DONALD EUGENE CLARK


Address: 5117 Tarrywood Ln, Charlotte, NC 28205-4827
Phone: 7042001028

DONALD EUGENE CLARK (NPI# 1124282538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124282538
Entity Type Individual
Full Name DONALD EUGENE CLARK
Practice Address 5117 Tarrywood Ln
Charlotte
NC 28205-4827
Practice Telephone 7042001028
Mailing Telephone 7042001028
Enumeration Date 2008-07-15
Last Update Date 2008-07-15
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 172V00000X Community Health Worker Other Service Providers

Other Providers DONALD CLARK

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1710391875 Donald Callan Clark Anesthesiology 7585 El Paso St, La Mesa, CA 91942-4302 2014-06-17
1437278942 Donald C Clark Chiropractor 4660 Slater Rd Ste 140, Eagan, MN 55122-4049 2007-03-28
1083773931 Donald Wayne Clark Family Medicine 801 Vassar Ne, Albuquerque Indian Health Center, Albuquerque, NM 87106 2006-12-06
1386669570 Donald Godfrey Clark Internal Medicine 29521 Ford Rd, Garden City, MI 48135 2006-07-12
1487635132 Donald L Clark Psychologist 428 Coffey Knob Rd, Boone, NC 28607-6608 2005-11-09
1366090573 Donald Lee Clark IIi Nurse Practitioner 2100 Madison Ave, Granite City, IL 62040-4713 2019-08-30
1023588423 Donald James Clark Counselor 100 New Salem Rd Ste 116, Uniontown, PA 15401-8936 2018-11-28
1447659701 Donald Clark Pharmacist 6725 Dick Flynn Blvd, Goshen, OH 45122-8025 2014-08-22
1891102810 Donald Keith Clark Case Manager/Care Coordinator 1351 Newtown Pike, Lexington, KY 40511-1275 2014-07-22
1699057943 Donald Patrick Clark Jr. Pharmacist 1475 Dixie Hwy, Louisville, KY 40210-1767 2011-09-13

Office Location

Street Address 5117 TARRYWOOD LN
City CHARLOTTE
State NC
Zip Code 28205-4827

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487260493 Sarah Mcgeachy Greene Social Worker 1332 Morningside Dr., Charlotte, NC 28205 2020-09-16
1538705090 Insight Counseling & Mental Health Co, Pllc Social Worker 4922 Albemarle Blvd, Charlotte, NC 28205 2019-11-20
1821631672 Healthy Living Pharmacy Pharmacy 3717 N. Sharon Amity Road, Suite C, Charlotte, NC 28205 2019-10-24
1861957292 Oakhurst Health Investers Inc. Pharmacy 1630 Oakhurst Commons Dr, Unit 206, Charlotte, NC 28205 2019-02-11
1710459938 Leis Therapy LLC Physical Therapist 1617 Onslow Dr, Charlotte, NC 28205 2018-12-28
1518449776 Natalie C Martinez-rogers Dmd Pa Dentist 2100 N Davidson St Ste B, Charlotte, NC 28205 2018-09-05
1144716499 Resourceful Solutions II Case Management 4920 Albmarle Roadd, Charlotte, NC 28205 2018-07-10
1679072805 Richard Mcdonald Counselor 4922 Albemarle Rd Ste 5, Charlotte, NC 28205 2018-02-02
1487160107 Catherine King Nurse Practitioner 2801 Virginia Ave, Charlotte, NC 28205 2017-12-18
1295251213 Kashmia A Fanning Social Worker 4822 Albermarle Road, Charlotte, NC 28205 2017-08-22
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Taxonomy Information

Taxonomy Code 172V00000X
Grouping Other Service Providers
Classification Community Health Worker

Taxonomy Definition

Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service.
Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255818118 Sakiyna Mozell Peets Community Health Worker 6706 Chieftain Dr, Charlotte, NC 28216-5804 2018-07-24
1861944886 Songene Hamrick Sr. Community Health Worker 1801 N Tryon St Ste 200, Charlotte, NC 28206-2704 2016-10-25
1366809691 Sharrika Burnett Community Health Worker 4817 Spruce Peak Rd, Charlotte, NC 28278-6559 2016-01-17
1629354600 John Scott Tenbroeck Community Health Worker 936 N Sharon Amity Rd, Charlotte, NC 28211-3138 2011-10-23
1902180243 Darryl E Radford Sr. Community Health Worker 4921 Albemarle Rd Ste 204, Charlotte, NC 28205-6654 2011-10-05
1073832408 Better Alternative,llc Community Health Worker 7950 Nations Ford Rd Ste C5, Charlotte, NC 28217-8043 2010-05-25
1386976033 Olugboyega Remi Fisher Community Health Worker 1801 N.tryon Street, Suiteb114, Charlotte, NC 28206 2010-02-05
1972831246 Bilongo Mpuati Community Health Worker 7209 E Wt Harris Blvd, Charlotte, NC 28227-1063 2009-11-25
1548400237 Simone T. Jones Community Health Worker 7626 Eastbourne Rd, Charlotte, NC 28227-3005 2009-02-20
1376782151 Omer Jama Community Health Worker 1117 Garrison Rd, Charlotte, NC 28262-1449 2009-02-18
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Competitor

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City CHARLOTTE
Zip Code 28205

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Dataset Information

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.

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