HEATHER LYNN CLARK


Address: 601 Elmwood Ave Box Med, Rochester, NY 14642-0001
Phone: 5852752874

HEATHER LYNN CLARK (NPI# 1215424270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215424270
Entity Type Individual
Full Name HEATHER LYNN CLARK
Credential PHD
Practice Address 601 Elmwood Ave Box Med
Rochester
NY 14642-0001
Mailing Address 3670 Washington Blvd
University Heights
OH 44118-2658
Practice Telephone 5852752874
Mailing Telephone 9492302279
Enumeration Date 2018-04-16
Last Update Date 2018-04-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers HEATHER CLARK

NPI Name Taxonomy Address Enumeration
1972900520 Heather Clark Family Medicine 9815 Main St Ste 208, Damascus, MD 20872 2014-11-25
1417387721 Heather Summers Clark Counselor 12729 Nw Twin Oaks Dr, Bristol, FL 32321-3431 2013-11-22
1093095010 Heather C Clark Physical Therapist 778 Baeder Rd, Jenkintown, PA 19046-2236 2011-08-22
1619184959 Heather Clark Day Training/Habilitation Specialist 200 General St, Batesville, AR 72501-9407 2007-05-17
1033281555 Heather E Clark Dentist 269 N Easton Rd, Glenside, PA 19038-4717 2006-11-14
1336139252 Heather J Clark Pharmacist 14720 Metcalf Ave, Overland Park, KS 66223-2204 2005-10-22
1356343784 Heather M Clark Dentist 2311 New Rd, Northfield, NJ 08225-1442 2005-08-15
1295365815 Heather Elan Clark Registered Nurse 5721 Hamilton Rd, Jordan, NY 13080-9760 2020-01-23
1861983116 Heather Nicole Clark Counselor 510 E Carolina Ave, Hartsville, SC 29550-4396 2018-05-22
1467976696 Heather Clark Physician Assistant 3200 E Racine St, Janesville, WI 53546-2343 2017-07-31

Office Location

Street Address 601 ELMWOOD AVE BOX MED
City ROCHESTER
State NY
Zip Code 14642-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982856415 Marshall Albert Lichtman Internal Medicine 601 Elmwood Ave Box Med, Rochester, NY 14642-0001 2008-10-15
1144887308 Mackenzie Rose Both Physician Assistant 601 Elmwood Ave Box Med, Rochester, NY 14642-3052 2019-05-23
1932765385 Janice Zhao Student in an Organized Health Care Education/Training Program 601 Elmwood Ave Box Med, Rochester, NY 14642-0001 2019-05-10
1255997730 Christine Papastamelos Student in an Organized Health Care Education/Training Program 601 Elmwood Ave Box Med, Rochester, NY 14642-0001 2019-05-10
1528624095 Rachel Marie Simpson Student in an Organized Health Care Education/Training Program 601 Elmwood Ave Box Med, Rochester, NY 14642-0001 2019-05-10
1255997672 Anna Kepley Student in an Organized Health Care Education/Training Program 601 Elmwood Ave Box Med, Rochester, NY 14642-0001 2019-05-10
1437714706 Brian House Student in an Organized Health Care Education/Training Program 601 Elmwood Ave Box Med, Rochester, NY 14642-0001 2019-05-02
1912498379 Natalia Chunga Iturry Student in an Organized Health Care Education/Training Program 601 Elmwood Ave Box Med, Rochester, NY 14642-0001 2018-05-22
1245720093 Sophia E Russ Student in an Organized Health Care Education/Training Program 601 Elmwood Ave Box Med, Rochester, NY 14642-0001 2018-05-17
1689162273 Nilbhi Patel Student in an Organized Health Care Education/Training Program 601 Elmwood Ave Box Med, Rochester, NY 14642-0001 2018-04-29
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679192363 Nicholas Campbell Love Student in an Organized Health Care Education/Training Program 601 Elmwood Ave, Ac-5, General Medicine Clinic 696, Rochester, NY 14642 2020-04-13
1750900650 Phillip Braun Student in an Organized Health Care Education/Training Program 601 Elmwood Ave, Ac-5 General Medicine Clinic 696, Rochester, NY 14642 2020-04-10
1437786993 Andrew Jeong Student in an Organized Health Care Education/Training Program Department of Orthopaedics and Rehabilitation, 601 Elmwood Avenue, Rochester, NY 14642 2020-03-25
1497227094 Alison Kent Pediatrics Dept of Pediatrics, University of Rochester, 601 Elmwood Avenue, Rochester, NY 14642 2018-12-20
1326539909 Saumya Goel Aujla Student in an Organized Health Care Education/Training Program 601 Elmwood Ave # 664, Rochester, NY 14642 2018-05-19
1922505387 Daniel Bral Student in an Organized Health Care Education/Training Program 601 Elmwood Ave # 655, Rochester, NY 14642 2018-04-11
1194222513 Jonah Meyerhoff Student in an Organized Health Care Education/Training Program 300 Crittenden Blvd Department of Psychiatry, Rochester, NY 14642 2018-04-11
1144738949 Francis Michael Manzo Registered Nurse University of Rochester 601 Elmwood Ave Box Surg, Rochester, NY 14642 2018-01-15
1225552649 George Norman Abraham Internal Medicine 600 Elmwood Avenue, University of Rochester, Rochester, NY 14642 2017-07-27
1861928301 Sonia Thakur Student in an Organized Health Care Education/Training Program 601 Elmwood University of Rochester Medical Center, Department of Physicial Medicine and Rehabilitation, Rochester, NY 14642 2017-05-03
Find all providers in zip 14642

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174130421 Carolyne Copley Student in an Organized Health Care Education/Training Program 226 2nd St Sw, Rochester, MN 55905-0001 2020-09-29
1497362925 Alexandra Michelle Hasiotis Student in an Organized Health Care Education/Training Program 36 Copperfield Rd, Rochester, NY 14615-1102 2020-09-29
1750905873 Anna C Lin Student in an Organized Health Care Education/Training Program 419 7th Ave Sw, Rochester, MN 55902-3216 2020-06-04
1558985101 Erin Marissa Hannigan Student in an Organized Health Care Education/Training Program 4802 8th St Sw, Rochester, MN 55902-8711 2020-05-29
1710501408 Anna Dowling Student in an Organized Health Care Education/Training Program 609 E 2650 North Rd, Rochester, IL 62563-8108 2020-05-29
1689296386 Bryan Liming Jan Student in an Organized Health Care Education/Training Program 601 Elmwood Ave # 632, Rochester, NY 14642-0001 2020-05-15
1780206474 Robert Tainsh Student in an Organized Health Care Education/Training Program 601 Elmwood Avenue Box 604, Rochester, NY 14642-0001 2020-05-15
1578185302 Shaahin Dadjoo Student in an Organized Health Care Education/Training Program 625 Elmwood Ave Ofc 683, Rochester, NY 14620-2913 2020-05-14
1578185534 Starling Tolliver Student in an Organized Health Care Education/Training Program 601 Elmwood Ave # Ac-5696, Rochester, NY 14642-0001 2020-05-13
1548882707 Christian A Archer Student in an Organized Health Care Education/Training Program 601 Elmwood Avenue Box Hh 37, Rochester, NY 14642-0001 2020-05-11
Find all providers in ROCHESTER

Competitor

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City ROCHESTER
Zip Code 14642

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Dataset Information

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.

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