Clark, Michael Thomas

Clark, Michael Thomas is an individual health care provider with primary practice located at 700 Childrens Dr , Columbus OH 43205-2664. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Pediatric Cardiology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Clark, Michael Thomas can be contacted via phone (614) 722-6200.

Contact Information

Primary practice address
700 Childrens Dr Columbus OH 43205-2664
Phone: (614) 722-6200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 2080H0002X 35.154087 Ohio
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 35.154087 Ohio
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35.154087 Ohio

Profile Details

NPI number 1780147298
LBN Legal business name Clark, Michael Thomas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2019
Last updated Jun 15th, 2026 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780147298 NPPES
Ohio MEDICAID 0370188

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