MISS LAURIE ANNE CLARK (NPI# 1023388014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023388014 |
Entity Type | Individual |
Full Name | MISS LAURIE ANNE CLARK |
Other Name | LAURIE ANNE DIELMANN |
Credential | PA-C |
Practice Address |
95 Collier Rd Nw Ste 6015 Atlanta GA 30309-1750 |
Mailing Address |
5673 Peachtree Dunwoody Rd Ne Suite 870 Atlanta GA 30342-1731 |
Practice Telephone | 4913515959 |
Mailing Telephone | (443) 910-2510 |
Enumeration Date | 2012-01-06 |
Last Update Date | 2017-08-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407490246 | Laurie Beth Clark | Nurse Practitioner | 17009 E Cheyenne Dr, Independence, MO 64056 | 2019-11-05 |
1801864178 | Laurie C Clark | Family Medicine | 14002 E 21st St Ste 1130, Tulsa, OK 74134-1408 | 2006-03-10 |
1619382082 | Laurie Kathleen Clark | Dental Hygienist | 777 E Galveston St, Chandler, AZ 85225-8273 | 2014-06-24 |
1467790295 | Laurie A Clark | Speech-Language Pathologist | 455 Boot Rd, Downingtown, PA 19335-3043 | 2013-01-29 |
1285779538 | Laurie Clark | Speech-Language Pathologist | 144 Canal St, Nashua, NH 03064-2886 | 2007-02-21 |
Street Address |
95 COLLIER RD NW STE 6015 |
City | ATLANTA |
State | GA |
Zip Code | 30309-1750 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366440992 | David Robert Schmidt | Surgery | 95 Collier Rd Nw Ste 6015, Atlanta, GA 30309 | 2005-07-08 |
1922499474 | Emily Brock Lecraw | Physician Assistant | 95 Collier Rd Nw Ste 6015, Atlanta, GA 30309-1750 | 2015-02-05 |
1851320857 | Jeff Frederick Seebach | Surgery | 95 Collier Rd Nw Ste 6015, Atlanta, GA 30309-1750 | 2006-07-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396382354 | Astoria Dentistry LLC | Dentist | 2233 Peachtree Rd. Nw, Suite 300, Atlanta, GA 30309 | 2019-12-09 |
1487133740 | S2 Telehealth Technologies, LLC | Psychiatry & Neurology | 915 W Peachtree St Nw Apt 522, Atlanta, GA 30309 | 2018-08-08 |
1841782620 | Janie Mardis | Social Worker | 3 Park Ln Ne, Apt H, Atlanta, GA 30309 | 2018-06-06 |
1083102842 | Veronica L Bentley | Specialist/Technologist, Other | 1170 Peachtree Street Suite 1200, Atlanta, GA 30309 | 2018-04-27 |
1427566363 | Net Medical Corp | Chiropractor | 1100 Spring St Sw, Ste#700, Atlanta, GA 30309 | 2018-01-12 |
1871000463 | Mary James (jamie) Johnson | Counselor | 1100 Spring Street, Suite 380, Atlanta, GA 30309 | 2018-01-04 |
1306377817 | Aliyah Lamis Scott | Social Worker | 1745 Peachtree Road Ne, Kaiser Permanente Brookwood Medical Office, Atlanta, GA 30309 | 2017-03-26 |
1013450774 | Caroline Hallen | Nurse Practitioner | 105 Collier Rd Nw Suite 3040, Atlanta, GA 30309 | 2016-11-29 |
1528501723 | Ant-aging Queen | Nutritionist | 1801 Atlanta Medical Clinic, Suite 250, Atlanta, GA 30309 | 2016-11-21 |
1790231439 | Nurse 2 Health Home Care LLC | Home Health | 1075 Peachtree Street Ne, Atlanta, GA 30309 | 2016-09-01 |
Find all providers in zip 30309 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912356775 | Jason Weddington | Physician Assistant | 5667 Peachtree Dunwoody Rd Ste 220, Atlanta, GA 30342-1725 | 2016-06-11 |
1578937181 | Vds Surgical Assistants, Inc. | Physician Assistant | 1307 W Garmon Rd, Atlanta, GA 30327-4405 | 2015-11-19 |
1407220379 | Simpson Surgery Group, LLC | Physician Assistant | 701 Highland Ave Ne Apt 1407, #1407, Atlanta, GA 30312-1454 | 2015-11-16 |
1417388232 | Tracey Lorena Tello | Physician Assistant | 931 Monroe Drive Ne, Suite 102 #641, Atlanta, GA 30308-7132 | 2013-12-04 |
1336587401 | Marissa B Highnote | Physician Assistant | 6045 Barfield Rd Ste 100, Atlanta, GA 30328-4402 | 2013-06-11 |
1396013223 | Signature Surgical Assistants | Physician Assistant | 2489 Kings Arms Dr Ne, Atlanta, GA 30345-2132 | 2011-12-07 |
1720364318 | Leah Strickland | Physician Assistant | 4279 Roswell Road Suite 102 Pmb 303, Atlanta, GA 30342 | 2011-10-26 |
1669798872 | Tiffiany Mccune | Physician Assistant | 4979 Lower Elm St, Atlanta, GA 30349-1677 | 2010-04-13 |
1306177233 | Hong Feng Shi | Physician Assistant | 4355 Cobb Pkwy Ste J131, Atlanta, GA 30339-3887 | 2010-01-15 |
1821256223 | Clyde D Johnson Jr. | Physician Assistant | 5881 Glendrige Dr Ne, Suite 120, Atlanta, GA 30328 | 2008-06-02 |
Find all providers in ATLANTA |
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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.