NPIMap

Organization Active NPI

Clark Orthotic Services, Inc.

  • Specialist
  • Columbus, OH
National Provider Identifier
1629258140
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
192 Issued in OH
Legal business name
CLARK ORTHOTIC SERVICES, INC.
Practice address
6315 E Broad St
Columbus, OH 43213-1506
Phone
(614) 863-6900
Fax
(614) 863-8787
NPI assigned
Nov 13, 2007
Last updated
Nov 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Authorized official

Name
Kathleen Simmons, CO, LONPI 1073691648
Title
Owner
Phone
(614) 863-6900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 192 OH Primary

Addresses

Primary practice location

6315 E Broad St
Columbus, OH 43213-1506

Mailing address

6315 E Broad St
Columbus, OH 43213-1506
Phone (614) 863-6900

National Provider Directory

National Provider Directory

Locations

6315 E Broad St
Columbus, OH 43213
Phone (614) 863-6900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1629258140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6315 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131506",
            "telephone_number": "614-863-6900",
            "fax_number": "614-863-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6315 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131506",
            "telephone_number": "614-863-6900",
            "fax_number": "614-863-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK ORTHOTIC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-863-6900",
        "authorized_official_credential": "CO, LO"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.