MICHAEL E CLARK (NPI# 1053387936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053387936 |
| Entity Type | Individual |
| Full Name | MICHAEL E CLARK |
| Credential | MD |
| Practice Address |
4 Sheridan Drive Fairfield ME 04937 |
| Mailing Address |
4 Sheridan Rd Fairfield ME 04937-3314 |
| Practice Telephone | 2078615000 |
| Practice Fax Number | 2078615001 |
| Mailing Telephone | 2078615000 |
| Mailing Fax Number | 2078615001 |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2012-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 013687 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 1053387936 | 05 | |
| ME | 272100099 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534227 | Michael Clark | Contractor | 1107 Lavender Shade Court, Houston, TX 77073 | 2020-10-02 |
| 1558858464 | Michael Clark | Optometrist | 990 Medical Dr Ste G3, Brigham City, UT 84302 | 2018-04-16 |
| 1740780006 | Michael Ryan Clark | Pharmacist | 556 Northside Drive, Statesboro, GA 30458 | 2018-02-13 |
| 1942715255 | Michael Clark | Physical Medicine & Rehabilitation | 10600 Riverside Drive, Coral Springs, FL 33071-3307 | 2017-12-08 |
| 1386170348 | Michael Clark | Registered Nurse | 317 E 100 N, Price, UT 84501-2504 | 2017-05-11 |
| 1184163982 | Michael Clark | Specialist/Technologist | 19 Second Ave, Auburn, NY 13021-5113 | 2017-02-14 |
| 1356780837 | Michael Clark | Adult Companion | 8305 Concord Dr, Rowlett, TX 75089-2001 | 2013-06-18 |
| 1417394503 | Michael Ray Clark | Pharmacist | 2661 Valleydale Rd, Hoover, AL 35244-2026 | 2013-05-29 |
| 1407143381 | Michael Jeffery Clark | Orthopaedic Surgery | 5671 Peachtree Dunwoody Ste 700, Atlanta, GA 30342-5047 | 2011-06-29 |
| 1700183993 | Michael Brady Clark | Preventive Medicine | 1400 Mckean Rd, Spring House, PA 19477 | 2011-02-24 |
| Street Address |
4 SHERIDAN DRIVE |
| City | FAIRFIELD |
| State | ME |
| Zip Code | 04937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043274046 | James Earl Dunlap | Family Medicine | 4 Sheridan Drive, Fairfield, ME 04937 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285171629 | Caroline Walsh Toto-lawrence | Technician | 258 Ridge Road, Fairfield, ME 04937 | 2017-01-24 |
| 1396144002 | Debra Ann Doody | Dental Hygienist | 294 Rt 201 - Skowhegon Road, Fairfield, ME 04937 | 2014-08-19 |
| 1922011840 | Robert Carroll Turner | Dentist | 294 Route 201, Fairfield, ME 04937 | 2006-08-14 |
| 1932152279 | Eastern Maine Homecare | Home Health | 24 Lawrence Drive, Fairfield, ME 04937 | 2006-05-18 |
| 1235770454 | Ronald Allan Dyer | Registered Nurse | 113 Main Street, Fairfield, ME 04937 | 2019-09-30 |
| 1780605550 | Jose Antonio Ramirez | Orthopaedic Surgery | 107 First Park Drive, Oakland, ME 04937 | 2006-07-21 |
| 1083942684 | Christine Marie Stevens-sheehan | Counselor | 66 Western Ave, Fairfield, ME 04937-0378 | 2009-11-20 |
| 1295953743 | Tania Coy Gardiner Hassard | Optometrist | 30 Main St, Fairfield, ME 04937-1120 | 2007-04-22 |
| 1871827055 | Eastern Maine Homecare | Hospice Care, Community Based | 24 Lawrence Ave, Fairfield, ME 04937-1221 | 2009-09-22 |
| 1740594514 | Kathy Beaulieu | Occupational Therapy Assistant | 41 West St, Fairfield, ME 04937-1311 | 2010-08-03 |
| Find all providers in zip 04937 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275147647 | Rebecca Diane Yeater | Family Medicine | Wellspan Family Medicine - Fairfield, 4910 Fairfield Rd, Fairfield, PA 17320 | 2020-09-03 |
| 1366822199 | House Calls and Virtual Visits, LLC | Family Medicine | 36 Sanford St, Fairfield, CT 06824-5917 | 2015-06-06 |
| 1093133746 | Simone Alicia Douge | Family Medicine | 700 Route 46 E Ste 450, Fairfield, NJ 07004 | 2014-03-31 |
| 1629499801 | Joseph John Sciarrillo | Family Medicine | 20 Paisley Ln, Fairfield, CT 06825-1158 | 2013-12-14 |
| 1568894731 | Mary Helen Gartin | Family Medicine | 2000c South Main, Fairfield, IA 52556 | 2013-07-30 |
| 1689013195 | Marikit B Parker | Family Medicine | 1101 B Gale Wilson Blvd Ste 101c, Fairfield, CA 94533-3771 | 2013-06-18 |
| 1538459821 | Samuel C. Docena, Md.,inc | Family Medicine | 1244 Nilles Rd Ste 10, Fairfield, OH 45014-2788 | 2011-04-08 |
| 1467759746 | Richard Marie Valeriote | Family Medicine | 3350 Blackhawk Place, Fairfield, CA 94534 | 2011-02-22 |
| 1861655466 | Antonela Barbu | Family Medicine | 2238 Black Rock Tpke, Fairfield, CT 06825-3219 | 2008-07-03 |
| 1477744290 | Ahmad Shariff Vonschlegell | Family Medicine | 541 Cement Hill Rd, Fairfield, CA 94533-1329 | 2007-08-06 |
| Find all providers in FAIRFIELD | ||||
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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.