Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1033111752 Individual Practitioner Female Practitioner

Dr. Rebecca Clark , MD

Pediatrics • Maumee, OH

Professional Overview & Biography Verified Profile Summary

Dr. Rebecca Clark, MD is a registered healthcare professional specializing in Pediatrics in Maumee, OH. Practice services are available at 660 BEAVER CREEK CIR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

660 Beaver Creek Cir
Suite 100

Maumee, OH 435371745

Telephone 4198916221
Fax 4198933394
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Maumee, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.0 Yrs
Regional Practice Density
19 Specialists

Practicing in Maumee, OH (3057 Statewide)

Telehealth Adoption Rate
0.0% 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

CMS Verified: 2022-04-04
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License OH 35080735

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
2333264 (OH)
Commercial Insurance / Payer ID Paramount
04219 (OH)
Commercial Insurance / Payer ID Anthem
000000246226 (OH)
Commercial Insurance / Payer ID Aetna
7534411 (OH)
Commercial Insurance / Payer ID Uhc
12-04381 (OH)

Practice Associates & Co-Workers

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

7 Associated Practitioners
NPI 1003818998

Doctor of Medicine (M.D.)

NPI 1023010915

Doctor of Medicine (M.D.)

NPI 1396737300

Doctor of Medicine (M.D.)

NPI 1568588804

Doctor of Medicine (M.D.)

NPI 1588892483

Doctor of Osteopathic Medicine (D.O.)

NPI 1811556137

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
👤
Provider Name / Credentials Updated April 04, 2022

Recorded as REBECCA CLARK, MD

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 660 BEAVER CREEK CIR, SUITE 100, MAUMEE, OH 435371745 (Tel: 4198916221)

📍
Updated Business Mailing Address July 08, 2007

Registered at 660 BEAVER CREEK CIR, SUITE 100, MAUMEE, OH 435371745 (Tel: 4198916221)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as REBBECA CLARK, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #35080735 in OH)

🟢
Initial NPI Registration & Enumeration August 12, 2005

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: 1033111752
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 12, 2005
Last Update: November 03, 2023
Sole Proprietor: No

Mailing Address

660 Beaver Creek Cir, Suite 100

Maumee, OH 435371745

Phone: 4198916221

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.