Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1871556878 Individual Practitioner Female Practitioner

Dr. Jennifer Diane Clark , MD

Pediatrics • Midlothian, VA

Professional Overview & Biography Verified Profile Summary

Dr. Jennifer Clark, MD is a registered healthcare professional specializing in Pediatrics in Midlothian, VA. Practice services are available at 14732 VILLAGE SQUARE PL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

14732 Village Square Pl

Midlothian, VA 231122253

Telephone 8046390717
Fax 8046390767
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Midlothian, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
37 Specialists

Practicing in Midlothian, VA (2079 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: 2021-01-28
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License ME MD23961

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License VA 0101 056329

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
010121086 (VA)
Commercial Insurance / Payer ID First Health Network
1382954 (VA)
Commercial Insurance / Payer ID Optima Health
10007264 (VA)
Commercial Insurance / Payer ID United Health Care
1240927 (VA)
Commercial Insurance / Payer ID Anthem Bcbs
171941 (VA)
Commercial Insurance / Payer ID Fhn Product, Ccn
5056305 (VA)
Commercial Insurance / Payer ID Southern Health
299592 (VA)
Commercial Insurance / Payer ID Aetna Ppo
5214032 (VA)
Commercial Insurance / Payer ID Great West
432058755 (VA)
Commercial Insurance / Payer ID Aetna Hmo
3649627 (VA)

Career & Practice History Timeline

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

8 Historical Events
👤
Provider Name / Credentials Updated January 28, 2021

Recorded as JENNIFER CLARK, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2021

Pediatrics (License #MD23961 in ME)

NPI Profile Active May 22, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location May 22, 2008

Registered at 14732 VILLAGE SQUARE PL, MIDLOTHIAN, VA 231122253 (Tel: 8046390717)

📍
Updated Business Mailing Address May 22, 2008

Registered at 14732 VILLAGE SQUARE PL, MIDLOTHIAN, VA 231122253 (Tel: 8046390717)

👤
Provider Name / Credentials Updated May 22, 2008

Recorded as JENNIFER CLARK, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2008

Pediatrics (License #0101 056329 in VA)

🟢
Initial NPI Registration & Enumeration April 10, 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: 1871556878
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 10, 2006
Last Update: January 28, 2021
Sole Proprietor: No

Mailing Address

14732 Village Square Pl

Midlothian, VA 231122253

Phone: 8046390717

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.