MR. MARK STEVEN CLARK (NPI# 1235115213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235115213 |
Entity Type | Individual |
Full Name | MR. MARK STEVEN CLARK |
Credential | PA |
Practice Address |
1 Verney Drive Greenfield NH 03047 |
Mailing Address |
38 Cortland Dr Bedford NH 03110-4224 |
Practice Telephone | 6033050628 |
Enumeration Date | 2005-12-21 |
Last Update Date | 2014-03-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | 0362 | NH | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0362 | NH | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NH | 30331005 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912324351 | Mark Clark | Podiatrist | 2300 Coronado Rd, Pueblo, CO 81003-1840 | 2014-03-24 |
1710265160 | Mark Clark | Technician, Other | 6646 Highway 50, Gerald, MO 63037-2700 | 2011-08-02 |
1215255682 | Mark P Clark | Counselor | 11 Brandywine Dr, Cincinnati, OH 45246-3809 | 2010-05-11 |
1609006022 | Mark H. Clark | Pharmacist | 2901 N Dallas Parkway, Suite 420, Plano, TX 75093 | 2009-07-20 |
1588856827 | Mark Brian Clark | Registered Nurse | 3420 Box Elder, Evergreen, CO 80439-7841 | 2007-08-10 |
1154549061 | Mark W Clark | Nurse Anesthetist, Certified Registered | 1201 First St, Kennett, MO 63857 | 2007-04-23 |
1720119167 | Mark Clark | Counselor | 1366 W Indian Hills Dr Unit 69, Saint George, UT 84770-1885 | 2007-03-08 |
1205989605 | Mark Daniel Clark | Anesthesiology | 3735 Norton Hills Rd, Norton Shores, MI 49441-4469 | 2007-01-19 |
1407903693 | Mark Allen Clark | Nurse Practitioner | 111 Park Hill Dr # A, Fredericksburg, VA 22401-3357 | 2007-01-03 |
1447352828 | Mark Wayne Clark | Dentist | G-3550 Flushing Rd, Flint, MI 48504 | 2006-09-05 |
Street Address |
1 VERNEY DRIVE |
City | GREENFIELD |
State | NH |
Zip Code | 03047 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295119345 | Kelli Ann Dube | Psychologist | 1 Verney Drive, Greenfield, NH 03047 | 2015-07-17 |
1821397134 | Heidi Lyn Mclennan | Occupational Therapist | 1 Verney Drive, Greenfield, NH 03047 | 2011-03-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023418399 | Tara Anne Stetson | Occupational Therapist | 1 Verney Dr, Greenfield, NH 03047 | 2014-08-24 |
1053912279 | Andrew Schinnerer | Psychologist | 860 Forest Rd, Greenfield, NH 03047-4301 | 2020-11-04 |
1821348434 | Susan Moller | Religious Nonmedical Practitioner | 246 East Rd, Greenfield, NH 03047-4407 | 2012-09-12 |
1598112849 | Chrisitna Ferraiuolo | Dietitian, Registered | 68 Gould Hill Rd, Greenfield, NH 03047-4525 | 2016-05-17 |
1962476366 | William Carl Cooley | Pediatrics | 1 Verney Dr, Greenfield, NH 03047-5000 | 2006-02-14 |
1518500784 | Ariana Laniyan | Speech-Language Pathologist | 1 Verney Dr, Greenfield, NH 03047-5000 | 2019-10-21 |
1255814695 | Shelby Ouellette | Specialist/Technologist | 1 Verney Dr, Greenfield, NH 03047-5000 | 2018-09-12 |
1265915607 | Madeline Alexander | Speech-Language Pathologist | 1 Verney Dr, Greenfield, NH 03047-5000 | 2018-09-12 |
1710460159 | Stephanie Drago | Specialist/Technologist | 1 Verney Dr, Greenfield, NH 03047-5000 | 2018-09-12 |
1346729753 | Chandra Miller | Nurse Practitioner | 1 Verney Dr, Greenfield, NH 03047-5000 | 2018-08-08 |
Find all providers in zip 03047 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912356668 | Alyssa N Bobe | Physician Assistant | 164 High St, Greenfield, MA 01301-2613 | 2016-06-03 |
1699177394 | Carol Lynn Conolly | Physician Assistant | 329 Conway St, Greenfield Health Center, Greenfield, MA 01301-1521 | 2014-09-24 |
1730516147 | Katrina Hull | Physician Assistant | 48 Sanderson St, Greenfield, MA 01301-2778 | 2013-09-30 |
1801153689 | Natalie Harding | Physician Assistant | 329 Conway St, Greenfield Health Center, Greenfield, MA 01301-1521 | 2012-04-18 |
1821304312 | Peter A Buchanan | Physician Assistant | 329 Conway St, Greenfield Health Center, Greenfield, MA 01301-1521 | 2010-08-23 |
1023241254 | Cara Chadbourne Vickers | Physician Assistant | 489 Bernardston Rd, Suite 108, Greenfield, MA 01301-1238 | 2009-09-04 |
1821321050 | Jessica A Bartlett | Physician Assistant | 48 Sanderson St, Greenfield, MA 01301-2778 | 2009-09-04 |
1730258617 | Matthew Burns | Physician Assistant | 164 High St, Greenfield, MA 01301-2613 | 2006-11-07 |
1588751911 | Meghan Migeon | Physician Assistant | 164 High St, Greenfield, MA 01301-2613 | 2006-10-06 |
1356459242 | Bonnie J Hanson | Physician Assistant | 164 High Street, Greenfield, MA 01301-2613 | 2006-08-29 |
Find all providers in GREENFIELD |
City | GREENFIELD |
Zip Code | 03047 |
Please comment or provide details below to improve the information on MR. MARK STEVEN CLARK.
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.