Judith Rosch Barnes Clark, MD, FAAP

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A32674 Issued in AZ

Practice address

6909 W Ray Rd Ste 9
Chandler, AZ 85226-1526

Phone

(480) 447-9490

Fax

(480) 800-3609

NPI assigned

Apr 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hip Kids Pediatrics PLLC

  • Pediatrics Physician
  • Chandler, AZ
  • NPI 1689110256
  NPD (past)

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1346206240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6909 W RAY RD STE 9",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852261526",
            "telephone_number": "480-447-9490",
            "fax_number": "480-800-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6909 W RAY RD STE 9",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852261526",
            "telephone_number": "480-447-9490",
            "fax_number": "480-800-3609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES CLARK",
        "first_name": "JUDITH",
        "middle_name": "ROSCH",
        "name_prefix": "Dr.",
        "credential": "MD, FAAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "A32674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "866105001",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caleb Barcenas, PHD
• Jarod Bardon
• Barley Corn Holdings Inc (Medi-Weightloss)
• Landon Call Barlow, DO
• Katie Barnard, RN
• Barnes Family Services
• Ciarra Barnes
• Demetri Omar Barnes, L.M.T.
• Diane Barnes, CST CSFA
• Emily Barnes, IBCLC

• Pediatrics Physician in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.