DR. JOSEPH HUSTON CLARK (NPI# 1194773457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194773457 |
Entity Type | Individual |
Full Name | DR. JOSEPH HUSTON CLARK |
Credential | MD |
Practice Address |
301 E Wendover Ave Ste 311 Greensboro NC 27401-1230 |
Practice Telephone | 3362726161 |
Mailing Telephone | 3362726161 |
Enumeration Date | 2006-05-05 |
Last Update Date | 2013-04-15 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208000000X | Pediatrics | 200500021 | NC | Allopathic & Osteopathic Physicians |
Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
200500021 | NC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | AETNA | 4304710 | 01 |
NC | MEDCOST | B1041 | 01 |
NC | 5900510 | 05 | |
NC | BCBS NC | 1386T | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417319161 | Joseph Martin Clark | Radiology | 16 E High St, Lebanon, PA 17042-5454 | 2016-03-22 |
1285936005 | Joseph R Clark | Dentist | 42 Georgia Ave, Commerce, GA 30529-2320 | 2010-11-30 |
1467776484 | Joseph Lefiever Clark Iv | Nurse Practitioner | 618 Oak St, Graham, TX 76450-3040 | 2010-03-19 |
1437354842 | Joseph Patterson Clark | Audiologist | 510 Fleming St Ste D, Hendersonville, NC 28739-4250 | 2007-06-15 |
1821217738 | Joseph Allen Clark | Massage Therapist | 3270 Fir Ridge Rd, Lake Oswego, OR 97035-2643 | 2007-04-25 |
1194795856 | Joseph D Clark | Psychiatry & Neurology | 81 Hillcrest Dr Ste 1300, Punxsutawney, PA 15767-2605 | 2006-01-25 |
1053308288 | Joseph M Clark | Otolaryngology | 1248 Huffman Mill Rd, Ste 201, Burlington, NC 27215-8700 | 2005-10-03 |
1164021093 | Joseph Brady Clark | Physical Therapy Assistant | 1030 Scott Dr, Prescott, AZ 86301-4737 | 2020-10-21 |
1740814656 | Joseph D Clark | Case Manager/Care Coordinator | 3100 E 45th St Ste 408, Cleveland, OH 44127-1095 | 2020-02-29 |
1235626110 | Joseph Louis Clark II | Physical Medicine & Rehabilitation | 11565 Harts Rd, Jacksonville, FL 32218-3777 | 2018-04-17 |
Street Address |
301 E WENDOVER AVE STE 311 |
City | GREENSBORO |
State | NC |
Zip Code | 27401-1230 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043214687 | Bryan K Bartle | Surgery | 301 E Wendover Ave, Suite 411, Greensboro, NC 27401-1230 | 2005-06-10 |
1902364029 | Alexis Scotece | Dietitian, Registered | 301 E Wendover Ave, Greensboro, NC 27401 | 2019-03-07 |
1265918171 | Rosalynne Faith Lopez | Health Educator | 301 E Wendover Ave, Greensboro, NC 27401-1230 | 2018-07-13 |
1689185068 | Cassie Lynn Kuppelweiser | Pharmacist | 301 E Wendover Ave, Greensboro, NC 27401-1230 | 2017-10-12 |
1780119636 | Minh Pham | Pharmacist | 301 E Wendover Ave, Suite 111, Greensboro, NC 27401-1230 | 2017-04-28 |
1457897175 | Jennifer Lauren Rafeek | Nurse Practitioner | 301 E Wendover Ave, Suite 400, Greensboro, NC 27401-1230 | 2017-01-19 |
1730625518 | Cone Center for Children | Clinic/Center | 301 E Wendover Ave, Suite 400, Greensboro, NC 27401-1230 | 2017-01-17 |
1942666953 | Central Carolina Health Network | Voluntary or Charitable | 301 E Wendover Ave, Ste 113, Greensboro, NC 27401-1230 | 2016-01-06 |
