Individual
CHRISTOPHER TIMOTHY CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1924 ALCOA HWY, DEPARTMENT OF PATHOLOGY, KNOXVILLE, TN 37920-1511
(865) 305-8994
(865) 305-6866
Mailing address
20575 ERIE RD, ROCKY RIVER, OH 44116-1414
(216) 476-7108
(216) 476-7109
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
35.072415
OH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
38281-020
WI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
44055
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000180176
OHIO OPERATING ENGINEERS
OH
05
—
1510737
—
TN
01
—
2042373
BCMH
OH
05
—
2042373
—
OH
01
—
340714618011
MEDICAL MUTUAL OF OHIO
OH
01
—
4203908
BCBS OF TN
TN
01
—
P00747161
RR MEDICARE PART B
TN
01
—
SY245065068
TRICARE
OH
Enumeration date
10/17/2006
Last updated
09/28/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us