MR. STEVEN CLARK SOUTH (NPI# 1093904641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093904641 |
| Entity Type | Individual |
| Full Name | MR. STEVEN CLARK SOUTH |
| Credential | DC |
| Practice Address |
1008 Nw Ave El Dorado AR 71730 |
| Practice Telephone | 8708635886 |
| Practice Fax Number | 8708635886 |
| Mailing Telephone | 8708635886 |
| Mailing Fax Number | 8708635886 |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2007-10-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1266 | AR | Chiropractic Providers |
| Street Address |
1008 NW AVE |
| City | EL DORADO |
| State | AR |
| Zip Code | 71730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043856172 | Mental Health Counseling for Individuals and Couples | Clinic/Center | 3256 West Hillsboro Suite C, El Dorado, AR 71730 | 2019-11-25 |
| 1114578168 | Candance Marie Guinn | Nurse Practitioner | 1906 W Hillsboro St Ste B, El Dorado, AR 71730 | 2019-09-20 |
| 1811460462 | Kelsie Rogers | Pharmacist | 2202 N West Ave, El Dorado, El Dorado, AR 71730 | 2019-01-07 |
| 1861925331 | Kasey Leigh Mcclain | Nurse Practitioner | 2280 E Main St, El Dorado, AR 71730 | 2017-04-11 |
| 1366989568 | Shane Morr | Marriage & Family Therapist | 704 W 5th Dr, El Dorado, AR 71730 | 2017-01-25 |
| 1376986539 | Ivory A. Kinslow, Mdpa | Optometrist | 443 W Oak St, El Dorado, AR 71730 | 2013-04-08 |
| 1134485170 | Drs Weddle and Baumsardner | Dentist | 106 West Main St. 212, El Dorado, AR 71730 | 2012-04-04 |
| 1972888923 | Lenora S Newsome | Pharmacist | 2135 North West Ave, El Dorado, AR 71730 | 2011-10-20 |
| 1730460338 | South Arkansas Pharmacy, Inc | Pharmacy | 600 South Timberlane #101, El Dorado, AR 71730 | 2011-09-09 |
| 1710273891 | Ezinne Charity Nwude | Emergency Medicine | 701 N. West Avenue, El Dorado, AR 71730 | 2011-06-27 |
| Find all providers in zip 71730 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720260987 | Jed Frisby | Chiropractor | 431 E Hillsboro St, El Dorado, AR 71730-7303 | 2007-11-29 |
| 1811196603 | Martin Yablonovsky | Chiropractor | 6211b Pleasant Valley Rd, El Dorado, CA 95623-4232 | 2007-07-12 |
| 1528193067 | Bohannon Chiropractic Clinic Inc | Chiropractor | 1425 W Central, El Dorado, KS 67042-2222 | 2007-02-23 |
| 1023157740 | Gordon Harrison | Chiropractor | 1200 W Central Ave, El Dorado, KS 67042-2123 | 2007-02-06 |
| 1942363965 | Carl Douglas Bohannon | Chiropractor | 1425 E Central, El Dorado, KS 67042-2222 | 2006-12-19 |
| 1508943804 | Todd Henry Eck | Chiropractor | 112 S Main, Suite 100, El Dorado, KS 67042 | 2006-11-01 |
| 1477634889 | Graden Earl Hall | Chiropractor | 1602 East Main St, El Dorado, AR 71730 | 2006-10-19 |
| 1396848495 | Rickey Lee Brown | Chiropractor | 120 N College Ave, El Dorado, AR 71730-5402 | 2006-09-06 |
| 1407860448 | Harry A Thomas | Chiropractor | 1930 W 3rd Ave, El Dorado, KS 67042-3321 | 2006-07-27 |
| 1407872427 | James D Johnson | Chiropractor | 704 S Timberlane Dr, Ste.13, El Dorado, AR 71730-6929 | 2006-07-14 |
| Find all providers in EL DORADO | ||||
Please comment or provide details below to improve the information on MR. STEVEN CLARK SOUTH.
| 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.