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STEPHANIE LYNN CLARK M.D.
NPI 1275707358
Pediatrics - Pediatric Nephrology in Philadelphia, PA

Active since April 18, 2008PECOS Enrolled
34TH & CIVIC CENTER BLVD, PHILADELPHIA, PA 19104(215) 590-2449 Get Directions Write a Review

NPPES record last updated: July 19, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephanie Lynn Clark M.d. NPPES

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

STEPHANIE LYNN CLARK M.D. (NPI 1275707358) is an individual pediatric nephrology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT201541) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275707358
Entity TypeIndividualFemale
Primary Taxonomy2080P0210X
Provider Legal NameSTEPHANIE LYNN CLARKCredential: M.D.
Location Address34TH & CIVIC CENTER BLVDPhiladelphia, PA 19104
Mailing Address34th & Civic Center BlvdPhiladelphia, PA 19104 · (215) 590-2449
Phone(215) 590-2449
Sole ProprietorNo
Enumeration DateApril 18, 2008
Last NPPES UpdateJuly 19, 2012
✔ NPI 1275707358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0210X
License✔ Licensed in PA · MT201541
Definition
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
Also ListedPediatricsTaxonomy 208000000X · License 35.096286 (OH)
34TH & CIVIC CENTER BLVD, Philadelphia, PA 19104
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Other Names 1

Former Name (1)Stephanie Lynn Tessing M.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Lynn Clark M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

MARK RIZZI M.D.
Otolaryngology
34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-3440
BRIAN LESTINI M.D.
Pediatrics (Pediatric Hematology-Oncology)
34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
PATRICK JOHN CAHILL MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1527
STEPHANIE FULLER M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2708
DR. CHERIE D FOSTER MD
Pediatrics (Neonatal-Perinatal Medicine)
34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
BONNIE L SERLETTI MD
Obstetrics & Gynecology
34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2730
DR. THEODORE J GANLEY M.D.
Orthopaedic Surgery
34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1527
JOHN TODD RUTTER LAWRENCE M.D./PH.D.
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1527

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 Stephanie Clark's NPI number?

The NPI number for Stephanie Clark is 1275707358. It was assigned to this individual provider in the NPPES registry on April 18, 2008. The provider is also known as Stephanie Lynn Tessing M.D..

Where is Stephanie Clark located?

Stephanie Clark practices at 34th & Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (215) 590-2449.

What is Stephanie Clark's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Is Stephanie Clark enrolled in Medicare?

Yes. Stephanie Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephanie Clark was last updated on July 19, 2012. 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.