FREDERICK WESLEY CLARKSON (NPI# 1174557896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174557896 |
Entity Type | Individual |
Full Name | FREDERICK WESLEY CLARKSON |
Credential | DO |
Practice Address |
Oakhurst Medical Clinic 130 20 Park Blvd Seminole FL 33776 |
Practice Telephone | 7273933404 |
Practice Fax Number | 7273934814 |
Mailing Telephone | 7273933404 |
Mailing Fax Number | 7273934814 |
Enumeration Date | 2006-07-10 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | OS0002968 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AETNA | 2361160 | 01 | |
AVMED | 284247 | 01 |
Street Address |
OAKHURST MEDICAL CLINIC 130 20 PARK BLVD |
City | SEMINOLE |
State | FL |
Zip Code | 33776 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003460577 | Marie Gruca | Behavior Technician | 7777 131st Street 7, Seminole, FL 33776 | 2019-08-01 |
1023525466 | Janis Dee Grooms | Counselor | 9160 Oakhurst Rd Ste 3b, Seminole, FL 33776 | 2018-01-08 |
1043737109 | Keleigh E Devlin | Behavior Technician | 12505 Starkey Road, Suite G, Largo, FL 33776 | 2017-08-29 |
1821527276 | Dane Andrew Kuplicki | Optometrist | 14194 84th Terrace North, Seminole, FL 33776 | 2017-06-08 |
1124465190 | Dolphin House Assisted Living Facility | Assisted Living Facility | 9670 134th Street N., Seminole, FL 33776 | 2013-05-30 |
1952671489 | Drin Mita | Pharmacist | 13705 78th Avenue North, Seminole, FL 33776 | 2011-12-30 |
1982987350 | Laura D Rustin | Marriage & Family Therapist | 10913 70th Ave N, Seminole, FL 33776 | 2011-09-22 |
1174790083 | Mary Jane Jones | Occupational Therapist | 13791 Montego Dr, Seminole, FL 33776 | 2008-05-09 |
1730309238 | Robert P Brillon | Pharmacist | 14502 Alejo Court, Seminole, FL 33776 | 2007-04-26 |
1184710774 | Dean A. Pedalino | Pharmacist | 9858 Indian Key Trail, Seminole, FL 33776 | 2006-10-04 |
Find all providers in zip 33776 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407815368 | Rodney O Mccrory | General Practice | 2249 Boren Blvd, Seminole, OK 74868-1927 | 2006-03-20 |
1245450006 | Clarkson & Collins Do Pa | General Practice | 13020 Park Blvd, Seminole, FL 33776-3639 | 2007-04-26 |
1033210745 | Todd Frederick Clarkson | General Practice | 13020 Park Blvd, Seminole, FL 33776 | 2006-09-26 |
1700810421 | Richard Charles Kidd | General Practice | 13020 Park Blvd, Oakhurst Medical Clinic, Seminole, FL 33776 | 2006-07-10 |
1710937743 | Feuerborn & Mccrory LLC | General Practice | 2249 Boren Blvd, Seminole, OK 74868-1927 | 2006-05-11 |
1225097074 | Gary G Holland | General Practice | 10875 Park Blvd, Ste A, Seminole, FL 33772-5456 | 2006-03-21 |
1760441612 | Stephen A Feuerborn | General Practice | 2249 Boren Blvd, Seminole, OK 74868-1927 | 2006-03-20 |
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1508463779 | Ashley Zanders Walton | General Practice | 75 Foxfire Ct, Quincy, FL 32351-7293 | 2020-10-01 |
1730796830 | Brid M Wade | General Practice | 3199 Cornell Dr, Gulf Breeze, FL 32563-2785 | 2020-09-23 |
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1417562414 | Jl Laria Aprn Pa | General Practice | 5751a Sw 40th St, Miami, FL 33155-5301 | 2020-09-15 |
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.