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Active NPI 1972527703 Individual Practitioner Male Practitioner

Dr. Michael E Clark , MD

Pediatrics • Southampton, PA

Professional Overview & Biography Verified Profile Summary

Dr. Michael Clark, MD is a registered healthcare professional specializing in Pediatrics in Southampton, PA. Practice services are available at 207 LAKESIDE DRIVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

207 Lakeside Drive

Southampton, PA 18966

Telephone 2159531020
Associated Practice Facility / Clinic
🏢 Southampton Pediatrics Facility NPI 1437173523

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Southampton, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Southampton, PA (3505 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License PA MD065253L

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.

Specialist

NUCC Taxonomy Code: 174400000X

State License PA MD065253L

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Tamara Jakubowski , CPNP

Nurse Practitioner - Pediatrics

NPI 1376543827

Certified Pediatric Nurse Practitioner

NPI 1639193808

Doctor of Medicine (M.D.)

NPI 1669496741

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 207 LAKESIDE DRIVE, SOUTHAMPTON, PA 18966 (Tel: 2159531020)

📍
Updated Business Mailing Address July 08, 2007

Registered at 207 LAKESIDE DRIVE, SOUTHAMPTON, PA 18966 (Tel: 2159531020)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL CLARK, MD

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

Specialist (License #MD065253L in PA)

🟢
Initial NPI Registration & Enumeration July 26, 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: 1972527703
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 26, 2006
Last Update: August 20, 2019
Sole Proprietor: No

Mailing Address

207 Lakeside Drive

Southampton, PA 18966

Phone: 2159531020

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.