DR. JOHN SAMUEL CLARKE (NPI# 1003811928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003811928 |
| Entity Type | Individual |
| Full Name | DR. JOHN SAMUEL CLARKE |
| Credential | M.D. |
| Practice Address |
119 Lake Bluff Dr Bullard TX 75757-9740 |
| Mailing Address |
Po Box 10090 Tyler TX 75711-0090 |
| Practice Telephone | 9038251981 |
| Practice Fax Number | 9038253375 |
| Mailing Telephone | 9038251981 |
| Mailing Fax Number | 9038253375 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2008-08-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | G9082 | TX | Allopathic & Osteopathic Physicians |
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | G9082 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 110348302 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356786909 | John Philip Clarke | Orthotist | 118 Nash St E, Suite E, Wilson, NC 27893 | 2013-05-08 |
| 1154674398 | John A Clarke | Pharmacist | 4932 Raccoon Valley Rd Se, Olympia, WA 98513-9271 | 2012-10-25 |
| 1851662654 | John P Clarke | Surgery | 1297 Holly Point Rd, Virginia Beach, VA 23454-1932 | 2012-01-25 |
| 1689888422 | John Clarke | Surgery | 2345 W Harrison St, Chicago, IL 60612-3500 | 2007-05-10 |
| 1467539643 | John O'brien Clarke IIi | Internal Medicine | 450 Broadway St # D, Redwood City, CA 94063 | 2006-11-01 |
| 1750464574 | John Thomas Clarke | Internal Medicine | 50 E Bellevue Pl Apt 706, Chicago, IL 60611-6106 | 2006-10-23 |
| 1639169808 | John Joseph Clarke | Podiatrist | 1900 Hayes Ave, Fremont, OH 43420-2755 | 2005-10-27 |
| 1407342884 | John Christopher Clarke | Dentist | 1810 Decatur Hwy Ste 212, Fultondale, AL 35068-1700 | 2018-07-09 |
| 1831597830 | John Clarke | Rehabilitation Practitioner | 6055 E Washington Blvd, Commerce, CA 90040-2449 | 2014-12-08 |
| 1376975847 | John Clarke | Counselor | 1801 E 5th St, Suite 210, Charlotte, NC 28204-2379 | 2013-08-06 |
| Street Address |
119 LAKE BLUFF DR |
| City | BULLARD |
| State | TX |
| Zip Code | 75757-9740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770131773 | Bluebonnet Point Wellness, LLC | Skilled Nursing Facility | 151 Heritage Springs Drive, Bullard, TX 75757 | 2019-09-03 |
| 1649793365 | Vanessa Mae Dockter | Specialist/Technologist | 1426 South Houston, Bullard, TX 75757 | 2017-07-25 |
| 1912398348 | Obach Physical Therapy Clinic LLC | Physical Therapist | 200 County Road 3801, Bullard, TX 75757 | 2015-02-06 |
| 1851734792 | Bullard Independent School District | Local Education Agency (LEA) | 1426b S Houston, Bullard, TX 75757 | 2013-04-10 |
| 1063700110 | Ralph Rosauro Mendoza Obach | Physical Therapist | 200 County Rd 3801, Bullard, TX 75757 | 2011-07-11 |
| 1346424678 | Jennifer Marie King | Physical Therapy Assistant | 106 Hickory St, Bullard, TX 75757 | 2007-12-21 |
| 1073698585 | Ferrell Roper Clinic, Pllc | Nurse Practitioner | 105 North Phillips Street, Bullard, TX 75757 | 2006-10-25 |
| 1215974373 | Bullard Family Medicine, P.a. | Family Medicine | 395 Highway 69 North, Bullard, TX 75757 | 2006-05-31 |
| 1346290723 | Linda G Roper | Nurse Practitioner | 105 Phillips St., Bullard, TX 75757 | 2006-05-10 |
| 1184622318 | All Home Infusion Inc | Durable Medical Equipment & Medical Supplies | 16541 Fm 344, Bullard, TX 75757 | 2005-07-12 |
| Find all providers in zip 75757 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952915894 | Branislav Stojkovic | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6431 Fannin St Ste Jjl S-86, Houston, TX 77030-1501 | 2020-09-08 |
| 1093349946 | Lawrence R Hamner IIi Md Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2501 Jimmy Johnson Blvd Ste 207, Port Arthur, TX 77640-2011 | 2020-03-01 |
| 1275173379 | Houston Cardiothoracic and Vein Surgeons, Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1310 St Joseph Pkwy Ste 1005, Houston, TX 77002-8205 | 2020-01-07 |
| 1861962003 | Brownsville Surgery, Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 100 E Alton Gloor Blvd Bldg B, Brownsville, TX 78526-3328 | 2018-11-30 |
| 1326523077 | Southeast Texas Cardiac LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8901 Fm 1960 Bypass Rd W Ste 303, Humble, TX 77338-4019 | 2018-09-28 |
| 1982119061 | Elite Heart, Lung, and Vein Surgeons | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2406 Ellis Park Ln, Conroe, TX 77304-2938 | 2017-12-11 |
| 1376076869 | Kitten Cardiovascular Associates Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 118 Shenandoah Drive, Suite A, Shenandoah, TX 77381-1203 | 2017-04-11 |
| 1003360116 | William E Wallace Do | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6007 Hillbrook Dr, Colleyville, TX 76034-5323 | 2016-08-05 |
| 1104284959 | Lm Duvall Enterprises | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 41922 N Mill Dr, Magnolia, TX 77354-1850 | 2016-02-08 |
| 1457734618 | John Kirchmer Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2195 Thomas Rd, Beaumont, TX 77706-2837 | 2015-07-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. JOHN SAMUEL CLARKE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.