GUY CLARK (NPI# 1235160789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235160789 |
| Entity Type | Individual |
| Full Name | GUY CLARK |
| Credential | MD |
| Practice Address |
601 S Concord St Ste 108 Knoxville TN 37919-3339 |
| Mailing Address |
P O Box 636019 Cincinnati OH 45263-1984 |
| Practice Telephone | 8652923000 |
| Mailing Telephone | 8652923000 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2019-12-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 0101047497 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64666985 | 05 | |
| VA | 010256267 | 05 | |
| VA | MEDICARE RAILROAD | P00255508 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215948286 | Guy Charles Clark | Dentist | 3613 New Mexico Highway 528, Suite G, Albuquerque, NM 87114 | 2006-08-11 |
| 1356907083 | Guy Max Clark | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2019-05-17 |
| 1063574788 | Guy Clark | Internal Medicine | 2419 Castillo St, Santa Barbara, CA 93105-4301 | 2006-12-16 |
| Street Address |
601 S CONCORD ST STE 108 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37919-3339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386282036 | Concord Recovery Center, LLC | Clinic/Center | 601 S Concord St Ste 108, Knoxville, TN 37919-3339 | 2019-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099188 | Edp Biotech Corporation | Clinical Medical Laboratory | 6701 Baum Dr, Suite 110, Knoxville, TN 37919 | 2020-09-29 |
| 1649836248 | Jessica Diane Moody | Counselor | 6070 Lyons View Pike, Knoxville, TN 37919 | 2019-05-20 |
| 1952802571 | Maisie Drew Buckner | Physical Therapist | 301 S Gallaher View Rd Ste 105, Knoxville, TN 37919 | 2018-02-28 |
| 1992217400 | Jay S. Desvaux, D.d.s. | Dentist | 6311 Kingston Pike #27w, Knoxville, TN 37919 | 2017-10-25 |
| 1346768975 | Marilyn Lee | Occupational Therapist | 7014 Lawford Road, Knoxville, TN 37919 | 2017-09-04 |
| 1558884254 | Jck Holdings LLC | Family Medicine | 2270 Sutherland Avenue, Knoxville, TN 37919 | 2017-07-25 |
| 1295255503 | Emily M King | Marriage & Family Therapist | 131 N. Concord St, Knoxville, TN 37919 | 2017-06-27 |
| 1487105128 | Kathleen Rachelle Matteson | Physician Assistant | 2461 University Commons Way, Knoxville, TN 37919 | 2016-10-18 |
| 1689046161 | Meagan Lynn Ogunrinde | Registered Nurse | 265 Brockview Centre Way, Suite 400, Knoxville, TN 37919 | 2015-10-23 |
| 1720467624 | Chizoba Ngesina | Emergency Medicine | Teamhealth, 265 Brookview Centre Way Suite 400, Knoxville, TN 37919 | 2015-05-26 |
| Find all providers in zip 37919 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720467624 | Chizoba Ngesina | Emergency Medicine | Teamhealth, 265 Brookview Centre Way Suite 400, Knoxville, TN 37919 | 2015-05-26 |
| 1013310762 | Knoxville Integrative Medical Center Pllc | Emergency Medicine | 9313 S Northshore Dr, Knoxville, TN 37922-6548 | 2014-10-08 |
| 1821404435 | Roy Ferraiuolo | Emergency Medicine | 1924 Alcoa Hwy # U-67, Knoxville, TN 37920-1511 | 2014-07-02 |
| 1093085771 | Joseph Tucker Montgomery | Emergency Medicine | 528 Dixon Rd, Knoxville, TN 37934-1307 | 2012-01-11 |
| 1346560604 | Chase Winkler Ranson | Emergency Medicine | 1122 Kenesaw Ave, Knoxville, TN 37919-7731 | 2010-06-09 |
| 1285954842 | Priya Gyani | Emergency Medicine | 112 S Gay St, Apt 307, Knoxville, TN 37902-1128 | 2010-06-07 |
| 1912224528 | Ann Reed Barnett | Emergency Medicine | 1415 Fremont Place, Knoxville, TN 37917 | 2010-04-23 |
| 1770712994 | Edwin Palmore Schaumburg | Emergency Medicine | 1924 Alcoa Hwy # U11, Knoxville, TN 37920-1511 | 2009-07-09 |
| 1558553321 | Neil Chaudhary | Emergency Medicine | 750 Gettysvue Dr, Knoxville, TN 37922-7622 | 2007-08-15 |
| 1760601090 | Michelle B. Hall | Emergency Medicine | 7019 Rotherwood Dr, Knoxville, TN 37919-7411 | 2007-04-25 |
| Find all providers in KNOXVILLE | ||||
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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.