1285018366 | Michelle Elizabeth Stoisits | Social Worker | 301 E Wendover Ave, 400, Greensboro, NC 27401-1230 | 2015-07-17 |
1710396841 | Dawn Drazek | Nurse Practitioner | 301 E Wendover Ave, Ste 412, Greensboro, NC 27401-1230 | 2014-08-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639779655 | Warfair Counseling, Consulting, & Supervision, Pllc | Counselor | 301 South Elm Street, Suite 801, Greensboro, NC 27401 | 2020-10-28 |
1225636848 | Alma Lucero Diaz | Registered Nurse | 1121 North Church St, Greensboro, NC 27401 | 2020-10-15 |
1447865217 | Rebecca Levy | Marriage & Family Therapist | Cone Health Family Medicine 1125 N Church Street, Greensboro, NC 27401 | 2020-09-09 |
1346854304 | Rayna's Home Care, LLC | Registered Nurse | 823 North Elm Street, Greensboro, NC 27401 | 2020-09-06 |
1316574718 | Garrett Green | Physician Assistant | 1121 N Church St., Greensboro, NC 27401 | 2020-03-25 |
1629635685 | Lauren Robinson Byrd | Anesthesiology | 1200 North Church St, Greensboro, NC 27401 | 2019-05-24 |
1285103069 | Shannon Marie Childs Meyerhoff | Occupational Therapist | Guilford County Schools Ec, 134 Franklin Blvd, Greensboro, NC 27401 | 2018-11-21 |
1194293241 | Ashley Marie Smith | Nurse Practitioner | 1200 North Elm St, Greensboro, NC 27401 | 2018-11-07 |
1285117762 | Anastazia Juszczak Gray | Speech-Language Pathologist | 1131 N. Church St, Greensboro, NC 27401 | 2018-09-11 |
1619474012 | Jamie Hannah Rose Aldridge | Psychiatry & Neurology | 1121 N Church Street, Greensboro, NC 27401 | 2018-04-11 |
Find all providers in zip 27401 |
Taxonomy Code | 2080P0206X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Gastroenterology |
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841760238 | Mission Community Anesthesiology Specialists LLC | Pediatrics | 2695 Hendersonville Rd Ste 206, Arden, NC 28704-8576 | 2018-11-28 |
1205351756 | Dara Adina Seelig | Pediatrics | Brenner Children's Hospital Wake Forest Baptist Health, Winston Salem, NC 27157-0001 | 2017-08-06 |
1609229947 | Prathipa Santhanam | Pediatrics | N.c. Children's Hospital, 101 Manning Drive, Chapel Hill, NC 27514 | 2016-07-21 |
1912286410 | Carolinas Medical Center-northeast | Pediatrics | 101 East W T Harris Blvd, Bldg 3000, Suite 3301e, Charlotte, NC 28262-7000 | 2011-08-15 |
1013296730 | Timothy Menz | Pediatrics | 2711 Randolph Rd Ste 301, Charlotte, NC 28207-2027 | 2011-08-11 |
1396904967 | Sachin Shrikar Kunde | Pediatrics | 2601 Lake Dr Ste 201, Raleigh, NC 27607-6689 | 2008-06-08 |
1639260243 | Rose Corinne Marcus | Pediatrics | 333 South Columbia Street Cb 7229, Chapel Hill, NC 27599-4202 | 2006-09-27 |
1336704766 | Wakemed Specialists Group, LLC | Pediatrics | 23 Sunnybrook Rd, Raleigh, NC 27610-1855 | 2019-05-01 |
1982105375 | Pedzfeedz, Pllc | Pediatrics | 720 Saint James Dr, Wilmington, NC 28403 | 2018-02-22 |
1013453604 | Novant Medical Group, Inc. | Pediatrics | 11840 Southmore Dr, Suite 200, Charlotte, NC 28277-4466 | 2017-01-06 |
Find all providers with the same taxonomy |
City | GREENSBORO |
Zip Code | 27401 |
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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.