DR. GARY R CLARK (NPI# 1174563803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174563803 |
| Entity Type | Individual |
| Full Name | DR. GARY R CLARK |
| Credential | D.O. |
| Practice Address |
2929 S Hampton Rd Dallas TX 75224-3026 |
| Mailing Address |
1529 Hackett Creek Dr Mckinney TX 75070-5068 |
| Practice Telephone | 2146234400 |
| Mailing Telephone | 9728865702 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2012-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | L8651 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | DEA | FC0334627 | 01 |
| TX | CONTROLLED SUBSTANCE | T0134490 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548876048 | Gary Lee Clark | In Home Supportive Care | 71312 Woods Ave, Martins Ferry, OH 43935-3104 | 2020-09-20 |
| 1588085302 | Gary Marvin Clark | Pharmacist | 15227 Aurora Cir, Urbandale, IA 50323-2472 | 2013-12-20 |
| 1487855961 | Gary K. Clark | Dentist | 9730 S 700 E Ste 106, Sandy, UT 84070-4503 | 2007-05-30 |
| 1174649172 | Gary Clark | Social Worker | 502 W 143rd St, Suite 3a, New York, NY 10031-6507 | 2007-03-21 |
| 1912022484 | Gary Mike Clark | Marriage & Family Therapist | 8911 3rd Street Rd, Louisville, KY 40272-2501 | 2007-03-20 |
| 1013987759 | Gary Wayne Clark | Family Medicine | 125 Canton Rd Nw, Carrollton, OH 44615-1009 | 2006-01-25 |
| 1609861152 | Gary W Clark | Podiatrist | 166 W 1325 N, Suite 300, Cedar City, UT 84721-7792 | 2005-09-12 |
| 1972140713 | Gary Clark | Behavior Technician | 100 Spenryn Dr, Madison, AL 35758-1890 | 2019-11-27 |
| 1043514540 | Gary D Clark | Pharmacist | 2701 S Nc 127 Hwy, Hickory, NC 28602-9130 | 2010-12-27 |
| 1902962939 | Gary Bruce Clark | General Practice | 1790 30th St, Suite 230, Boulder, CO 80301-1022 | 2006-12-27 |
| Street Address |
2929 S HAMPTON RD |
| City | DALLAS |
| State | TX |
| Zip Code | 75224-3026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013979178 | Isabel C Anyanwu | Anesthesiology | 2929 S Hampton Rd, Dallas, TX 75224 | 2006-04-04 |
| 1376969741 | Dufek Massif Hospital Corporation | General Acute Care Hospital | 2929 S Hampton Rd, Dallas, TX 75224-3026 | 2014-03-10 |
| 1770904062 | Ashlee Michelle Ericksen | Nurse Anesthetist, Certified Registered | 2929 S Hampton Rd, Dallas, TX 75224-3026 | 2014-01-03 |
| 1609130343 | Kiest Loop Trail Emergency Physicians Pllc | Emergency Medicine | 2929 S Hampton Rd, Dallas, TX 75224-3026 | 2012-06-27 |
| 1235495706 | Masako Nishio Md Pa | Anesthesiology | 2929 S Hampton Rd, Dallas, TX 75224-3026 | 2012-04-09 |
| 1770717001 | Sunbelt Anesthesia Pllc | Anesthesiology | 2929 S Hampton Rd, Dallas, TX 75224-3026 | 2009-05-14 |
| 1568606887 | Emergency Medicine Physicians of Dallas Pa | Emergency Medicine | 2929 S Hampton Rd, Dallas, TX 75224-3026 | 2009-04-30 |
| 1093956070 | Lthm Dallas - Operations LLC | General Acute Care Hospital | 2929 S Hampton Rd, Dallas, TX 75224-3026 | 2009-03-20 |
| 1790971612 | Renaissance Hospital Dallas | General Acute Care Hospital | 2929 S Hampton Rd, Dallas, TX 75224-3026 | 2007-09-25 |
| 1811108814 | Steven L Fields Md Pa | Radiology | 2929 S Hampton Rd, Renaissance Hospital - Radiology Department, Dallas, TX 75224-3026 | 2007-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972133999 | Bra'sheika Renee Johnson | Pharmacist | 752 Wynnewood Village S/c, Dallas, TX 75224 | 2020-01-17 |
| 1821523317 | Hao Anh Dang | Dentist | 2221 W Ledbetter Dr Ste 100, Dallas, TX 75224 | 2017-04-22 |
| 1568820009 | Ashley Nicole Green | Dentist | 2221 W. Ledbetter Drive, Suite 100, Dallas, TX 75224 | 2016-01-28 |
| 1194138867 | Laurie Smith | Licensed Vocational Nurse | 3622 S Tyler St, Dallas, TX 75224 | 2014-06-10 |
| 1346667474 | Sherry Diann Flewellen-ervin | Counselor | 501 Wynnwood Village, Dallas, TX 75224 | 2014-03-26 |
| 1326381880 | Mercy Housecall Physicians Group, LLC | Clinic/Center | 501 Wynnrwood Village, Ste 102a, Dallas, TX 75224 | 2013-04-03 |
| 1437416971 | Masako Nishio M.d., P.a. | Anesthesiology | 2929 South Hampton Rd, Dallas, TX 75224 | 2012-04-23 |
| 1306119177 | Truevision Eye Care P.a. | Optometrist | 911 Wynnewood Village, Dallas, TX 75224 | 2012-02-09 |
| 1639449358 | Access Dental of Illinois Pa | Dentist | 2304 W Illinois Ave, Dallas, TX 75224 | 2012-01-11 |
| 1659649317 | Shambresha Lanette Sewell | Assisted Living Facility | 3911 Morning Spring Trl, Dallas, TX 75224 | 2011-12-09 |
| Find all providers in zip 75224 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568077675 | Eir Pllc | Emergency Medicine | 5150 Lemmon Ave Ste 108, Dallas, TX 75209-6428 | 2020-09-15 |
| 1912537184 | Nuch of Texas | Emergency Medicine | 14201 Dallas Pkwy Ste 150, Dallas, TX 75254-2916 | 2020-01-16 |
| 1740827906 | Ziad A. Abdo, Md, P.a. | Emergency Medicine | 14731 Stanford Ct, Dallas, TX 75254-8471 | 2019-12-06 |
| 1174189815 | Alexander Wisbeck | Emergency Medicine | Emergency Medicine Dept. Utsw Medical Center, Dallas, TX 75390-8579 | 2019-05-17 |
| 1245797760 | Exceptional Physicians Group Pllc | Emergency Medicine | 1100 S Akard St, Dallas, TX 75215-1003 | 2019-02-21 |
| 1265812960 | Richard Philip Williams | Emergency Medicine | 5253 Harry Hines Blvd, Dallas, TX 75390-4993 | 2015-06-08 |
| 1356736524 | Hp Health Center, Pllc | Emergency Medicine | 9203 Skillman St Ste 126, Dallas, TX 75243-9036 | 2015-04-03 |
| 1578952354 | Arvin Radfar Akhavan | Emergency Medicine | 5511 Inverrary Ct, Dallas, TX 75287-7416 | 2015-01-15 |
| 1235543430 | Kneel and Youngblood | Emergency Medicine | 300 Crescent Ct, #1380, Dallas, TX 75201-1876 | 2014-06-16 |
| 1154733004 | Blake Ashton Johnson | Emergency Medicine | 13737 Noel Rd Ste 1200, Dallas, TX 75240-1335 | 2014-05-27 |
| Find all providers in DALLAS | ||||
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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.