DR. NATHANIEL WISE CLARK (NPI# 1144291360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144291360 |
| Entity Type | Individual |
| Full Name | DR. NATHANIEL WISE CLARK |
| Credential | DO |
| Practice Address |
201 16th Ave E Seattle WA 98112-5226 |
| Practice Telephone | 2063263000 |
| Practice Fax Number | 2063262785 |
| Mailing Telephone | 2063263000 |
| Mailing Fax Number | 2063262785 |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2020-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
OP00002070 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891092516 | Nathaniel Robert Clark | Nurse Anesthetist, Certified Registered | Naval Hospital 6000 West Hwy 98, Pensacola, FL 32512-0003 | 2011-02-15 |
| 1144712035 | Nathaniel Clark | Optometrist | 105 S Raceway Rd, Indianapolis, IN 46231-1414 | 2018-06-05 |
| 1295270346 | Nathaniel Clark | Nurse Anesthetist, Certified Registered | 1000 Pole Creek Xing, Sidney, NE 69162-2901 | 2016-12-28 |
| 1891155792 | Nathaniel P Clark | Counselor | 1155 Lisbon St, Lewiston, ME 04240-5025 | 2016-03-04 |
| 1063660074 | Nathaniel Clark | Internal Medicine | 409 W Oak St, Carbondale, IL 62901-1464 | 2008-09-03 |
| 1386687234 | Nathaniel G Clark | Internal Medicine | 433 W Main St, Hyannis, MA 02601-3644 | 2006-06-14 |
| 1528034675 | Nathaniel Clark | Psychiatry & Neurology | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2006-02-28 |
| Street Address |
201 16TH AVE E |
| City | SEATTLE |
| State | WA |
| Zip Code | 98112-5226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568468783 | Claudette Thuman Krell | Nurse Practitioner | 201 16th Ave E, Seattle, WA 98112-5226 | 2005-06-22 |
| 1336762640 | Niy Pierce | Radiologic Technologist | 201 16th Ave E, Seattle, WA 98112-5226 | 2020-05-20 |
| 1952922486 | Tae Sun Krishnek | Physical Therapist | 201 16th Ave E, Seattle, WA 98112-5226 | 2020-05-06 |
| 1962030486 | Amanda Marie Teblunthuis | Student in an Organized Health Care Education/Training Program | 201 16th Ave E, Seattle, WA 98112-5226 | 2020-03-30 |
| 1962030676 | Olanrewaju Idris Adekola | Student in an Organized Health Care Education/Training Program | 201 16th Ave E, Seattle, WA 98112-5226 | 2020-03-29 |
| 1184251142 | Shana Kim | Student in an Organized Health Care Education/Training Program | 201 16th Ave E, Seattle, WA 98112-5226 | 2020-03-26 |
| 1083240063 | George Paul Hissong | Pharmacist | 201 16th Ave E, Seattle, WA 98112-5226 | 2020-03-21 |
| 1912530106 | Kaiser Foundation Health Plan of Washington | Pharmacy | 201 16th Ave E, Seattle, WA 98112-5226 | 2020-02-17 |
| 1063043172 | Brian R. Gaynor | Clinic/Center | 201 16th Ave E, Seattle, WA 98112-5226 | 2020-01-28 |
| 1780236836 | Alyssa Gates | Genetic Counselor, MS | 201 16th Ave E, Seattle, WA 98112-5226 | 2019-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891254991 | Justin Jeng-young Fu | Student in an Organized Health Care Education/Training Program | 125 16 Th Ave E, Csb 545, Seattle, WA 98112 | 2019-03-18 |
| 1275015604 | Eyewear Gallery LLC | Optometrist | 3121 E. Madison St Ste 102, Seattle, WA 98112 | 2018-09-01 |
| 1336637081 | Oh Plastic and Reconstructive Surgery LLC | Plastic Surgery | 602 27th Ave E, Seattle, WA 98112 | 2018-04-27 |
| 1992228191 | John Joseph Folta | Chiropractor | 3121 E Madison St Ste 103a, Seattle, WA 98112 | 2017-07-19 |
| 1083161061 | Sheick Toure | Counselor | 122 16 Ave E, Seattle, WA 98112 | 2016-09-07 |
| 1457721805 | Jessica Donovan | Audiologist | 201 16th Ave E # Cmb, Seattle, WA 98112 | 2015-09-29 |
| 1952777427 | Ronald Berenson | Physiological Laboratory | 2032 41st Avenue, Seattle, WA 98112 | 2015-08-19 |
| 1225419005 | Adrienne Foley | Counselor | 1833 40th Ave. E., Seattle, WA 98112 | 2015-06-17 |
| 1952721771 | Ling Guo | Internal Medicine | Kaiser Permanente Central Hospital Building, 126 16th Ave E, Seattle, WA 98112 | 2014-04-19 |
| 1134548068 | Anne Gayman | Family Medicine | 125 16th Avenue East, Csb-540, Group Health Family Medicine Residency, Seattle, WA 98112 | 2014-04-08 |
| Find all providers in zip 98112 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740713627 | Anthony Warfield | Emergency Medicine | 120 Republican St, #404, Seattle, WA 98109-4745 | 2017-04-06 |
| 1083877559 | Lisa Marie Wilson | Emergency Medicine | 925 Seneca St., Mailstop H6-ed, Virginia Mason Medical Center, Seattle, WA 98101 | 2008-07-05 |
| 1720292196 | Richard B Utarnachitt | Emergency Medicine | 325 9th Ave, Seattle, WA 98104-2420 | 2007-05-09 |
| 1184843229 | Arthur James French IIi | Emergency Medicine | 1660 South Columbian Way, Va Medical Center, Seattle, WA 98108 | 2007-04-25 |
| 1174676985 | Paul Gast | Emergency Medicine | 1507 E John St, Seattle, WA 98112-5219 | 2007-01-18 |
| 1982770947 | David A Brook | Emergency Medicine | 5300 Tallman Ave Nw, Seattle, WA 98107-3932 | 2006-11-28 |
| 1851471775 | Elizabeth M Dorn | Emergency Medicine | 500 17th Ave, Seattle, WA 98122-5711 | 2006-10-16 |
| 1134150923 | Katherine A Pryde | Emergency Medicine | 747 Broadway, Swedish Medical Center C/o First Hill Emergency Dept, Seattle, WA 98122-4379 | 2006-07-06 |
| 1619925625 | Mark Scott | Emergency Medicine | 5300 Tallman Ave Nw, Seattle, WA 98107-3932 | 2006-05-04 |
| 1659329605 | John Hemmen | Emergency Medicine | 5300 Tallman Ave Nw, Seattle, WA 98107-3932 | 2006-05-04 |
| Find all providers in SEATTLE | ||||
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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.