DR. ZACHARY EUGENE CLARK


Address: 619 19th St S, Birmingham, AL 35249
Phone: 2059344011

DR. ZACHARY EUGENE CLARK (NPI# 1023429495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023429495
Entity Type Individual
Full Name DR. ZACHARY EUGENE CLARK
Credential M.D.
Practice Address 619 19th St S
Birmingham
AL 35249
Mailing Address Po Box 55310
Birmingham
AL 35255-5310
Practice Telephone 2059344011
Mailing Telephone 2057319701
Enumeration Date 2014-05-19
Last Update Date 2019-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
35318 AL Allopathic & Osteopathic Physicians
N 208D00000X General Practice 35318 AL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AL ALABAMA CONTROLLED SUBSTANCE LICENSE 35318 01
DEA LICENSE FC6309290 01
AL STATE MEDICAL LICENSE 35318 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
1701 1st Ave S, Birmingham, AL 352334001 (256) 503-2444 2567810357
840 Montclair Rd, Suite 317, Birmingham, AL 352131920 2055994822

Other Providers ZACHARY CLARK

NPI Name Taxonomy Address Enumeration
1063049054 Zachary Kyle Clark Student in an Organized Health Care Education/Training Program 2451 University Hospital Dr Rm 714, Mobile, AL 36617-2300 2020-03-27
1568025211 Zachary Charles Clark Student in an Organized Health Care Education/Training Program 1638 Owen Dr, Fayetteville, NC 28304-3424 2019-04-18
1356827844 Zachary Reilly Clark Behavior Technician 6 N Main St Ste 110, Fairport, NY 14450-1581 2018-07-17
1063955318 Zachary Clark Occupational Therapist 555 Anthony Wayne Trl, Waterville, OH 43566-1516 2016-11-18
1790169225 Zachary Alexander Clark Massage Therapist 99-128 Aiea Heights Dr, Suite 207, Aiea, HI 96701-3925 2015-07-14
1194098871 Zachary E Clark Pharmacist 444 Pacific Ave S, Monmouth, OR 97361-1543 2012-02-11

Office Location

Street Address 619 19TH ST S
City BIRMINGHAM
State AL
Zip Code 35249

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205838505 Peggy Calhoun Wilson Pharmacist 619 19th St S, Birmingham, AL 35249-1900 2005-06-01
1922607548 Breck Fowler Hamilton Registered Nurse 619 19th St S, Birmingham, AL 35249-1900 2020-10-24
1477152650 Brandi Bailey Nurse Practitioner 619 19th St S, Birmingham, AL 35233-1900 2020-10-20
1003415456 Shannon Marie Harrison Registered Nurse 619 19th St S, Birmingham, AL 35233-1900 2020-10-17
1720685886 Aeriel Flippo Swinsick Nurse Practitioner 619 19th St S, Birmingham, AL 35249-1900 2020-10-02
1477160604 Lundy Starke Williams Nurse Practitioner 619 19th St S, Birmingham, AL 35249-1900 2020-10-01
1003422320 Leah York Registered Nurse 619 19th St S, Birmingham, AL 35249-1900 2020-09-22
1972123420 William Chase Cooper Registered Nurse 619 19th St S, Birmingham, AL 35233-1900 2020-04-24
1699394494 Eme Unanaowo Registered Nurse 619 19th St S, Spain Wallace Bldg, Birmingham, AL 35233-1900 2020-04-11
1285253369 Robert Chase Ruffo Student in an Organized Health Care Education/Training Program 619 19th St S, Birmingham, AL 35249-1900 2020-04-09
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770070682 Jordan Bauer Student in an Organized Health Care Education/Training Program 625 19 Street South, Birmingham, AL 35249 2018-04-16
1356847917 Kathryn Leonards Sinquefield Student in an Organized Health Care Education/Training Program 625 19 Th Street South, Birmingham, AL 35249 2018-04-03
1285167288 Lauren Marie Theiss Student in an Organized Health Care Education/Training Program 625 19th Street S, Birmingham, AL 35249 2017-04-06
1992159040 Christopher Lee Anderson Student in an Organized Health Care Education/Training Program 625 19th St South, Birmingham, AL 35249 2016-04-14
1154715365 Danielle Demontigny Avila Internal Medicine 625 19th St. South, Birmingham, AL 35249 2015-03-25
1417398033 Rehan Ajmal Sarmad Internal Medicine 625 19th Street South Birmingham, Birmingham, AL 35249 2013-07-11
1760828560 Diana Murro Lin Pathology 619 19th St S # Hsb130, Birmingham, AL 35249 2013-05-20
1982048476 University of Alabama At Birmingham General Acute Care Hospital 1700 6th Ave South, Uab, Birmingham, AL 35249 2013-04-26
1255693149 William M Perez Obstetrics & Gynecology 176f 10360d 619 19th Street South, Birmingham, AL 35249 2012-06-15
1942504642 Melanie R. Sparks Nurse Practitioner 1700 6th Ave. South, Wic Suite 2342, Birmingham, AL 35249 2011-01-10
Find all providers in zip 35249

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497241756 Anurag Chahal Radiology Department of Radiology 619 19th Street South, Birmingham, AL 35249-0001 2018-07-10
1346782307 Birmingham Physicians Radiology Pllc Radiology 3425 Colonnade Pkwy, Birmingham, AL 35243-2356 2016-11-08
1194111245 Darrel Alexander Ceballos Radiology 619 19th Street South Jt N382, Birmingham, AL 35294-2238 2015-04-15
1356754956 Brandon Phillips Radiology 619 19th St S Dept Of, Birmingham, AL 35233-1900 2014-06-11
1306258751 Benjamin Ross Snead Radiology 3690 Grandview Pkwy Dept Of, Birmingham, AL 35243-3326 2014-05-20
1538586433 David Breland Radiology 2204 Lakeshore Dr Ste 140, Birmingham, AL 35209-6741 2014-03-28
1649603267 Dane David Hellwig Radiology 1211 Concord Ave, Birmingham, AL 35213-2120 2013-08-19
1982982047 Bradley James Cherenzia Radiology 655 Chester St, Birmingham, MI 48009-1436 2011-07-23
1891088670 George R Newman Radiology 341 Kingston Cir, Birmingham, AL 35211-6982 2011-05-26
1518250067 Chandler Hargrove Smith Radiology 368 Vesclub Drive, Birmingham, AL 35216 2011-05-17
Find all providers in BIRMINGHAM

Competitor

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City BIRMINGHAM
Zip Code 35249

Improve Information

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Dataset Information

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.

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