Clarke located?

Clinton Clarke practices at 1300 N 12th St Suite 605, Phoenix, AZ 85006. The listed phone number is (602) 839-2668.

What is Clinton Clarke's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Clinton Clarke was last updated on November 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.