MICHAEL CLARK (NPI# 1184163982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184163982 |
| Entity Type | Individual |
| Full Name | MICHAEL CLARK |
| Practice Address |
19 Second Ave Auburn NY 13021-5113 |
| Practice Telephone | 3152465078 |
| Mailing Telephone | 3152465078 |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-02-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534227 | Michael Clark | Contractor | 1107 Lavender Shade Court, Houston, TX 77073 | 2020-10-02 |
| 1558858464 | Michael Clark | Optometrist | 990 Medical Dr Ste G3, Brigham City, UT 84302 | 2018-04-16 |
| 1740780006 | Michael Ryan Clark | Pharmacist | 556 Northside Drive, Statesboro, GA 30458 | 2018-02-13 |
| 1942715255 | Michael Clark | Physical Medicine & Rehabilitation | 10600 Riverside Drive, Coral Springs, FL 33071-3307 | 2017-12-08 |
| 1386170348 | Michael Clark | Registered Nurse | 317 E 100 N, Price, UT 84501-2504 | 2017-05-11 |
| 1356780837 | Michael Clark | Adult Companion | 8305 Concord Dr, Rowlett, TX 75089-2001 | 2013-06-18 |
| 1417394503 | Michael Ray Clark | Pharmacist | 2661 Valleydale Rd, Hoover, AL 35244-2026 | 2013-05-29 |
| 1407143381 | Michael Jeffery Clark | Orthopaedic Surgery | 5671 Peachtree Dunwoody Ste 700, Atlanta, GA 30342-5047 | 2011-06-29 |
| 1700183993 | Michael Brady Clark | Preventive Medicine | 1400 Mckean Rd, Spring House, PA 19477 | 2011-02-24 |
| 1457663023 | Michael Ahart Clark | Massage Therapist | 2010 Mount Zion Rd, C, Morrow, GA 30260-3314 | 2010-07-11 |
| Street Address |
19 SECOND AVE |
| City | AUBURN |
| State | NY |
| Zip Code | 13021-5113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821631078 | Anthony Marino | Counselor | 319 Water St, Syacuse, NY 13021 | 2019-10-21 |
| 1205343811 | Cayuga County Community Health Network, Inc. | Community/Behavioral Health | 2119 W Genesee Street Rd, Auburn, NY 13021 | 2018-01-04 |
| 1427570365 | Sara K Gatewood | Licensed Practical Nurse | 124 Dawson Ave, Auburn, NY 13021 | 2017-07-12 |
| 1407385867 | Trisha Lee South | Registered Nurse | 278 Seymour St, Auburn, NY 13021 | 2017-06-08 |
| 1093263782 | Elizabeth Michelle Smith | Licensed Practical Nurse | 64 Cottage Street, Auburn, NY 13021 | 2016-09-12 |
| 1710360649 | Podiatry Services of Central New York, PC | Podiatrist | 171 Grant Ave, Auburn, NY 13021 | 2015-07-09 |
| 1518361484 | Edward J Currier | Counselor | 34 Wright Ave, Auburn, NY 13021 | 2014-10-21 |
| 1821499815 | Betsi Algar | Licensed Practical Nurse | 22 Scammell Ave, Auburn, NY 13021 | 2014-09-09 |
| 1235554734 | Jodi Saurini | Licensed Practical Nurse | 31 Anderson Circle, Auburn, NY 13021 | 2014-02-20 |
| 1124459896 | Bridget Reilly | Clinic/Center | 210 South Hoopes Ave, Auburn, NY 13021 | 2013-12-06 |
| Find all providers in zip 13021 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689292039 | Renee Ordway | Specialist/Technologist | 21 Thayer Ave, Auburn, MA 01501-3129 | 2020-07-13 |
| 1255962619 | Ryan Nurse | Specialist/Technologist | 54 Stone St, Auburn, MA 01501-2743 | 2020-02-03 |
| 1043852981 | Diane Patricia Stone | Specialist/Technologist | 62 Turner St, Auburn, ME 04210-5953 | 2019-10-11 |
| 1528622826 | Paige Laperle | Specialist/Technologist | 843 Oxford St S, Auburn, MA 01501-1844 | 2019-04-23 |
| 1316500200 | Ruby Ann Subia Dumlao | Specialist/Technologist | 2030 Noble Ct Se, Auburn, WA 98092-6226 | 2019-04-17 |
| 1871156760 | Hanna Marie Houck | Specialist/Technologist | 11812 Se 322nd Pl, Auburn, WA 98092-4811 | 2019-04-17 |
| 1093270886 | Jose Antonio Prieto | Specialist/Technologist | 2005 Downs Way, Auburn, AL 36832 | 2019-02-05 |
| 1538632245 | Matthew Charles Dove | Specialist/Technologist | 30 Belgrade Ave, Suite A, Auburn, ME 04210 | 2019-01-04 |
| 1285131730 | Molly Burke Champ-gibson | Specialist/Technologist | 105 K St Ne, Auburn, WA 98002-4442 | 2018-04-11 |
| 1528565074 | Elizabeth Le | Specialist/Technologist | 30615 122nd Ave Se, Auburn, WA 98092-3379 | 2018-04-11 |
| Find all providers in AUBURN | ||||
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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.