CHRISTOPHER CLARK (NPI# 1104282540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104282540 |
Entity Type | Individual |
Full Name | CHRISTOPHER CLARK |
Credential | PA-C |
Practice Address |
1821 Hillandale Rd Ste 24a Durham NC 27705-2659 |
Practice Telephone | 9193834355 |
Practice Fax Number | 9193828791 |
Mailing Telephone | 9193834355 |
Mailing Fax Number | 9193828791 |
Enumeration Date | 2016-01-14 |
Last Update Date | 2017-03-23 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 0010-06158 | NC | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194286955 | Christopher James Clark | Student in an Organized Health Care Education/Training Program | 2390 W Congress St # 2, Lafayette, LA 70506-4205 | 2019-03-26 |
1801383351 | Christopher Clark | Case Management | 43a Richfield Rd, Upper Darby, PA 19082-2517 | 2018-04-20 |
1285088385 | Christopher Clark | Occupational Therapist | 101 Applied Bank Blvd Ste D4, Glen Mills, PA 19342 | 2016-04-15 |
1912322694 | Christopher W Clark | Military Health Care Provider | G544 C Street, Camp Lejuene, NC 28542 | 2014-03-04 |
1144657248 | Christopher Alex Clark | Counselor | 900 Corbitt Dr, Wilmore, KY 40390-1096 | 2013-10-03 |
1427480490 | Christopher James Clark | Counselor | 2817 E 97th Pl Apt 1506, Tulsa, OK 74137-7334 | 2013-08-01 |
1912341892 | Christopher Michael Clark | Otolaryngology | 48 Medical Park Dr E Ste 153, Birmingham, AL 35235-3459 | 2013-04-23 |
1992053474 | Christopher Tad Clark | Counselor | 1471 Dewar Dr Ste 204, Rock Springs, WY 82901-5826 | 2012-08-15 |
1215257217 | Christopher David Clark | Physical Medicine & Rehabilitation | 1165 Imperial Dr Ste 103, Hagerstown, MD 21740-6555 | 2010-06-02 |
1497983332 | Christopher Lee Clark | Military Health Care Provider | 5179 Malmstrom Ave, Nellis Afb, NV 89191-6126 | 2009-06-30 |
Street Address |
1821 HILLANDALE RD STE 24A |
City | DURHAM |
State | NC |
Zip Code | 27705-2659 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295795201 | John Stewart Jones | Internal Medicine | 1821 Hillandale Rd, Suite 25c, Durham, NC 27705-2659 | 2006-03-24 |
1376904664 | Greta Germino | Dietitian, Registered | 1821 Hillandale Rd, Durham, NC 27705-2659 | 2016-03-14 |
1316307572 | Rebecca May | Physician Assistant | 1821 Hillandale Rd, Durham, NC 27705-2659 | 2016-03-02 |
1871967919 | Katherine Elizabeth Prince | Registered Nurse | 1821 Hillandale Rd, Ste 25a, Durham, NC 27705-2659 | 2015-11-29 |
1447622295 | Elise Patricia Michnowicz | Nurse Practitioner | 1821 Hillandale Rd, Suite 24b, Durham, NC 27705-2659 | 2015-10-20 |
1033532320 | Deborah Nowack | Registered Nurse | 1821 Hillandale Rd, Suite 24b, Durham, NC 27705-2659 | 2014-01-23 |
1669713590 | Private Diagnostic Clinic, Pllc | Allergy & Immunology | 1821 Hillandale Rd, Ste. 25a, Durham, NC 27705-2659 | 2013-03-01 |
1295019784 | James Franklin Killian | Pharmacist | 1821 Hillandale Rd, Durham, NC 27705-2659 | 2011-10-03 |
1174823066 | Private Diagnostic Clinic, Pllc | Internal Medicine | 1821 Hillandale Rd, Ste. 25c, Durham, NC 27705-2659 | 2010-10-26 |
1508090275 | Zachary Ryan Healy | Internal Medicine | 1821 Hillandale Rd, Duke Asthma, Allergy, Airway Center, Durham, NC 27705-2659 | 2009-05-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
Find all providers in zip 27705 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689281933 | Kathryn Tarulli | Physician Assistant | 600 W Main St Apt 624, Durham, NC 27701-5005 | 2020-09-29 |
1801402896 | Kristy Marie Stevlingson | Physician Assistant | 2211 Hillsborough Rd Apt 4081, Durham, NC 27705-4163 | 2020-09-16 |
1700490877 | Alice Curchin | Physician Assistant | 813 N Buchanan Blvd Apt 4, Durham, NC 27701-1563 | 2020-09-04 |
1366056434 | Katherine Monjaras | Physician Assistant | 2901 Bertland Ave Apt 1538, Durham, NC 27705-6829 | 2020-09-04 |
1659980233 | Belinda Kim Khou | Physician Assistant | 501 Willard St Apt 215, Durham, NC 27701-3285 | 2020-07-29 |
1568080943 | Katherine Jean Hauler | Physician Assistant | 3802 Meriwether Dr Apt L, Durham, NC 27704-2855 | 2020-07-11 |
1114554094 | Lauren Michelle Grosse | Physician Assistant | Fastmed Urgent Care 7010 Nc-751, Durham, NC 27707 | 2020-03-23 |
1225668536 | Ashley Lynn Biggs | Physician Assistant | 4302 Waterford Valley Dr Apt 1911, Durham, NC 27713-8353 | 2020-01-26 |
1710546007 | Lauren Deruyter | Physician Assistant | 40 Duke Medicine Cir # 3j, Durham, NC 27710-4000 | 2019-06-10 |
1295202505 | Nathaniel Quinley | Physician Assistant | Duke Clinic 40 Duke Medicine Circle, Durham, NC 27710-0001 | 2018-10-25 |
Find all providers in DURHAM |
Please comment or provide details below to improve the information on CHRISTOPHER 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.