MARK T CLEMENTS (NPI# 1184749814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184749814 |
| Entity Type | Individual |
| Full Name | MARK T CLEMENTS |
| Credential | M.D. |
| Practice Address |
3402 E Broadway Blvd Tucson AZ 85716-5406 |
| Mailing Address |
720 Cool Springs Blvd Franklin TN 37067-2626 |
| Practice Telephone | 6157784066 |
| Mailing Telephone | 6157784066 |
| Mailing Fax Number | 6157789114 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
2355 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992902837 | Mark A Clements | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2007-07-02 |
| Street Address |
3402 E BROADWAY BLVD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85716-5406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073588703 | Angela Germaine Bevels | Optometrist | 3402 E Broadway Blvd, Tucson, AZ 85716-5406 | 2006-02-17 |
| 1174085500 | Vitamindrip-tucson LLC | Registered Nurse | 3402 E Broadway Blvd, Tucson, AZ 85716-5406 | 2019-04-04 |
| 1255714010 | El Con Health & Wellness Center LLC | Dietitian, Registered | 3402 E Broadway Blvd, Tucson, AZ 85716-5406 | 2015-06-29 |
| 1780061853 | Caitlyn Schull | Dietitian, Registered | 3402 E Broadway Blvd, Tucson, AZ 85716-5406 | 2015-04-28 |
| 1225391337 | Jennifer L O'neill | Counselor | 3402 E Broadway Blvd, Tucson, AZ 85716-5406 | 2012-06-22 |
| 1184924847 | Jean Marie Haberman | Physical Therapy Assistant | 3402 E Broadway Blvd, Tucson, AZ 85716-5406 | 2010-10-28 |
| 1356466593 | John Hendrix | Physical Therapist | 3402 E Broadway Blvd, Tucson, AZ 85716-5406 | 2007-03-20 |
| 1427145747 | Michael W Couch | Emergency Medicine | 3402 E Broadway Blvd, Tucson, AZ 85716-5406 | 2006-10-06 |
| 1073588547 | Vicki Kalen | Surgery | 3402 E Broadway Blvd, Tucson, AZ 85716-5406 | 2006-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063065043 | Kristi Watson Mdpc | Clinic/Center | Hodges Eye Care and Surgical Location, 1502 N. Tucson Blvd, Tucson, AZ 85716 | 2019-07-19 |
| 1639731326 | Leigh-anne Andre | Social Worker | 1135 N. Jones Blvd, Tucson, AZ 85716 | 2019-07-02 |
| 1053802462 | Thomas Scott Mcvean | Technician, Pathology | 718 N Richey Blvd, Tucson, AZ 85716 | 2018-05-21 |
| 1063923787 | Intermountain Health Center, Inc. | Clinic/Center | 3815 E. Monte Vista, Apt. 1101, Tuscon, AZ 85716 | 2017-10-20 |
| 1992224729 | Rocio Fonseca | Counselor | 1014 N Country Club, Tucson, AZ 85716 | 2017-09-13 |
| 1548784473 | Adrian Linda Fait | Speech-Language Pathologist | Child & Family Resources, Inc., 2800 E. Broadway Blvd, Tucson, AZ 85716 | 2017-08-02 |
| 1447701867 | Katheryn Fredman | Counselor | 3830 E. Bellevue St., Tucson, AZ 85716 | 2016-10-20 |
| 1396114211 | Craig Stark | Internal Medicine | 2978 E Greenlee St, Tucson, AZ 85716 | 2015-09-21 |
| 1598142283 | Layla Carol Bradley | Nurse Practitioner | 3832 E. Speedway, Minute Clinic, Tucson, AZ 85716 | 2015-05-01 |
| 1134547813 | Maeve Shaughnessy | Counselor | 2921 E Fort Lowell Rd Ste 207, Tucson, AZ 85716 | 2014-03-31 |
| Find all providers in zip 85716 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871924886 | Lisa Ann Moynihan | Preventive Medicine | 3725 W Nightflower St, Tucson, AZ 85741-2755 | 2013-12-02 |
| 1376819805 | Stefanie Lundell | Preventive Medicine | 1951 N. Wilmot Rd, Bldg 1, Suite 3a, Wellamerica, Inc., Tucson, AZ 85712-8000 | 2012-03-29 |
| 1366771271 | Scott A Krasner | Preventive Medicine | 7656 N Sonoma Way, Tucson, AZ 85743-9489 | 2009-12-24 |
| 1881719615 | Robert N Gavlak | Preventive Medicine | 4600 S Park Avenue, Suite 3-5, Tucson, AZ 85714 | 2007-03-20 |
| 1790800969 | Avelino O Leal | Preventive Medicine | 2005 W Ruthrauff Rd, Suite 111, Tucson, AZ 85705-4864 | 2007-03-20 |
| 1649312224 | Wayne Fredrick Peate | Preventive Medicine | 1951 N Wilmot Road, Building 1 Suite 3a, Tucson, AZ 85712-8000 | 2007-02-12 |
| 1265583421 | Francis J Stagg | Preventive Medicine | 3402 East Broadway, Tucson, AZ 85716-5406 | 2007-01-15 |
| 1134139074 | Russell Donald Simbari | Preventive Medicine | 4600 S Park Ave, Ste 5, Tucson, AZ 85714-1697 | 2006-08-09 |
| 1861451379 | Dennis L Thrasher | Preventive Medicine | 3681 S Palo Verde Rd, Tucson, AZ 85713-5428 | 2006-03-22 |
| 1912904699 | Arthur N Martinez | Preventive Medicine | 839 W Congress St, Tucson, AZ 85745-2819 | 2005-07-07 |
| Find all providers in TUCSON | ||||
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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.