Organization Active NPI

Linda L. Clark, M.D., M.S., P.C.

  • Occupational Medicine Physician
  • Rochester, NY
National Provider Identifier
1356409676
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
194302 Issued in NY
Legal business name
LINDA L. CLARK, M.D., M.S., P.C.
Practice address
301 Exchange Blvd
Suite LL-1
Rochester, NY 14608-2755
Phone
(585) 227-0072
Fax
(585) 227-9585
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Authorized official

Name
Dr. Linda Levita Clark, M.D., M.S.
Title
President
Phone
(585) 227-0072

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0901X 194302 NY
Public Health & General Preventive Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0901X 200001097 NC
Occupational Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083X0100X 194302 NY Primary
Occupational Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083X0100X 200001097 NC

Addresses

Primary practice location

301 Exchange Blvd
Suite LL-1
Rochester, NY 14608-2755

Mailing address

301 Exchange Blvd
Suite LL-1
Rochester, NY 14608-2755
Phone (585) 227-0072

Other identifiers 3

IdentifierTypeStateIssuer
121959GJOtherNYPREFERRED CARE
P010194302OtherNYEXCELLUS ROCHESTER REGION
7413612OtherNYAETNA

Other names 1

  • Occupational Medicine Services Other name

National Provider Directory

National Provider Directory

Locations

301 Exchange Blvd
Ste LL-1
Rochester, NY 14608
Phone (585) 227-0072

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1356409676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 EXCHANGE BLVD",
            "address_2": "SUITE LL-1",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146082755",
            "telephone_number": "585-227-0072",
            "fax_number": "585-227-9585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 EXCHANGE BLVD",
            "address_2": "SUITE LL-1",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146082755",
            "telephone_number": "585-227-0072",
            "fax_number": "585-227-9585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA L. CLARK, M.D., M.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "LEVITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-227-0072",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., M.S."
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NY",
            "license": "194302",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NC",
            "license": "200001097",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NY",
            "license": "194302",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NC",
            "license": "200001097",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "121959GJ",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS ROCHESTER REGION",
            "identifier": "P010194302",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7413612",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Occupational Medicine Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.