ELLEN G I CLARK (NPI# 1114960267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114960267 |
| Entity Type | Individual |
| Full Name | ELLEN G I CLARK |
| Credential | MD |
| Practice Address |
77 Pringle Way Washoe Medical Center Reno NV 89502 |
| Mailing Address |
Po Box 3947 Reno NV 89505-3947 |
| Practice Telephone | 7753343450 |
| Practice Fax Number | 7753343417 |
| Mailing Telephone | 7753343450 |
| Mailing Fax Number | 7753343417 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
5850 | NV | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
A46175 | CA | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
G9334 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | XPY144620 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538708086 | Ellen Michelle Clark | Nurse Practitioner | 1025 S 6th St, Springfield, IL 62703-2403 | 2020-01-02 |
| 1174083596 | Ellen Margaret Clark | Student in an Organized Health Care Education/Training Program | 22 Bramhall St, Portland, ME 04102-3175 | 2019-03-21 |
| 1891275780 | Ellen C Clark | Behavior Technician | 7725 W 87th St, Overland Park, KS 66212-1905 | 2018-08-20 |
| 1194997486 | Ellen B Clark | Counselor | 4117 Liberty Ave, Entrance 3, Pittsburgh, PA 15224-1446 | 2008-03-27 |
| 1316157399 | Ellen Marie Clark | Speech-Language Pathologist | 450 W Il Route 22, Barrington, IL 60010-7509 | 2007-05-22 |
| 1497833321 | Ellen M Clark | Psychologist | 2201 Bergenline Ave, 2nd Floor Therapeutic Nursery, Union City, NJ 07087-3582 | 2006-11-01 |
| Street Address |
77 PRINGLE WAY WASHOE MEDICAL CENTER |
| City | RENO |
| State | NV |
| Zip Code | 89502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760467708 | Warren Lance Mays | Specialist | 77 Pringle Way, Reno, NV 89502-1474 | 2005-12-13 |
| 1255374419 | Ernest C Hong | Pathology | 77 Pringle Way, Washoe Medical Center, Reno, NV 89502 | 2006-06-14 |
| 1245273408 | Dennis A Mackey | Pathology | 77 Pringle Way, Washoe Medical Center, Reno, NV 89502 | 2006-06-14 |
| 1801839956 | John N Odonnell | Pathology | 77 Pringle Way, Washoe Medical Center, Reno, NV 89502 | 2006-06-14 |
| 1588637086 | Carlo Niguidula | Family Medicine | 77 Pringle Way, Reno, NV 89502-1474 | 2006-02-07 |
| 1477526978 | Rebeca G. Hamilton | Internal Medicine | 77 Pringle Way, Reno, NV 89502-1474 | 2006-02-07 |
| 1952387235 | Cole Blease Graham IIi | Specialist | 77 Pringle Way, Reno, NV 89502-1474 | 2005-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314264 | State of Nevada | Community/Behavioral Health | 4600 Kietzke Lane Bldg D, Reno, NV 89502 | 2020-07-23 |
| 1447879259 | Ryan Johnson | Student in an Organized Health Care Education/Training Program | 1155 Mill St. W-11, Reno, NV 89502 | 2020-04-11 |
| 1396378063 | Domingko Loney | Chore Provider | 1325 Air Motive Wat St 262, Reno, NV 89502 | 2020-02-20 |
| 1053954842 | Derek Craig | Home Health Aide | 1000 Havard Way #29, Reno, NV 89502 | 2019-10-24 |
| 1477108124 | Marisa Rachael Traversie | Nurse Practitioner | 910 Vista Boulevard, Sparks, NV 89502 | 2019-08-08 |
| 1912564675 | Patrick Llewellyn Merrill | Social Worker | 975 Kirman Ave - Ch 116, Reno, NV 89502 | 2019-05-28 |
| 1881154706 | Naresh Kumar Veerabattini | Student in an Organized Health Care Education/Training Program | 1155 Mill St, Renown Regional Medical Center, W11 Academic Department Offices, Reno, NV 89502 | 2019-03-25 |
| 1053899187 | Daphne London | Behavioral Analyst | 1325 Airmotive Way Ste 260, Reno, NV 89502 | 2018-07-31 |
| 1790271609 | Jennifer J Padolina | Optometrist | 2296 Kietzke Ln, Reno, NV 89502 | 2018-07-03 |
| 1336630185 | Lindsey Cherie Cooper | Technician | 3563 Sol Grande Ct, Reno, NV 89502 | 2018-05-27 |
| Find all providers in zip 89502 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003173089 | Christy L Perez-valles | Pathology | 343 Elm St Ste 206, Reno, NV 89503-4538 | 2012-04-16 |
| 1366626806 | Adele D. Fung | Pathology | Ms 350, Unr Pathology and Laboratory Dept., Reno, NV 89557 | 2007-12-19 |
| 1669549275 | Roger S Ritzlin | Pathology | 1 Manville Medical Sciences Bldg Mail Stop 350, Department of Pathology and Laboratory Medicine, Reno, NV 89557-0001 | 2006-11-29 |
| 1831277342 | Anton P. Sohn | Pathology | Department of Pathology and Laboratory Medicine, 1 Manville Medical Sciences Bldg/ms 350, Reno, NV 89557-0001 | 2006-11-01 |
| 1235221276 | Sierra Pathology Associates, Inc | Pathology | 475 Kirman Ave, Reno, NV 89502-1907 | 2006-09-28 |
| 1427069863 | Christina A. Samathanam | Pathology | 1664 North Virginia Street, Mail Stop 350, Reno, NV 89557 | 2006-08-10 |
| 1023069788 | Amanda Ashton-sager | Pathology | Renown Medical Center, Sierra Pathology Associates, 1155 Mill Street, Reno, NV 89509 | 2006-05-15 |
| 1962405290 | Grant Masashi Hayashi | Pathology | 1350 Stardust St, Ste D, Reno, NV 89503-4264 | 2005-05-31 |
| 1982162095 | Nicole Marie Schmidt | Pathology | 475 Kirman Ave, Reno, NV 89502-1907 | 2019-03-07 |
| 1144791765 | Leslie Gilbert | Pathology | 475 Kirman Ave, Reno, NV 89502-1907 | 2018-12-07 |
| Find all providers in RENO | ||||
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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.