JASON CHRISTOPHER CLARK (NPI# 1104951086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104951086 |
| Entity Type | Individual |
| Full Name | JASON CHRISTOPHER CLARK |
| Credential | M.D. |
| Practice Address |
9040 Reid St Madigan Army Medical Center, Attn Mchj-edme Tacoma WA 98431-1100 |
| Practice Telephone | 2539680354 |
| Practice Fax Number | 2539685926 |
| Mailing Telephone | 2539680354 |
| Mailing Fax Number | 2539685926 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 24024 | NE | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033727425 | Jason Clark | Counselor | 2451 N Lincoln Ave Side 2, Chicago, IL 60614-4170 | 2020-07-21 |
| 1548695489 | Jason S. Clark | Veterinarian | 11800 Capital Way, Louisville, KY 40299-6332 | 2013-09-11 |
| 1346201431 | Jason Drew Clark | Dentist | 7810 Providence Rd, Suite 100, Charlotte, NC 28226-2987 | 2006-03-29 |
| 1306197348 | Jason Clark | Nurse Anesthetist, Certified Registered | 620 Skyline Drive, Jackson, TN 38301 | 2012-10-01 |
| 1568711513 | Jason E Clark | Case Management | 4615 Philips Highway, Jacksonville, FL 32207-7265 | 2012-09-06 |
| 1699024695 | Jason M Clark | Optometrist | 101 Conley Rd, Columbia, MO 65201-6465 | 2012-09-05 |
| 1457632705 | Jason Clark | Physical Therapy Assistant | 1001 Giesau Dr, Ontonagon, MI 49953-1454 | 2011-08-31 |
| 1184912883 | Jason Clark | Pharmacist | 3021 Reidville Rd, Spartanburg, SC 29301-5643 | 2011-07-14 |
| 1508150301 | Jason Clark | Occupational Therapist | 140 Technology Ln, Johnson City, TN 37604-2004 | 2011-06-09 |
| 1902101959 | Jason Andrew Clark | Nurse Anesthetist, Certified Registered | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2011-01-24 |
| Street Address |
9040 REID ST MADIGAN ARMY MEDICAL CENTER, ATTN MCHJ-EDME |
| City | TACOMA |
| State | WA |
| Zip Code | 98431-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881671170 | Roger K Yabu | Pharmacist | 9040 Reid St, Tacoma, WA 98431-1100 | 2005-12-28 |
| 1407241763 | Sofiya Nukalo | Student in an Organized Health Care Education/Training Program | 9040 Reid St, Madigan Army Medical Center, Tacoma, WA 98431-1100 | 2015-04-03 |
| 1588993968 | Wendy Robin Cruz | Pharmacist | 9040 Reid St, Tacoma, WA 98431-1100 | 2009-12-15 |
| 1841428646 | Eileen Owen-williams | Nurse Practitioner | 9040 Reid St, Tacoma, WA 98431-1100 | 2009-06-30 |
| 1598992927 | Deborah R Judkins | Counselor | 9040 Reid St, Tacoma, WA 98431-1100 | 2009-06-11 |
| 1407001837 | Michael Cleary | Social Worker | 9040 Reid St, Tacoma, WA 98431-1100 | 2008-11-26 |
| 1255586889 | Brent C Olson | Physician Assistant | 9040 Reid St, Tacoma, WA 98431-1100 | 2008-11-24 |
| 1467604892 | Martha A Smith | Dietitian, Registered | 9040 Reid St, Tacoma, WA 98431-1100 | 2008-10-16 |
| 1285899849 | Christina Marieke Long | Pediatrics | 9040 Reid St, Tacoma, WA 98431-1100 | 2008-07-23 |
| 1225292758 | Madigan Army Medical Center | Military Hospital | 9040 Reid St, Tacoma, WA 98431-1100 | 2008-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255896601 | Emily Christine Buck | General Practice | 940 Fitzsimmons Dr, Tacoma, WA 98431-0001 | 2019-02-08 |
| 1457708430 | James Bailey | General Practice | 9040 Jackson Ave Tripler Army Medical Center, Tacoma, WA 98431-5001 | 2016-05-19 |
| 1841553740 | Nevine F N Makari | General Practice | 6909 Bridgland Ln, Tacoma, WA 98407-1020 | 2012-06-17 |
| 1952637332 | Proctor Medical Clinic | General Practice | 1208 South Proctor St, Tacoma, WA 98405 | 2009-10-20 |
| 1194050773 | K and A Diagnostic Center | General Practice | 1206 South Proctor St, Tacoma, WA 98405 | 2009-10-15 |
| 1811915374 | Dung Xuan Nguyen | General Practice | 3736 S G St, Tacoma, WA 98418-6725 | 2006-07-17 |
| 1770514937 | Spanaway General Medical Clinic | General Practice | 15005 Pacific Ave, Spanaway General Medical Clinic, Tacoma, WA 98444 | 2006-07-06 |
| 1710936208 | Jane Ann Moore | General Practice | 6002 Westgate Blvd, Suite 160, Tacoma, WA 98406-2571 | 2006-05-10 |
| 1295716884 | Thu Van Le | General Practice | 1212 S 11th St, Suite 39, Tacoma, WA 98405-4021 | 2005-11-10 |
| 1841750536 | Clayton Andrew Harris | General Practice | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2019-03-20 |
| Find all providers in TACOMA | ||||
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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.