NICHOLAS EDWARD CLARKE (NPI# 1124112016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124112016 |
| Entity Type | Individual |
| Full Name | NICHOLAS EDWARD CLARKE |
| Credential | MD |
| Practice Address |
364 Se 8th Ave Ste 301 Hillsboro OR 97123-4250 |
| Practice Telephone | 5036814233 |
| Practice Fax Number | 5036814234 |
| Mailing Telephone | 5036814233 |
| Mailing Fax Number | 5036814234 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2008-05-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
MD24800 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 232821 | 05 | |
| RAILROAD MEDICARE | P00191867 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881950376 | Nicholas Clarke | Student in an Organized Health Care Education/Training Program | 5201 Harry Hines Blvd, Graduate Medical Education, Dallas, TX 75235-7708 | 2012-04-09 |
| Street Address |
364 SE 8TH AVE STE 301 |
| City | HILLSBORO |
| State | OR |
| Zip Code | 97123-4250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033223656 | Mustaquim Faruq Chowdhury | Internal Medicine | 364 Se 8th Ave Ste 301, Hillsboro, OR 97123-4250 | 2006-08-19 |
| 1306377627 | Hunter Cliffton Spencer | Internal Medicine | 364 Se 8th Ave Ste 301, Hillsboro, OR 97123-4250 | 2017-03-27 |
| 1063812063 | Andreea Diana Steward | Pharmacist | 364 Se 8th Ave Ste 301, Hillsboro, OR 97123-4250 | 2014-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916241 | Gabriel Lawrence | Physical Therapist | 2973 Se 79th Ave., Hillsboro, OR 97123 | 2020-06-11 |
| 1487278453 | Jordan Gregory Evans | Student in an Organized Health Care Education/Training Program | Creighton Hall 222 Se 8th Ave, Hillsboro, OR 97123 | 2020-06-04 |
| 1124641006 | Jessica Anne Bramlett | Student in an Organized Health Care Education/Training Program | 228 Southeast 8th Avenue, Suite 536, Hillsboro, OR 97123 | 2020-05-26 |
| 1003448168 | Madelyn Vogt | Community Health Worker | 862 Se Oak Street, Suite 2a, Hillsboro, OR 97123 | 2020-02-06 |
| 1215435789 | Renise Harrel | Massage Therapist | 4855 Se Tv Hwy, Suite B, Hillsboro, OR 97123 | 2018-01-30 |
| 1497260269 | Amy Hodges | Counselor | 222 Se 8th Ave # 212, Hillsboro, OR 97123 | 2017-12-02 |
| 1033623723 | Tamira L Heyob | Doula | 25600 Sw Bald Peak Rd., Hillsboro, OR 97123 | 2017-11-17 |
| 1134644024 | Tara Kyoko Taylor | Massage Therapist | 5289 Ne Elam Young Pkwy #130, Hillsboro, OR 97123 | 2017-08-11 |
| 1023543055 | Austin Simpson | Counselor | 222 Se 8th, Suite 222, Hillsboro, OR 97123 | 2017-04-27 |
| 1124569769 | Emergency Tooth Doctor Hillsboro, Prof. Corp. | Dentist | 752 Se Oak St, Hillsboro, OR 97123 | 2017-03-15 |
| Find all providers in zip 97123 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1659576437 | Michael Chu | Internal Medicine | 364 Se 8th Ave, Suite 201, Hillsboro, OR 97123-4253 | 2007-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346620408 | Albany General Hospital | Internal Medicine | 1086 7th Avenue Sw, Suite 200, Albanyr, OR 97321-1954 | 2015-06-04 |
| 1164772281 | Sheldon Junior Mckenzie | Internal Medicine | 520 Sw Ramsey Avenue, Suite 205, Grants Pass, OR 97527-0001 | 2012-09-17 |
| 1669731204 | Elena Vladimirovna Varlamov | Internal Medicine | 3181 Sw Sam Jackson Park Road, L607, Portland, OR 97239-3098 | 2012-05-15 |
| 1134486780 | Leah M Wilson | Internal Medicine | 3181 Sw Sam Jackson Park Rd L579, Ohsu, Portland, OR 97239 | 2012-04-20 |
| 1225225113 | James W. Theen, Md PC | Internal Medicine | 935 Town Centre Dr, Suite B, Medford, OR 97504-6172 | 2007-09-25 |
| 1821283631 | Priya Krishnamurthy | Internal Medicine | 960 Liberty St. Se, Suite 170, Salem, OR 97302 | 2007-09-14 |
| 1700983574 | Maria Fleseriu | Internal Medicine | 3181 Sw Sam Jackson Park Rd # Bte472, Portland, OR 97239-3011 | 2006-09-20 |
| 1790888097 | Beverley E Phillipson | Internal Medicine | 107 Se Swan Ave, Siletz, OR 97380 | 2006-09-06 |
| 1306894647 | Rogue Endocrinology and Metabolic Clinic | Internal Medicine | 3144 State St, Medford, OR 97504-8450 | 2006-05-05 |
| 1992768592 | Irina Robinson | Internal Medicine | 3615 Nw Samaritan Dr Ste G2, Corvallis, OR 97330-3783 | 2006-04-06 |
| 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.