Active NPI
Linda L. Clark, M.D., M.S., P.C.
- Occupational Medicine Physician
- Rochester, NY
National Provider Identifier
1356409676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 194302
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | 194302 | NY | |
| Public Health & General Preventive Medicine Physician | 2083P0901X | 200001097 | NC | |
| Occupational Medicine Physician | 2083X0100X | 194302 | NY | Primary |
| Occupational Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121959GJ | Other | NY | PREFERRED CARE |
| P010194302 | Other | NY | EXCELLUS ROCHESTER REGION |
| 7413612 | Other | NY | AETNA |
Other names 1
- Occupational Medicine Services
National Provider Directory
National Provider DirectoryLocations
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.