DR. MATTHEW TAYLOR CLARK (NPI# 1053433250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053433250 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW TAYLOR CLARK |
| Credential | M.D. |
| Practice Address |
616 Edgefield Rd Suite 180 North Augusta SC 29841-1938 |
| Mailing Address |
130 Allen Ct North Augusta SC 29860-9782 |
| Practice Telephone | 8032797666 |
| Practice Fax Number | 8032790708 |
| Mailing Telephone | 8032797666 |
| Mailing Fax Number | 8032790708 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | 057156 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 1053433250 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033578653 | Matthew Mitchell Clark | Student in an Organized Health Care Education/Training Program | 2644 Crystal Falls Rd, Lexington, KY 40509-4208 | 2016-02-11 |
| 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 |
| Street Address |
616 EDGEFIELD RD SUITE 180 |
| City | NORTH AUGUSTA |
| State | SC |
| Zip Code | 29841-1938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053489211 | Tuan M Nguyen | Physical Therapist | 616 Edgefield Rd, Suite 150, North Augusta, SC 29841-1938 | 2006-12-04 |
| 1205002888 | Covenant Family Allergy, PC | Allergy & Immunology | 616 Edgefield Rd, Suite 180, North Augusta, SC 29841-1938 | 2008-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184238685 | Essential Health & Wellness | Nurse Practitioner | 616 Edgefield Rd Unit 170, North Augusta, SC 29841 | 2020-09-02 |
| 1316476898 | Tanya Marletta Thompson | Counselor | 125 Thompson Ave, North Augusta, SC 29841 | 2017-06-08 |
| 1427587708 | Lashonda Devona Johnson | Nurse's Aide | 310 Edgefield Road, North Augusta, SC 29841 | 2017-06-08 |
| 1760916092 | Michael Cory Hall | Dentist | 503 W Martintown Road, North Augusta, SC 29841 | 2017-04-13 |
| 1730626508 | Michael Anthony Posada | Nurse Practitioner | 325 Georgia Ave, North Augusta, SC 29841 | 2017-01-31 |
| 1023497054 | High Praise Hair Boutique | Specialist | 139 Edgewood Drive, North Augusta, SC 29841 | 2015-05-22 |
| 1861897159 | Veterans Transportation | Ambulance | 121 E. Marion Ave., North Augusta, SC 29841 | 2014-10-29 |
| 1700216173 | Brooke Elizabeth Farmer | Licensed Practical Nurse | 2218 Vireo Drive, North Augusta, SC 29841 | 2013-11-20 |
| 1912344953 | Pamelia C Hiott | Registered Nurse | 2000 Knobcone Avenue, North Augusta, SC 29841 | 2013-05-31 |
| 1275798936 | Doctors Hospital North Augusta Imaging Center LLC | Clinic/Center | 105 Hugh Street, Suite A, North Augusta, SC 29841 | 2008-07-22 |
| Find all providers in zip 29841 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205002888 | Covenant Family Allergy, PC | Allergy & Immunology | 616 Edgefield Rd, Suite 180, North Augusta, SC 29841-1938 | 2008-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841819182 | Greenville Rheumatology & Allergy | Allergy & Immunology | 2104a Woodruff Rd, Greenville, SC 29607-5941 | 2020-04-15 |
| 1164956439 | Rosenblatt Enterprise Group, LLC. | Allergy & Immunology | 46 Montagu St, Ste B, Charleston, SC 29401-6709 | 2017-04-13 |
| 1336255280 | David Perrick | Allergy & Immunology | One Richland Medical Park, Suite 200 Carolina Allergy and Asthma Consultants, Columbia, SC 29203 | 2006-08-22 |
| 1245346196 | Michael J Bykowsky | Allergy & Immunology | 1 Richland Medical Park Dr Ste 200, Carolina Allergy and Asthma Consultants, Columbia, SC 29203-6830 | 2006-08-22 |
| 1972526135 | Allergy Partners, Pllc | Allergy & Immunology | 3610 Moore Duncan Hwy, Moore, SC 29369-9414 | 2006-07-26 |
| 1447285374 | John Michael Pulcini | Allergy & Immunology | 10 Halton Green Way, Greenville, SC 29607-6606 | 2006-07-11 |
| 1861438699 | Brian Samuel Dantzler | Allergy & Immunology | 46 Markfield Dr, Suite A, Charleston, SC 29407-6982 | 2006-06-21 |
| 1538101258 | Allergy Partners, Pllc | Allergy & Immunology | 46a Markfield Dr, Charleston, SC 29407-6942 | 2006-06-11 |
| 1972541944 | Beaufort County Allergy LLC | Allergy & Immunology | 60 Main Street, Suite D, Hilton Head Is, SC 29926-6603 | 2006-06-03 |
| 1619920246 | Victoria M Diokno | Allergy & Immunology | 100 Fair Sailing Rd, Mount Pleasant, SC 29466-8158 | 2006-05-17 |
| Find all providers with the same taxonomy | ||||
| City | NORTH AUGUSTA |
| Zip Code | 29841 |
Please comment or provide details below to improve the information on DR. MATTHEW TAYLOR CLARK.
| 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.