DR. KEVIN N CLARK (NPI# 1235127291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235127291 |
| Entity Type | Individual |
| Full Name | DR. KEVIN N CLARK |
| Credential | MD |
| Practice Address |
425 Medical Dr Ste 101 Bountiful UT 84010-4945 |
| Practice Telephone | 8012989409 |
| Practice Fax Number | 8012921271 |
| Mailing Telephone | 8012989409 |
| Mailing Fax Number | 8012921271 |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2011-10-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 901831861205 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598294001 | Kevin John Clark | Chiropractor | 2815 83rd St, Darien, IL 60561-1660 | 2017-06-08 |
| 1124402516 | Kevin Michael Clark | Dentist | 8 Inwood Peak, San Antonio, TX 78248-1654 | 2015-07-15 |
| 1275976276 | Kevin P Clark | Pharmacist | 215 Sixth Street, Hotchkiss, CO 81419-0928 | 2013-04-10 |
| 1265736508 | Kevin Clark | Acupuncturist | 415 Route 34, Suite 210, Colts Neck, NJ 07722-2522 | 2010-12-30 |
| 1033361381 | Kevin Dewitt Clark | Acupuncturist | 130 N Dixie Hwy, Hollywood, FL 33020-6704 | 2008-10-17 |
| 1891859278 | Kevin Landis Clark | Optometrist | 10415 Gateway Blvd W, El Paso, TX 79925-7905 | 2006-12-20 |
| 1609934397 | Kevin John Clark | Counselor | 251 E 5th St, Brooklyn, NY 11218-2403 | 2006-12-05 |
| 1912947144 | Kevin Grafton Clark | Optometrist | 5310 Highway 25, Suite 5, Flowood, MS 39232-6148 | 2006-06-07 |
| 1497376958 | Kevin P. Clark Sr. | Social Worker | 30 Harriman Dr, Goshen, NY 10924-2410 | 2020-05-06 |
| 1245851104 | Kevin Clark | Counselor | 3929 Old Lee Hwy Ste 92c, Fairfax, VA 22030-2421 | 2020-05-01 |
| Street Address |
425 MEDICAL DR STE 101 |
| City | BOUNTIFUL |
| State | UT |
| Zip Code | 84010-4945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407394927 | Wellsprings LLC | Clinic/Center | 425 Medical Dr, Bountiful, UT 84010-4945 | 2017-02-03 |
| 1710344973 | Summit Speech Therapy | Speech-Language Pathologist | 425 Medical Dr, Suite #122, Bountiful, UT 84010-4945 | 2016-01-19 |
| 1881060523 | Emily Peck | Physician Assistant | 425 Medical Dr, Suite 205, Bountiful, UT 84010-4945 | 2015-08-17 |
| 1407242993 | Allan C Edson, D.o., PC | Internal Medicine | 425 Medical Dr, Suite 207, Bountiful, UT 84010-4945 | 2015-04-10 |
| 1528389723 | Melanie Oliver | Nurse Practitioner | 425 Medical Dr, Suite 118, Bountiful, UT 84010-4945 | 2010-06-22 |
| 1740511518 | Bountiful Hearing Center, Pllc | Hearing Aid Equipment | 425 Medical Dr, Suite 200, Bountiful, UT 84010-4945 | 2010-01-19 |
| 1619106770 | James E Hillstrom | Dentist | 425 Medical Dr, Suite 211, Bountiful, UT 84010-4945 | 2009-07-10 |
| 1003056862 | Louis S. Naegle, Lcsw, P.C. | Marriage & Family Therapist | 425 Medical Dr, Suite 212, Bountiful, UT 84010-4945 | 2009-03-05 |
| 1740428549 | Jeffery R. Oka, M.d., P.C. | Specialist | 425 Medical Dr, Suite 108, Bountiful, UT 84010-4945 | 2009-02-02 |
| 1588822076 | Ihc Health Services Inc | Dermatology | 425 Medical Dr, Ste 202, Bountiful, UT 84010-4977 | 2008-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225699192 | Jessyca K Willie | Behavior Technician | 415 S. Medical Drive Suite D101, Bountiful, UT 84010 | 2019-06-21 |
| 1336634344 | Shanna Joy Jaggers | Social Worker | 2333 S 200 E, Bountiful, UT 84010 | 2018-06-22 |
| 1447773171 | Live Life Alarms | Emergency Response System Companies | 640 South 500 West, Bountiful, UT 84010 | 2017-07-25 |
| 1902328842 | Hailey Embley | Behavior Technician | 415 Medical Drive D 101, Bountiful, UT 84010 | 2017-07-12 |
| 1508318031 | Beverly Nielsen | Psychologist | 1001 Lakeview Drive, Bountiful, UT 84010 | 2016-11-01 |
| 1295287720 | Samantha Oslund | Speech-Language Pathologist | 415 Medical Dr Ste B102, Bountiful, UT 84010 | 2016-11-01 |
| 1750748273 | Jeremy Clark Morris | Dentist | 59 W 1600 N, Suite 110, Bountiful, UT 84010 | 2016-01-28 |
| 1629464706 | Shane James | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010 | 2015-04-15 |
| 1891186102 | Kenton Francis | Social Worker | 1355 North Main Street #1, Bountiful, UT 84010 | 2015-02-09 |
| 1205233855 | Modern Dental Professionals - Utah, PC | Dentist | 24 S. 500 West, #a, Bountiful, UT 84010 | 2014-11-25 |
| Find all providers in zip 84010 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316117567 | Bountiful Surgical Associates | Surgery | 425 Medical Drive #101, Bountiful, UT 84010 | 2008-03-04 |
| 1518109032 | Lakeview Urology & General Surgery LLC | Surgery | 620 East Medical Dr, Suite 300, Bountiful, UT 84010-5171 | 2009-03-30 |
| 1538158282 | Russell H Todd | Surgery | 425 Medical Dr, Ste 101, Bountiful, UT 84010 | 2005-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699327684 | Walter S Medlin Md PC | Surgery | 1046 E 100 S Ste A, Salt Lake City, UT 84102-1520 | 2019-07-10 |
| 1770081515 | Robert Ricky Steuer | Surgery | 4157 N 900 W, Ogden, UT 84414-1009 | 2018-01-26 |
| 1184150013 | Salt Lake Surgical Services Pllc | Surgery | 1492 W Antelope Dr Ste 209, Layton, UT 84041-1158 | 2017-05-11 |
| 1912439530 | Meghan Eileen Mali | Surgery | University of Utah Hospital General Surgery, 30 N. 1900 E., Salt Lake City, UT 84132-0001 | 2017-04-02 |
| 1316483639 | Robert Jacobsen | Surgery | 1822 E 1950 N, Layton, UT 84040-2214 | 2017-01-10 |
| 1720437478 | Stephen Campbell | Surgery | 1671 E Stratford Ave, Slc, UT 84106-3668 | 2016-06-03 |
| 1740672641 | Randall Jones | Surgery | 1353 E Old Maple Ct, Murray, UT 84117-7303 | 2015-03-02 |
| 1124438924 | James Glen O'loughlin | Surgery | 30 N 1900 E Rm 3b324, Salt Lake City, UT 84132-0001 | 2014-05-01 |
| 1801138953 | Milda Shapiro | Surgery | 98 N 1100 E Ste 202, American Fork, UT 84003 | 2013-03-26 |
| 1811235500 | Karen A Tormey Md PC | Surgery | 1521 E 1800 S, Saint George, UT 84790-6761 | 2013-01-30 |
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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.