MATTHEW MITCHELL CLARK (NPI# 1033578653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033578653 |
| Entity Type | Individual |
| Full Name | MATTHEW MITCHELL CLARK |
| Credential | DMD |
| Practice Address |
2644 Crystal Falls Rd Lexington KY 40509-4208 |
| Practice Telephone | 8652663026 |
| Mailing Telephone | 8652663026 |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2016-02-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154787844 | Matthew Clark | Chiropractor | 5250 S Commerce Dr Ste 155, Murray, UT 84107-5379 | 2016-01-11 |
| 1811001126 | Matthew David Ayers Clark | Psychologist | 7150 Kalamazoo Ave Se, Ste C, Caledonia, MI 49316-9126 | 2006-08-17 |
| 1215993308 | Matthew Alexander Clark | Internal Medicine | Ute Mountain Ute Health Center, Complex B Rustling Willow Street, Towaoc, CO 81334-0049 | 2006-04-26 |
| 1407341134 | Matthew Howard Clark | Nurse Practitioner | 200 1st St Sw, Rochester, MN 55905 | 2018-06-25 |
| 1639674591 | Matthew Anthony Clark | Student in an Organized Health Care Education/Training Program | 22 Bramhall St, Portland, ME 04102-3134 | 2018-03-24 |
| 1588104913 | Matthew Louis Clark | Pharmacist | 4747 Sawmill Rd, Columbus, OH 43220-2490 | 2017-03-04 |
| 1679949184 | Matthew Clark | Optometrist | 2792 E 146th St, Carmel, IN 46033-7718 | 2015-08-19 |
| 1902288806 | Matthew Lewis Clark | Dermatology | 8245 Holly Rd Ste 101, Grand Blanc, MI 48439-2443 | 2015-06-26 |
| 1417353996 | Matthew Clark | Counselor | 360 Bloomfield Ave, Ste 301, Windsor, CT 06095-2700 | 2014-11-12 |
| 1467872044 | Matthew Thomas Clark | Pediatrics | 2200 Childrens Way, Suite 2404, Nashville, TN 37232-0005 | 2014-04-22 |
| Street Address |
2644 CRYSTAL FALLS RD |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40509-4208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453640 | Grace T. Hallak | Counselor | 513 Darby Creek Rd, Lexington, KY 40509 | 2019-08-19 |
| 1932755774 | Lexington-fayette Urban-county Health Department | Public Health or Welfare | 4801 Athens Boonesboro Rd, Lexington, KY 40509 | 2019-08-16 |
| 1497308266 | Discover You Counseling LLC | Social Worker | 513 Darby Creek Drive, Unit 56 D, Lexington, KY 40509 | 2019-07-22 |
| 1407323611 | Trevor Douglas Mchardy | Physician Assistant | 101 North Eagle Creek Drive, Lexington, KY 40509 | 2018-10-25 |
| 1114413184 | Megan Medrano | Dietitian, Registered | 163 Old Todds Rd Ste 115, Lexington, KY 40509 | 2018-07-02 |
| 1750884292 | Active Medical LLC | Durable Medical Equipment & Medical Supplies | 3470 Blazer Pkwy Ste 350, Lexington, KY 40509 | 2018-03-12 |
| 1699273599 | Frederick Douglas High School | Public Health or Welfare | 2000 Winchester Rd, Lexington, KY 40509 | 2018-01-25 |
| 1710409370 | Sleep Identity Pllc | Clinic/Center | 541 Darby Creek Road, Ste 190, Lexington, KY 40509 | 2017-07-14 |
| 1164956397 | Danielle Anderson | Family Medicine | 24 Fountain Court, Suite 225, Lexington, KY 40509 | 2017-04-14 |
| 1356891782 | Dawn Jones | Physician Assistant | 101 N Eagle Creek Dr, Ste 120, Lexington, KY 40509 | 2016-10-10 |
| Find all providers in zip 40509 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117265 | Andrew Lanham | Student in an Organized Health Care Education/Training Program | 138 York St, Lexington, KY 40508-1879 | 2020-09-03 |
| 1780209429 | Hayley Elizabeth Webber | Student in an Organized Health Care Education/Training Program | 2151 Meeting St Apt 4210, Lexington, KY 40509-4646 | 2020-06-09 |
| 1568081974 | Nicole Marie Hall | Student in an Organized Health Care Education/Training Program | 374 Preston Ave, Lexington, KY 40502-1532 | 2020-04-15 |
| 1720607633 | Abigail Clark | Student in an Organized Health Care Education/Training Program | 800 Rose St Ste C-246, Lexington, KY 40536-0293 | 2020-04-10 |
| 1225657471 | Gabriella M Velonias | Student in an Organized Health Care Education/Training Program | 2261 Massachusetts Ave, Lexington, MA 02421-6712 | 2020-04-08 |
| 1811526866 | Evan Brady Lynch | Student in an Organized Health Care Education/Training Program | 740 South Limestone St Suite K454, Lexington, KY 40536-0293 | 2020-04-02 |
| 1982232237 | Brian Patrick Kinealy | Student in an Organized Health Care Education/Training Program | Uk Medical Center 800 Rose Street Room C-236, Lexington, KY 40536-0001 | 2020-03-31 |
| 1134757651 | Leonard Nsoyori Yenwongfai | Student in an Organized Health Care Education/Training Program | 800 Rose St Rm Ms -117, Lexington, KY 40536-0293 | 2020-03-30 |
| 1427686054 | James Hallahan | Student in an Organized Health Care Education/Training Program | 800 Rose St Pavillion H, Lexington, KY 40536-0001 | 2020-03-30 |
| 1285262824 | Ivan Huynh | Student in an Organized Health Care Education/Training Program | 740 South Limestone A219, Lexington, KY 40536-0001 | 2020-03-30 |
| Find all providers in LEXINGTON | ||||
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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.