Frederick Wesley Clarkson, DO

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

OS0002968 Issued in FL

Practice address

Oakhurst Medical Clinic
130 20 Park Blvd
Seminole, FL 33776

Phone

(727) 393-3404

Fax

(727) 393-4814

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174557896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "OAKHURST MEDICAL CLINIC",
            "address_2": "130 20 PARK BLVD",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "33776",
            "telephone_number": "727-393-3404",
            "fax_number": "727-393-4814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OAKHURST MEDICAL CLINIC",
            "address_2": "130 20 PARK BLVD",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "33776",
            "telephone_number": "727-393-3404",
            "fax_number": "727-393-4814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKSON",
        "first_name": "FREDERICK",
        "middle_name": "WESLEY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS0002968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2361160",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "284247",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Nicole Clark, DMD
• Bobbie Cherryl Clark, RPTA
• Melissa Clark, RN
• Skyler Clark, DMD
• Clarkson & Collins DO PA
• Todd Frederick Clarkson, DO
• Claude Daniel McMullen
• Clearwater Medical and Consulting LLC
• William Gates Clokey, DMD
• Clubhaus Chiropractic LLC

• General Practice Physician in Seminole, FL
• Providers in Seminole, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.