Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306824255 Individual Practitioner Male Practitioner

Dr. James W Clark , MD

Pediatrics • Eagan, MN

Professional Overview & Biography Verified Profile Summary

Dr. James Clark, MD is a registered healthcare professional specializing in Pediatrics in Eagan, MN. Practice services are available at 1885 PLAZA DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1885 Plaza Dr

Eagan, MN 551222612

Telephone 9529934001
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Eagan, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.0 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
11 Specialists

Practicing in Eagan, MN (1325 Statewide)

Telehealth Adoption Rate
18.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MN 26114

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
444703400 (MN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

27 Associated Practitioners
Jeffrey Mohr , PA-C

Physician Assistant - Medical

NPI 1013271378

Physician Assistant (Certified)

Rosa Grebin , AGNP-C

Nurse Practitioner

NPI 1013766179

Adult-Gerontology Nurse Practitioner (Certified)

Jori Shore

Nurse Practitioner - Family

NPI 1013994532
Mary Tolsma , PA

Physician Assistant

NPI 1023425402

Physician Assistant

Clare Macdonald-Sexton , LICSW

Social Worker - Clinical

NPI 1043443500

Licensed Independent Clinical Social Worker

John Edwards

Obstetrics & Gynecology

NPI 1093790453

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 01, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location March 01, 2012

Registered at 1885 PLAZA DR, EAGAN, MN 551222612 (Tel: 9529934001)

📍
Updated Business Mailing Address March 01, 2012

Registered at 3800 PARK NICOLLET BLVD, CREDENTIALING, ST LOUIS PARK, MN 554162527

👤
Provider Name / Credentials Updated March 01, 2012

Recorded as JAMES CLARK, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 01, 2012

Pediatrics (License #26114 in MN)

🟢
Initial NPI Registration & Enumeration January 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306824255
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 01, 2006
Last Update: March 01, 2012
Sole Proprietor: No

Mailing Address

3800 Park Nicollet Blvd, Credentialing

St Louis Park, MN 554162527

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.