William E. Clack M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

118121 Issued in NY

Legal business name

WILLIAM E. CLACK M.D.

Practice address

447 E Water St
Elmira, NY 14901-3410

Phone

(607) 733-3631

Fax

(607) 733-5432

NPI assigned

Jun 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. William E. Clack, M.D.

Title

Owner

Phone

(607) 733-3631

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Denis Charles Kingsley, PA

  • Physician Assistant
  • Elmira, NY
  • NPI 1366540387
  NPD (past)

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

{
    "created_epoch": "1212883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212883200000",
    "number": "1427217090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 E WATER ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013410",
            "telephone_number": "607-733-3631",
            "fax_number": "607-733-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 E WATER ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013410",
            "telephone_number": "607-733-3631",
            "fax_number": "607-733-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM E. CLACK M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-08",
        "last_updated": "2008-06-08",
        "status": "A",
        "authorized_official_last_name": "CLACK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-733-3631",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "118121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00359366",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa P. Wichtowski, PT
• Olivia Marie Wicks
• Benjamin Wilcox, BSN, RN, CNOR, RNFA
• Douglas Frank Willard, MD
• Melissa D Willenborg, MD
• Beth Ann Williams
• Dana Williams
• Edward D Williams, M.D.
• Keith C Williams, PMHNP
• Linda Williams

• Specialist in Elmira, NY
• Providers in Elmira, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.