MEDICARE: REBECCA ADAIR CLARK M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RI0200X	Infectious Disease Physician	MD.018089	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043219140
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA ADAIR CLARK M.D.

Provider Business Mailing Address
First Line	:	3308 TULANE AVE
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70119-7100
Country	:	US
Telephone Number	:	504-982-0628
Fax Number	:	504-903-5313

Provider Business Practice Location Address
First Line	:	3308 TULANE AVE
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70119-7100
Country	:	US
Telephone Number	:	504-903-7302
Fax Number	:	504-903-5313

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	02/27/2020

Similar Medicare Providers

1346221660 — JUDITH HERTANU MD
Practice Location Address:

10 UNION SQ E , BETH ISRAEL MED CTR- DEPT OF REHAB MEDICARE
NEW YORK, NY
10003-3314

Practice Phone: 212-420-2757
Practice Fax:

1265467799 — ELISHAS MEDICAL HEALTHCARE SERVICE
Practice Location Address:

3308 TULANE AVE STE 411
NEW ORLEANS, LA
70119-7100

Practice Phone: 504-821-9111
Practice Fax: 504-821-9198

1831293927 — OMEGA MED LLC
Practice Location Address:

3308 TULANE AVE , SUITE 410
NEW ORLEANS, LA
70119-7100

Practice Phone: 504-827-2923
Practice Fax: 504-582-7542

1609026970 — ELISHA HATCH
Practice Location Address:

3308 TULANE AVE STE 411
NEW ORLEANS, LA
70119-7100

Practice Phone: 504-821-9111
Practice Fax:

1457585291 — MEDISCAN IMAGING INC
Practice Location Address:

3308 TULANE AVE , SUITE 304
NEW ORLEANS, LA
70119-7100

Practice Phone: 323-253-6991
Practice Fax:

1366673717 — JETFLY TRANSPORTATION,LLC
Practice Location Address:

3308 TULANE AVE , STE 322
NEW ORLEANS, LA
70119-7100

Practice Phone: 504-472-8448
Practice Fax: 504-822-4427

Directions to “ REBECCA ADAIR CLARK M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.