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DR. KATELYN ELIZABETH JOHNSON-CLARK D.O.
NPI 1285890939
Pediatrics in Ellicottville, NY

Active since August 01, 2008
5 PARK SQ, ELLICOTTVILLE, NY 14731(716) 257-4397(681) 230-8216 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 3, 2025, Feb 14, 2020 (2 updates tracked since 2020).

About Dr. Katelyn Elizabeth Johnson-clark D.o. NPPES

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

DR. KATELYN ELIZABETH JOHNSON-CLARK D.O. (NPI 1285890939) is an individual pediatrics provider in Ellicottville, New York, licensed in New York (261977) and active in the NPI registry since August 2008. She maintains a secondary practice location in Ellicottville.

NPPES Registry Identity

NPI1285890939
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. KATELYN ELIZABETH JOHNSON-CLARKCredential: D.O.
Location Address5 PARK SQEllicottville, NY 14731-7014
Mailing AddressPo Box 1252Ellicottville, NY 14731-1252 · (941) 441-7804 · Fax (681) 230-8216
Phone(716) 257-4397
Fax(681) 230-8216
Sole ProprietorYes
Enumeration DateAugust 1, 2008
Last NPPES UpdateSeptember 3, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2025
✔ NPI 1285890939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 261977
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
5 PARK SQ, Ellicottville, NY 14731
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Other Names 1

Former Name (1)Dr. Katelyn Elizabeth Clark D.o.

Secondary Practice Location 1

Location 15 Park SqEllicottville, NY 14731-7014 · Phone (716) 257-4397 · Fax (681) 230-8216

Other Providers at the Same Location NPPES

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

ELLICOTTVILLE MEDICAL
Pediatrics
5 PARK SQ
ELLICOTTVILLE, NY 14731
Cattaraugus County (716) 257-4397

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 Katelyn Johnson-clark's NPI number?

The NPI number for Katelyn Johnson-clark is 1285890939. It was assigned to this individual provider in the NPPES registry on August 1, 2008. The provider is also known as Dr. Katelyn Elizabeth Clark D.O..

Where is Katelyn Johnson-clark located?

Katelyn Johnson-clark practices at 5 Park Sq, Ellicottville, NY 14731. The listed phone number is (716) 257-4397.

What is Katelyn Johnson-clark's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Katelyn Johnson-clark was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.