Dwight S. Clarke, MD, PLLC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

DWIGHT S. CLARKE, MD, PLLC

Practice address

340 E Palm LN
Ste 260
Phoenix, AZ 85004-4603

Phone

(602) 254-1136

Fax

(602) 279-1720

NPI assigned

Aug 31, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bobbie Ronsman

Title

Credentialing MGR

Phone

(602) 395-0718

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dwight Clarke, MD

  • Infectious Disease Physician
  • Dunedin, FL
  • NPI 1477555845

  AZ, Single Specialty

  Medicare reassignment NPD
• Adriana Gaidici, M.D.

  • Infectious Disease Physician
  • Phoenix, AZ
  • NPI 1508867839
  NPD (past)
• Florin Gaidici, M.D.

  • Gastroenterology Physician
  • Phoenix, AZ
  • NPI 1780686147
  NPD (past)
• Ndidiamaka Uzoma Obiesie, MD

  • Infectious Disease Physician
  • Phoenix, AZ
  • NPI 1770579492
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310601600000",
    "number": "1114150778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39179",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850699179",
            "telephone_number": "602-395-0718",
            "fax_number": "602-277-8146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 E PALM LN",
            "address_2": "STE 260",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850044603",
            "telephone_number": "602-254-1136",
            "fax_number": "602-279-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DWIGHT S. CLARKE, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-31",
        "last_updated": "2011-07-14",
        "status": "A",
        "authorized_official_last_name": "RONSMAN",
        "authorized_official_first_name": "BOBBIE",
        "authorized_official_title_or_position": "CREDENTIALING MGR",
        "authorized_official_telephone_number": "602-395-0718"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "859142",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• DW Raising PLC
• Haley L Dwaileebe
• Dwayne St. Jacques MD PLLC
• Bryan Justin Dwiggins
• Dwight D Schaefer DC PC
• Matthew Dwight
• Gargi M Dwivedi, M.D.
• DWLL Homes LLC
• Nana N Dwomoh, DO
• Michelle Dwulit, M.D.

• Infectious Disease Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Infectious Disease Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.