STEPHEN CLARK (NPI# 1083039085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083039085 |
| Entity Type | Individual |
| Full Name | STEPHEN CLARK |
| Credential | NURSE PRACTITIONER |
| Practice Address |
1013 E Haines St Philadelphia PA 19138-1533 |
| Practice Telephone | 2154381095 |
| Mailing Telephone | 2154381095 |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2014-02-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
SP013599 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649666785 | Stephen T Clark | Pediatrics | 1700 6th Ave S # Wic9100, Birmingham, AL 35233 | 2015-04-14 |
| 1801136080 | Stephen Clark | Counselor | 2020 Taft Ave, Los Angeles, CA 90068-3623 | 2013-02-25 |
| 1316133093 | Stephen Jay Clark | Dentist | 8228 N Main St, Dayton, OH 45415-1641 | 2007-09-17 |
| 1780702225 | Stephen Donald Clark | Counselor | 10390 Us Highway 17 N, Wilmington, NC 28411-6878 | 2007-03-26 |
| 1801981477 | Stephen Lawrence Clark | Naturopath | 646 Center St, Wolfeboro, NH 03894 | 2006-10-03 |
| 1043249519 | Stephen Ned Clark | Chiropractor | 9100 Silverdale Way, Clark Chiropractic Neck & Back, Silverdale, WA 98383-8389 | 2006-06-30 |
| 1427086347 | Stephen Hone Clark | Dentist | 2820 E Flamingo Rd, #b, Las Vegas, NV 89121-5268 | 2006-06-29 |
| 1699717769 | Stephen Chris Clark | Dentist | 7200 S Pennsylvania Ave, Suite B, Oklahoma City, OK 73159-3336 | 2006-06-12 |
| 1477501419 | Stephen J. Clark | Dentist | 102 Ponemah Rd, Amherst, NH 03031-2827 | 2006-05-04 |
| 1487644183 | Stephen B Clark | Dentist | 701 N Dustin Ave, Farmington, NM 87401-6101 | 2005-10-24 |
| Street Address |
1013 E HAINES ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19138-1533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043788227 | Clinica Pharmacy Inc | Pharmacy | 7157 Ogontz Ave, Philadelphia, PA 19138 | 2018-11-06 |
| 1184152308 | Prime Choice Dental, Inc | Dentist | 7155 Ogontz Ave, Philadelphia, PA 19138 | 2017-06-01 |
| 1063950376 | Prodigy Home Care | Home Health | 6137 Limekiln Pike, Phiadelphia, PA 19138 | 2017-02-07 |
| 1194275313 | William Gary George Jr. | Marriage & Family Therapist | 7101 N 20th St., Phila, PA 19138 | 2016-10-12 |
| 1790234490 | Gary Downing | Counselor | 5702 Boyer St., Philadelphia, PA 19138 | 2016-09-23 |
| 1093153785 | Northwest Medical & Rehabilitation Center PC | Internal Medicine | 6315 Stenton Ave, Philadelphia, PA 19138 | 2013-06-05 |
| 1902045586 | America's Best Contacts & Eyeglasses | Technician/Technologist | 5301 Chew Ave. B1, Philadelphia, PA 19138 | 2009-02-05 |
| 1588848477 | Tasha Carol Smith | Licensed Practical Nurse | 6947 Cedarpark Avenue, Phiadelphia, PA 19138 | 2007-12-27 |
| 1730107970 | Gregory Alan Nelson | Internal Medicine | 6315-17 Stenton Avenue, Philadelphia, PA 19138 | 2006-07-17 |
| 1588699706 | Michael D Helzner | Family Medicine | 1909/17 E Washington Lane, Philadelphia, PA 19138 | 2006-07-12 |
| Find all providers in zip 19138 | ||||
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841769411 | Heana Yi | Clinical Nurse Specialist | 132 S 10th St, Philadelphia, PA 19107 | 2018-11-13 |
| 1639528748 | Linda Wilson | Clinical Nurse Specialist | 440 N Broad St, Philadelphia, PA 19130-4015 | 2016-06-09 |
| 1659757516 | Lauren Stanfa | Clinical Nurse Specialist | 901 N Penn St, Unit P1304, Philadelphia, PA 19123-3132 | 2015-08-03 |
| 1972851749 | Lynn Dickinson | Clinical Nurse Specialist | 418 Curie Blvd, Philadelphia, PA 19104-4217 | 2012-08-27 |
| 1588930739 | Pooja Viral Shah | Clinical Nurse Specialist | 2311 Cottman Ave, Philadelphia, PA 19149-1007 | 2012-03-31 |
| 1194099283 | Shradhdha Yatin Patel | Clinical Nurse Specialist | 500 Adams Ave, Philadelphia, PA 19120-2102 | 2012-03-07 |
| 1508143421 | Mable Eulalee Lyons | Clinical Nurse Specialist | 5501 Old York Rd, Cpc 1st Paley Bldg, Philadelphia, PA 19141-3018 | 2011-11-06 |
| 1891028940 | Kimberly Schadt | Clinical Nurse Specialist | 34th St & Civic Center Blvd, The Children's Hospital of Philadelphia, Philadelphia, PA 19104 | 2009-09-08 |
| 1801046933 | Patricia Anne Mckenna | Clinical Nurse Specialist | 3440 Market St, Suite 200, Philadelphia, PA 19104-3325 | 2008-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467097253 | Laura Ann Moyer | Clinical Nurse Specialist | 730 E Walnut St, Lebanon, PA 17042-5655 | 2019-11-15 |
| 1407381502 | Salome Obeya | Clinical Nurse Specialist | 53 David Dr, Newtown, PA 18940-2243 | 2017-04-26 |
| 1396113627 | Prafulla Rajani Sequeira | Clinical Nurse Specialist | 264 W Essex Ave, Lansdowne, PA 19050-1509 | 2015-09-03 |
| 1962884171 | Gwendolyn Lane | Clinical Nurse Specialist | 4035 California Ave, Pittsburgh, PA 15212-1666 | 2015-06-24 |
| 1417124546 | Janet Ruth Byrne | Clinical Nurse Specialist | 324 Kehr Union Bldg, Bloomsburg University Student Health Center, Bloomsburg, PA 17815-1301 | 2008-05-08 |
| 1871123760 | Serena Camlin | Clinical Nurse Specialist | 301 S 7th Ave Ste 225, West Reading, PA 19611-1450 | 2020-01-21 |
| 1699133777 | Christine Blasko | Clinical Nurse Specialist | 1501 N Cedar Crest Blvd, Suite 110, Allentown, PA 18104-2309 | 2016-02-04 |
| 1023493947 | Amanda Connors | Clinical Nurse Specialist | 508 S Church St, Mount Pleasant, PA 15666-1702 | 2015-07-21 |
| 1578996427 | Cynthia Ann Krapels | Clinical Nurse Specialist | 656 E Swedesford Rd, Wayne, PA 19087-1606 | 2013-08-14 |
| 1790022945 | Johnie R Champ | Clinical Nurse Specialist | 5200 Centre Ave, Suite 312, Pittsburgh, PA 15232-1300 | 2013-01-08 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19138 |
Please comment or provide details below to improve the information on STEPHEN 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.