MITCHELL B. CLARK MD – NPI #1669817854
Obstetrics & Gynecology

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

Health Care Provider Taxonomy Code for Obstetrics & Gynecology

MITCHELL CLARK is a physician located in NEW HAVEN, CT. NPPES has assigned the NPI number 1669817854 to MITCHELL CLARK on May 02, 2013. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207VX0201X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecologic Oncology

The NPI profile was previously updated about 6 years ago on Apr 09, 2020. 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 MITCHELL CLARK below.

NPI Profile for
MITCHELL B. CLARK

NPI Number
1669817854
Enumeration Date

(more than 13 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MITCHELL B. CLARK
Credentials
MD
Primary location
333 CEDAR ST.
YALE MEDICAL SCHOOL
NEW HAVEN, CT 06510
Phone: (203) 833-0281 Fax:
1 Other location(s):
267 Grant St.
Bridgeport, CT 06610
Phone: (203) 384-3990
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Apr 09, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
207VX0201X
- Obstetrics & Gynecology / Gynecologic Oncology (Primary)		 CT 65152
390200000X
- Student in an Organized Health Care Education/Training Program

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.

Additional Information

Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MITCHELL CLARK is affiliated with the following medical group(s):
  • HOSPITAL
    • BRIDGEPORT HOSPITAL
      267 GRANT STREET
      BRIDGEPORT, CT 06610
    • LAWRENCE & MEMORIAL HOSPITAL
      365 MONTAUK AVE
      NEW LONDON, CT 06320
    • STAMFORD HOSPITAL
      ONE HOSPITAL PLAZA
      STAMFORD, CT 06904
    • YALE-NEW HAVEN HOSPITAL
      20 YORK ST
      NEW HAVEN, CT 06504

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