Clark Orthotic Services, Inc.

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

Organization subpart

No

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

Authorized official

Name

Kathleen Simmons, CO, LO

Title

Owner

Phone

(614) 863-6900

Specialties & licenses 1

Addresses

Locations

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": []
}

• Kiersten Clardy
• Claremont Partners LP
• Clariti Diagnostics Laboratories
• Clarity Counseling Services, LLC
• Clarity Ohio
• Leslie Clark-Felder
• Aaron Clark, PHARMD
• Alyssa Clark
• Amanda Clark
• Amanda Lynne Clark, CNP

• Specialist in Columbus, OH
• Providers in Columbus, OH by specialty
• Specialist in Ohio

• 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.