FRED CLARKE MD – NPI #1346206950
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

FRED CLARKE is a physician located in JAMAICA, NY. NPPES has assigned the NPI number 1346206950 to FRED CLARKE on April 22, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 13 years ago on Jan 18, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FRED CLARKE below.

NPI Profile for
FRED CLARKE

NPI Number
1346206950
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
FRED CLARKE
Credentials
MD
Primary location
20016 HOLLIS AVENUE
JAMAICA, NY 11412
Phone: (718) 736-8204 Fax: (718) 736-8505
Mailing address
80 MARCUS DR
PROVIDER ENROLLMENT
MELVILLE, NY 11747-4230
Phone: (631) 391-7889 Fax: (631) 454-4163
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for FRED CLARKE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNY01862739
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
NY 206376

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.