BRIAN THOMAS CLARK (NPI# 1114193612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114193612 |
| Entity Type | Individual |
| Full Name | BRIAN THOMAS CLARK |
| Credential | M.D. |
| Practice Address |
51 Montvale Ave Stoneham MA 02180-2417 |
| Practice Telephone | 7812135200 |
| Practice Fax Number | 7814819016 |
| Mailing Telephone | 7812135200 |
| Mailing Fax Number | 7814819016 |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2016-01-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 49635 | CT | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
262160 | MA | 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 |
51 MONTVALE AVE |
| City | STONEHAM |
| State | MA |
| Zip Code | 02180-2417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538257464 | Christopher H Leung | Internal Medicine | 51 Montvale Ave, Stoneham, MA 02180-2417 | 2006-10-10 |
| 1417123431 | Wanda P Blanton | Internal Medicine | 51 Montvale Ave, Stoneham, MA 02180-2417 | 2008-04-30 |
| 1992971824 | Aarti Kakkar | Internal Medicine | 51 Montvale Ave, Stoneham, MA 02180-2417 | 2008-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073092839 | Ann M Campbell | Social Worker | 490 William St, Stoneham, MA 02180 | 2018-08-12 |
| 1669997243 | Melissa Meskell, Lmhc | Clinic/Center | 38 Montvale Avenue Suite 327, Stoneham, MA 02180 | 2017-08-04 |
| 1033593306 | Melissa Zeitlin | Counselor | 178 North St, Stoneham, MA 02180 | 2015-07-16 |
| 1053708370 | Michael Stangler | Dentist | 2 Main St Ste 225, Stoneham, MA 02180 | 2015-04-24 |
| 1699086397 | Kimberly Y Chin | Acupuncturist | 105 Marble Street, Apt 7, Stoneham, MA 02180 | 2010-06-28 |
| 1538305446 | John Nyaga Njine | Registered Nurse | 5 Glen Rd, Apt 110, Stoneham, MA 02180 | 2008-12-23 |
| 1427189000 | Stoneham Public Schools | Local Education Agency (LEA) | 149 Franklin St., Stoneham, MA 02180 | 2007-03-08 |
| 1487715181 | Bernard J Augot, Jr. | Acupuncturist | Acupuncture Health Care Ctr., 370 Main Street, Stoneham, MA 02180 | 2006-12-13 |
| 1730257684 | Advantage Sports Medicine & Physical Therapy,inc. | Physical Therapist | 245 North Street, Stoneham, MA 02180 | 2006-11-30 |
| 1851465538 | Town of Stoneham | Public Health or Welfare | 35 Central Street, Stoneham, MA 02180 | 2006-11-17 |
| Find all providers in zip 02180 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962973131 | Dha Pho-w LLC | Internal Medicine | 91 Montvale Ave #206, Stoneham, MA 02180-3649 | 2018-12-16 |
| 1962694323 | Robert Aaron | Internal Medicine | 91 Montvale Ave Ste 206, Digestive Health Associates;, Stoneham, MA 02180-3649 | 2007-08-09 |
| 1538257464 | Christopher H Leung | Internal Medicine | 51 Montvale Ave, Stoneham, MA 02180-2417 | 2006-10-10 |
| 1184983959 | Tsapman J. Lee Md LLC | Internal Medicine | 3 Woodland Rd, Suite#312, Stoneham, MA 02180-1702 | 2012-05-14 |
| 1144558974 | Digestive Health Associates PC | Internal Medicine | 91 Montvale Ave, Stoneham, MA 02180-3623 | 2009-12-07 |
| 1700049269 | Xi Na | Internal Medicine | 3 Woodland Road, Suite #312, Stoneham, MA 02180 | 2008-07-04 |
| 1720015928 | David Samuel Fefferman | Internal Medicine | 3 Woodland Rd, Suite 306, Stoneham, MA 02180-1702 | 2006-06-26 |
| 1538116223 | Jose Manuel Marcal Jr. | Internal Medicine | 3 Woodland Rd, Suite 306, Stoneham, MA 02180-1702 | 2006-05-28 |
| 1982662813 | Robert Aldo Muggia | Internal Medicine | 91 Montvale Ave, Stoneham, MA 02180-3623 | 2006-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194366849 | Halpert Medical LLC | Internal Medicine | 27 Pier 7, Boston, MA 02129-4226 | 2019-10-03 |
| 1952825671 | Clifford D Gluck Md Pllc | Internal Medicine | 72 Sharp St Ste A10, Hingham, MA 02043-4362 | 2017-08-03 |
| 1861913881 | Aymeric Becq | Internal Medicine | 330 Brookline Avenue, Dana 603, Boston, MA 02215 | 2017-06-29 |
| 1386019503 | Boston Food Allergy Center LLC | Internal Medicine | 65 Harrison Ave Ste 201, Boston, MA 02111-1924 | 2015-12-14 |
| 1578901088 | Connie Yingyi Huang | Internal Medicine | 55 Highland Ave Ste 101, Salem, MA 01970-2100 | 2013-06-06 |
| 1477996650 | William Thomas Clarke | Internal Medicine | 330 Brookline Ave # Rabb400, Boston, MA 02215-5400 | 2013-04-08 |
| 1487908141 | Jose Manuel Mella | Internal Medicine | 330 Brookline Ave Da 501, East Campus, Beth Israel Deaconess Medical Center, Boston, MA 02215-5403 | 2012-11-02 |
| 1003169327 | Rong J Guan, Md LLC | Internal Medicine | 30 Kneeland St Fl 5, Boston, MA 02111-1528 | 2012-10-24 |
| 1598026494 | Yesenia Greeff | Internal Medicine | 3300 Main St Ste 3a, Springfield, MA 01199 | 2012-06-06 |
| 1699069252 | Laurie Grossberg | Internal Medicine | Lahey Hospital and Medical Center 41 Mall Rd, Burlington, MA 01805-5400 | 2011-06-01 |
| Find all providers with the same taxonomy | ||||
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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.