John M Clarke MD PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

JOHN M CLARKE MD PA

Practice address

1609 Pasadena Ave S
#4C
South Pasadena, FL 33707-4565

Phone

(727) 345-2929

Fax

(727) 345-0340

NPI assigned

Mar 29, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John M Clarke, MDNPI 1023110418

Title

President

Phone

(727) 645-2929

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• John Mitchell Clarke, MD

  • Surgery Physician
  • South Pasadena, FL
  • NPI 1023110418
  Authorized official Same address or phone
• Kenneth E. Baker, PA-C

  • Physician Assistant
  • Orlando, FL
  • NPI 1407884950
  NPD (past)
• Jill Tornyos Parker, PA-C

  • Surgical Physician Assistant
  • St Petersburg, FL
  • NPI 1447379466

  Surgery

  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952420978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 PASADENA AVE S",
            "address_2": "#4C",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "337074565",
            "telephone_number": "727-345-2929",
            "fax_number": "727-345-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 PASADENA AVE S",
            "address_2": "#4C",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "337074565",
            "telephone_number": "727-345-2929",
            "fax_number": "727-345-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M CLARKE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-645-2929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrated Regional Laboratories Pathology Services, LLC
• Jason Ward Ireson
• J. Paonessa M.D. P.a. (Gulfcoast Oncology Associates)
• Tiffany M. Jessee, D.O.
• John Daniel Kepler, MD PA
• John R. Delaney MD PA
• Sharon Renee Johnson-Levy
• Leigh C Jones
• Veronica Jones
• Jozsef Fabian MD PA

• Surgery Physician in South Pasadena, FL
• Providers in South Pasadena, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.