Organization Active NPI

William L. Clark, M.D., P.S.

  • Orthopaedic Surgery Physician
  • Burien, WA
National Provider Identifier
1336328277
Registry record updated Oct 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD00033039 Issued in WA
Legal business name
WILLIAM L. CLARK, M.D., P.S.
Practice address
16259 Sylvester Rd SW
Ste 501
Burien, WA 98166-3049
Phone
(206) 243-1100
Fax
(206) 431-0835
NPI assigned
Oct 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2007

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

Authorized official

Name
Dr. William L. Clark, MD
Title
President/Physician
Phone
(206) 243-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X MD00033039 WA Primary

Addresses

Primary practice location

16259 Sylvester Rd SW
Ste 501
Burien, WA 98166-3049

Mailing address

16259 Sylvester Rd SW
Ste 501
Burien, WA 98166-3049
Phone (206) 243-1100

Other identifiers 2

IdentifierTypeStateIssuer
157776OtherWALABOR & INDUSTRY
71173636MedicaidWA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1193529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193529600000",
    "number": "1336328277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16259 SYLVESTER RD SW",
            "address_2": "STE 501",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981663049",
            "telephone_number": "206-243-1100",
            "fax_number": "206-431-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16259 SYLVESTER RD SW",
            "address_2": "STE 501",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981663049",
            "telephone_number": "206-243-1100",
            "fax_number": "206-431-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM L. CLARK, M.D., P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-28",
        "last_updated": "2007-10-28",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "206-243-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "WA",
            "license": "MD00033039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRY",
            "identifier": "157776",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "71173636",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.