DR. JOHN GLENN CLARK
NPI 1164625653
Orthopaedic Surgery in Bath, ME

Active since June 11, 2007
111 WHISKEAG RD, BATH, ME 04530(909) 435-0066 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John Glenn Clark NPPES

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

DR. JOHN GLENN CLARK (NPI 1164625653) is an individual orthopaedic surgery provider in Bath, Maine, licensed in Maine (016756) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1164625653
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JOHN GLENN CLARK
Location Address111 WHISKEAG RDBath, ME 04530-4127
Mailing Address111 Whiskeag RdBath, ME 04530-4127 · (909) 435-0066
Sole ProprietorNo
Enumeration DateJune 11, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1164625653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in ME · 016756 Licensed in CA · A60772
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

111 WHISKEAG RD, Bath, ME 04530

Other Identifiers 2

Medicare UPINH19089ME
Medicare ID-Type UnspecifiedME1303ME

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 John Clark's NPI number?

The NPI number for John Clark is 1164625653. It was assigned to this individual provider in the NPPES registry on June 11, 2007.

Where is John Clark located?

John Clark practices at 111 Whiskeag Rd, Bath, ME 04530. The listed phone number is (909) 435-0066.

What is John Clark's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

When was this NPI record last updated?

The NPPES record for John Clark was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.