DR. BRIAN JOSEPH CLARK (NPI# 1093948523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093948523 |
Entity Type | Individual |
Full Name | DR. BRIAN JOSEPH CLARK |
Credential | MD |
Practice Address |
1500 Lansdowne Ave Darby PA 19023-1200 |
Practice Telephone | (610) 237-4215 |
Practice Fax Number | 6102375641 |
Mailing Telephone | (610) 237-4215 |
Mailing Fax Number | 6102375641 |
Enumeration Date | 2009-09-01 |
Last Update Date | 2017-06-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
MD458524 | PA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992363345 | Brian K Clark Sr. | Licensed Practical Nurse | 15201 Judson Dr, Cleveland, OH 44128-1956 | 2019-05-31 |
1073046421 | Brian Clark | Chiropractor | 140 Hidden Lake Ln, Peninsula, OH 44264-9578 | 2017-04-04 |
1538618277 | Brian Clark | Specialist/Technologist | 9950 Bruceville Rd Apt 147, Elk Grove, CA 95757-9511 | 2016-09-22 |
1942758222 | Brian Christopher Clark | Counselor | 2631 Bulverde Rd, Suite 108, Bulverde, TX 78163-2107 | 2016-09-15 |
1740653518 | Brian Clark | Pharmacist | 8312 Serenity Way, Denton, TX 76210-0823 | 2015-11-03 |
1437548062 | Brian Clark | Occupational Therapist | 4718 Tenbury Ln, Rocklin, CA 95677-4487 | 2015-01-20 |
1144524851 | Brian Allan Clark | Respiratory Therapist, Certified | 2910 N Saginaw Rd, Midland, MI 48640-2634 | 2011-01-10 |
1679801286 | Brian Keith Clark | Physical Therapy Assistant | 1407 Melbourne St, Foster City, CA 94404-3960 | 2009-11-20 |
1497907190 | Brian R. Clark | Counselor | 623 W Easterday Ave, Sault Sainte Marie, MI 49783-1625 | 2008-10-14 |
1083756274 | Brian Edward Clark | Dentist | 5544 Turney Rd, Garfield Hts, OH 44125-3780 | 2007-02-13 |
Street Address |
1500 LANSDOWNE AVE |
City | DARBY |
State | PA |
Zip Code | 19023-1200 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780682427 | William J Weir | Nurse Anesthetist, Certified Registered | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2005-07-07 |
1194333682 | Akhil Jain | Student in an Organized Health Care Education/Training Program | 1500 Lansdowne Ave, Mercy Catholic Medical Center, Darby, PA 19023 | 2020-07-21 |
1336757996 | Abhigna Uday Kumar Kulkarni | Internal Medicine | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2020-07-20 |
1194333161 | Manila Sharma | Student in an Organized Health Care Education/Training Program | 1500 Lansdowne Ave, Darby, PA 19023 | 2020-07-16 |
1336767656 | Venkata Durga Navyam Kagita | Student in an Organized Health Care Education/Training Program | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2020-07-13 |
1457979833 | Rea Harxhi | Student in an Organized Health Care Education/Training Program | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2020-07-11 |
1952929804 | Mahmoud M Shalaby | Student in an Organized Health Care Education/Training Program | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2020-07-08 |
1790302305 | Asad Raza Syed | Student in an Organized Health Care Education/Training Program | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2020-06-30 |
1265059976 | David William Temme Jr. | Student in an Organized Health Care Education/Training Program | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2020-06-29 |
1740806348 | Utsav Aiya | Student in an Organized Health Care Education/Training Program | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2020-06-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972113348 | Ibrahim Abdulkadir Ahmed | Student in an Organized Health Care Education/Training Program | Mercy Catholic Medical Center, 1500 Lansdowne Avenue, Darby, PA 19023 | 2020-07-31 |
1437796497 | Elizabeth Megan Heyer | Emergency Medicine | 1500 Lansdowne Aveune, Darby, PA 19023 | 2019-12-09 |
1003476813 | Nicole Tomkowich | Student in an Organized Health Care Education/Training Program | 500 Lansdowne Avenue, Darby, PA 19023 | 2019-06-14 |
1497220131 | Margaret Kathleen Halloran | Nurse Practitioner | 1501 Lansdowne Ave Mob, 1st Floor, Darby, PA 19023 | 2018-10-09 |
1427428705 | Peter Goanue | Counselor | 207 North 2nd Street, Darby, PA 19023 | 2015-09-30 |
1518363696 | Trucompanion Transportation Service | Non-emergency Medical Transport (VAN) | 100 N 6th Street Apt 2, Darby, PA 19023 | 2014-11-17 |
1366872269 | Chirman Beatty | Licensed Practical Nurse | 400 S. 5th St Apt A9, Darby, PA 19023 | 2013-11-14 |
1639514151 | Advanced Nursing Care Inc | Nursing Care | 217 Clifton Avenue, Suite # 8, Collingdale, PA 19023 | 2013-05-10 |
1114277191 | Ayesha Farooq | Dentist | 14 Macdave Blvd, Gentle Dental, Collingdale, PA 19023 | 2012-09-17 |
1366736787 | Gi Medical Associates | Internal Medicine | 320 Macdade Blvd., Collingdale, PA 19023 | 2011-06-02 |
Find all providers in zip 19023 |
Taxonomy Code | 2085R0204X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Vascular & Interventional Radiology |
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669930798 | Mvc Pa Pllc | Radiology | 4262 Old William Penn Hwy Ste 209, Murrysville, PA 15668-1954 | 2019-03-07 |
1205296209 | Interventional Solutions Inc. | Radiology | 333 Allegheny Ave Ste 200, Oakmont, PA 15139-2072 | 2016-03-03 |
1861857906 | Lehigh Valley Vascular Institute LLC | Radiology | 3450 High Point Blvd, Bethlehem, PA 18017-7801 | 2015-12-16 |
1447647102 | Fresenius Vascular Care Pottstown LLC | Radiology | 2217 E High St, Pottstown, PA 19464-3215 | 2015-04-21 |
1891119764 | Aaron Shiloh, Md LLC | Radiology | 715 Cherry Ln, Suite 100, Southampton, PA 18966-3936 | 2014-02-12 |
1396081857 | Shante D Bennett | Radiology | 503 North 21st St, Camp Hill, PA 17011 | 2013-01-02 |
1326310806 | Pa Vascular Institute LLC | Radiology | 505 Independence Rd Ste E, East Stroudsburg, PA 18301-7916 | 2012-01-31 |
1699090654 | Guillaume Boiteau | Radiology | 220 S Home Ave, Apt # 404, Pittsburgh, PA 15202-2844 | 2010-04-02 |
1184854531 | John Yoon | Radiology | 9 N 9th St Unit 510, Philadelphia, PA 19107-3154 | 2009-07-20 |
1831353879 | Pennsylvania Phlebology Group PC | Radiology | 707 Eagleview Blvd Ste 303, Exton, PA 19341-1159 | 2008-07-17 |
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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.