GREGORY S CLARK


Address: 8433 Harcourt Rd Ste 100, Indianapolis, IN 46260-2193
Phone: 3175837600

GREGORY S CLARK (NPI# 1164841102) 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) 1164841102
Entity Type Individual
Full Name GREGORY S CLARK
Credential PA-C
Practice Address 8433 Harcourt Rd Ste 100
Indianapolis
IN 46260-2193
Mailing Address 10330 N Meridian St # 300
Indianapolis
IN 46290-1024
Practice Telephone 3175837600
Enumeration Date 2014-04-07
Last Update Date 2017-01-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
10000165A IN Physician Assistants & Advanced Practice Nursing Providers

Other Providers GREGORY CLARK

NPI Name Taxonomy Address Enumeration
1760991012 Gregory Clark Driver 1091 Old South Dr, Lakeland, FL 33811 2017-09-28
1184758229 Gregory Ray Clark Physical Therapist 3 Windsor Ct, Shawnee, OK 74804-2330 2007-03-14
1114064797 Gregory Dale Clark Dentist 4212 Mcever Rd, Oakwood, GA 30566-2237 2007-01-31
1225141823 Gregory Lynn Clark Specialist 11790 Sw Barnes Rd, Suite 330, Portland, OR 97225-5934 2006-08-16
1689608952 Gregory D Clark Social Worker 118 Broadway N, Ste 810, Fargo, ND 58102-4949 2006-07-10
1164409728 Gregory Clark Counselor 225 N Beaumont Rd, Prairie Du Chien, WI 53821-1445 2005-12-26
1528627833 Gregory Scott Clark Nurse Anesthetist, Certified Registered 3333 W Deyoung St, Marion, IL 62959-5884 2019-06-10
1073178851 Gregory Clark Student in an Organized Health Care Education/Training Program 550 1st Ave, New York, NY 10016-6402 2019-05-07
1548736622 Gregory Allen Clark Marriage & Family Therapist 1150 5th St Ste 270, Coralville, IA 52241-2933 2018-10-16
1881055911 Gregory Scott Clark Jr. Counselor 1121 E Southeast Loop 323 Ste 204, Tyler, TX 75701 2016-03-17

Office Location

Street Address 8433 HARCOURT RD STE 100
City INDIANAPOLIS
State IN
Zip Code 46260-2193

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235138504 Gregory C Yerington Anesthesiology 8433 Harcourt Rd Ste 100, Indianapolis, IN 46260-2193 2005-07-19
1386251189 Nicole Dianne Frick Physician Assistant 8433 Harcourt Rd Ste 100, Indianapolis, IN 46260-2193 2020-09-25
1821612391 Sophie Elizabeth Brown Physician Assistant 8433 Harcourt Rd Ste 100, Indianapolis, IN 46260-2193 2020-06-01
1942823604 Sara Monhollen Physician Assistant 8433 Harcourt Rd Ste 100, Indianapolis, IN 46260-2193 2020-05-28
1275989931 Sarah Jo Graham Nurse Practitioner 8433 Harcourt Rd Ste 100, Indianapolis, IN 46260 2016-05-11
1578944427 Sarah Strot Surgery 8433 Harcourt Rd Ste 100, Indianapolis, IN 46260-2193 2015-06-17
1023416872 Davina Ananias Physician Assistant 8433 Harcourt Rd Ste 100, Indianapolis, IN 46260-2193 2014-12-10
1598193807 Emily Elizabeth Shumaker Physician Assistant 8433 Harcourt Rd Ste 100, Indianapolis, IN 46260-2193 2013-10-23
1285066472 Nathan Joseph Woebkenberg Physician Assistant 8433 Harcourt Rd Ste 100, Indianapolis, IN 46260-2193 2013-07-30
1972945194 Michelle Rene Lashorne Nurse Practitioner 8433 Harcourt Rd Ste 100, Indianapolis, IN 46260 2013-07-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508478298 Verity Smile Studio, LLC Clinic/Center 1619 W. 86th St Suite B, Indianapolis, IN 46260 2020-08-23
1225666589 Alexander Michael Kiel Student in an Organized Health Care Education/Training Program Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 2020-03-31
1043793151 Lisa R Foreman Registered Nurse 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 2018-09-13
1790268399 Esther Muturi Chore Provider 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 2018-09-10
1912483215 Katherine Donnelly Community Health Worker 1612 Lancashire Ct, Indianapolis, IN 46260 2018-07-19
1326539628 Peaceful Source Midwifery LLC Advanced Practice Midwife 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 2018-05-22
1144722695 Mindful Services Center LLC Clinic/Center 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 2018-03-01
1144731910 Meenu Jain Student in an Organized Health Care Education/Training Program Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 2017-10-19
1609392422 1717 Senior Living, LLC Assisted Living Facility 1703 West 86th Street, Indianapolis, IN 46260 2017-08-15
1093246985 Royalty Transports LLC Bus 2255 W. 67th St., Indianapolis, IN 46260 2017-03-23
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760947329 Ellen M Randall Physician Assistant 705 Riley Hospital Dr Ste 2514, Indianapolis, IN 46202-5109 2019-02-07
1255685772 Jarron J Lincoln Physician Assistant 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237 2012-11-06
1912963620 Kimberly D Hand Physician Assistant 8141 South Emerson Ave, Suite A, Indianapolis, IN 46237 2006-04-21
1447212162 Jennifer S. Rothenberger Physician Assistant 8333 Naab Rd Ste 250, Indianapolis, IN 46260 2006-04-06
1235129909 Megan Lynn Chojnacki Physician Assistant 8501 Harcourt Rd, Indianapolis, IN 46260-2046 2005-10-25
1922005289 Angela Kaye Unfried Physician Assistant 8075 N Shadeland Ave, Suite 120, Indianapolis, IN 46250-2693 2005-07-01
1407495906 Rachel C Ehrman Physician Assistant 7250 Clearvista Dr Ste 100, Indianapolis, IN 46256-4640 2019-12-31
1922659226 Taylor Ann Smith Physician Assistant 2001 W 86th St, Indianapolis, IN 46260-1902 2019-09-27
1790261576 Kristiana Michelle Sannella Physician Assistant 10590 N Meridian St # 105, Indianapolis, IN 46290 2018-07-16
1093201048 Brooke Michele Stein Physician Assistant 10590 N Meridian St Ste 105, Indianapolis, IN 46290-1028 2018-07-02
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Competitor

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City INDIANAPOLIS
Zip Code 46260

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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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