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MEGAN N CLARK M.D.
NPI 1730289240
Pediatrics in Grand Rapids, MI

Active since September 24, 2006
710 KENMOOR AVE SE, SUITE 110, GRAND RAPIDS, MI 49546(616) 949-6112(616) 949-8530 Get Directions Write a Review

NPPES record last updated: November 29, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Megan N Clark M.d. NPPES

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

MEGAN N CLARK M.D. (NPI 1730289240) is an individual pediatrics provider in Grand Rapids, Michigan, licensed in Michigan (4301065618) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1730289240
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMEGAN N CLARKCredential: M.D.
Location Address710 KENMOOR AVE SE, SUITE 110Grand Rapids, MI 49546-2379
Mailing Address721 Kenmoor Ave SeGrand Rapids, MI 49546-2306 · (616) 949-6112 · Fax (616) 949-8530
Phone(616) 949-6112
Fax(616) 949-8530
Sole ProprietorNo
Enumeration DateSeptember 24, 2006
Last NPPES UpdateNovember 29, 2022
NPPES CertifiedNovember 29, 2022
✔ NPI 1730289240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 4301065618
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.

710 KENMOOR AVE SE, Grand Rapids, MI 49546
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Other Identifiers 1

Medicaid3476828MI

Other Providers at the Same Location NPPES 16

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

CHRISTOPHER ROSS RUSSO MD
Pain Medicine (Interventional Pain Medicine)
710 KENMOOR AVE SE, SUITE 200
GRAND RAPIDS, MI 49546
Kent County (616) 588-7246
INTERVENTION INSIGHTS INC.
Clinic/Center (Genetics)
710 KENMOOR AVE SE, STE 120
GRAND RAPIDS, MI 49546
Kent County (616) 949-7500
MS. LINDA LOU FEIGHNER RN BSN CPNP
Nurse Practitioner
710 KENMOOR AVE SE, SUITE 110
GRAND RAPIDS, MI 49546
Kent County (616) 949-5043
JAVERY PAIN INSTITUTE PC
Pain Medicine (Interventional Pain Medicine)
710 KENMOOR AVE SE, SUITE 200
GRAND RAPIDS, MI 49546
Kent County (616) 588-7246
ANN CAROL SWAGMAN RN CPNP
Nurse Practitioner (Pediatrics)
710 KENMOOR AVE SE, SUITE 110
GRAND RAPIDS, MI 49546
Kent County (616) 949-6112
MARTIN J BURY M.D.
Specialist
710 KENMOOR AVE SE, SUITE 100
GRAND RAPIDS, MI 49546
Kent County (616) 954-9800
JENNIFER L VAN ZEE M.D.
Pediatrics
710 KENMOOR AVE SE, SUITE 110
GRAND RAPIDS, MI 49546
Kent County (616) 949-6112
NEWTON, FRANK & BLICKLEY, MD, PC
Obstetrics & Gynecology
710 KENMOOR AVE SE, SUITE 100
GRAND RAPIDS, MI 49546
Kent County (616) 957-1510

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 Megan Clark's NPI number?

The NPI number for Megan Clark is 1730289240. It was assigned to this individual provider in the NPPES registry on September 24, 2006.

Where is Megan Clark located?

Megan Clark practices at 710 Kenmoor Ave SE Suite 110, Grand Rapids, MI 49546. The listed phone number is (616) 949-6112.

What is Megan 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 Megan Clark was last updated on November 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.