ANGELA M CLARK (NPI# 1235195835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235195835 |
| Entity Type | Individual |
| Full Name | ANGELA M CLARK |
| Credential | PA |
| Practice Address |
2009 5th St Monroe WI 53566-1546 |
| Mailing Address |
515 22nd Ave Monroe WI 53566-1569 |
| Practice Telephone | 6083241000 |
| Mailing Telephone | 6083241000 |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2012-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1497 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285267930 | Angela C Clark | Registered Nurse | 18548 S Kanaga Loop, Eagle River, AK 99577-8675 | 2020-02-20 |
| 1164072492 | Angela G Clark | Clinic/Center | 4703 Horton Rd, Plant City, FL 33567-3625 | 2019-09-18 |
| 1558720284 | Angela Clark | Counselor | 1401 Irene Ln, Fort Gibson, OK 74434-8339 | 2016-02-23 |
| 1316339294 | Angela Nicole Clark | Occupational Therapist | 210 Oriole Ln, Telford, TN 37690-2370 | 2015-03-02 |
| 1457680415 | Angela L Clark | Counselor | 3105 E Skelly Dr Ste 310, Tulsa, OK 74105-6371 | 2009-12-21 |
| 1811123060 | Angela C Clark | Speech-Language Pathologist | 1039 Ne Polk Ave, Arcadia, FL 34266-5055 | 2009-06-02 |
| 1144836230 | Angela Kate Clark | Counselor | 324 Sw Ramsey Ave, Grants Pass, OR 97527-5529 | 2020-09-23 |
| 1275008914 | Angela Marie Clark | Nurse Practitioner | 5255 Members Pkwy Nw, Rochester, MN 55901-8381 | 2018-10-09 |
| 1669968921 | Angela Clark | Registered Nurse | 500 Hancock St, Saginaw, MI 48602-4224 | 2018-07-10 |
| 1740775659 | Angela Clark | Counselor | 18 S Paint St, Chillicothe, OH 45601-3202 | 2018-06-25 |
| Street Address |
2009 5TH ST |
| City | MONROE |
| State | WI |
| Zip Code | 53566-1546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700955135 | Joshua L. Morrison | Psychiatry & Neurology | 2009 5th St, Monroe, WI 53566-1546 | 2006-11-07 |
| 1083650287 | Nathan W. Moore | Urology | 2009 5th St, Monroe, WI 53566-1546 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548752967 | Mariah Mohns | Occupational Therapy Assistant | N3150 Wi- 81, Monroe, WI 53566 | 2018-06-01 |
| 1811414907 | Yelena Gapchenko | Pharmacist | 515 22nd St., Monroe, WY 53566 | 2017-08-29 |
| 1508306283 | Hilary Domke | Occupational Therapist | N3150 Wi-81, Monroe, WI 53566 | 2017-03-01 |
| 1699132332 | Lisa Marty | Social Worker | N3152 Wi-81, Monroe, WI 53566 | 2016-01-26 |
| 1518223148 | Lauren Nibler Craddock | Dermatology | 412 18th Ave, Monroe, WI 53566 | 2012-04-09 |
| 1033482799 | Amber Gatdula | Physical Therapy Assistant | 2628 14th Street, Monroe, WI 53566 | 2012-02-10 |
| 1629361043 | Tammy Noble | Licensed Practical Nurse | N2546 Ullom Rd., Monroe, WI 53566 | 2011-05-18 |
| 1023331683 | Kristine Hudson | Registered Nurse | 1110 11th Street, Monroe, WI 53566 | 2010-03-10 |
| 1306005012 | Rosemary Ann Graham | Registered Nurse | 2413 5th Ave, Monroe, WI 53566 | 2008-06-06 |
| 1174702559 | Kelly Jo Jenson | Chiropractor | 1518 11th Street, Suite 1-2, Monroe, WI 53566 | 2007-11-01 |
| Find all providers in zip 53566 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922422278 | Frank Tanner | Physician Assistant | 146 Martin Luther King Jr Blvd#302, Monroe, GA 30655 | 2014-02-06 |
| 1689698490 | Paula M. Wallace | Physician Assistant | 212 Walnut St, Ste 110, Monroe, LA 71201-6707 | 2006-07-26 |
| 1851768139 | Joseph Roger Fandal | Physician Assistant | 1501 Louisville Ave, Monroe, LA 71201-6025 | 2015-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821612045 | Cassidy Renee Thomas | Physician Assistant | 1111 Delafield St Ste 209, Waukesha, WI 53188-3403 | 2020-06-03 |
| 1982056768 | Luke Harbers | Physician Assistant | 6226 Bankers Rd Ste 11, Mount Pleasant, WI 53403-9799 | 2016-07-06 |
| 1093085664 | Abraham David Pacheco | Physician Assistant | 3246 S 35th St, Milwaukee, WI 53215-4156 | 2012-01-12 |
| 1346577954 | Darren Rosser | Physician Assistant | 2931 S 108th St, West Allis, WI 53227-3519 | 2009-11-03 |
| 1033359401 | Matthew S. Bay | Physician Assistant | 1818 N. Meade St Suite 240 West, Fox Valley Surgical Associates, Appleton, WI 54911-3496 | 2009-02-25 |
| 1265657068 | Surgical and Rehab Services Inc | Physician Assistant | E4051 Steven Way, Spring Green, WI 53588-9271 | 2007-04-16 |
| 1992844385 | Jill Ann Schumacher | Physician Assistant | 2265 90th St, Eau Claire, WI 54703-0181 | 2007-02-05 |
| 1609915073 | Brian Felix Robinson | Physician Assistant | S725 Turner Valley Rd, Mondovi, WI 54755-8331 | 2007-02-05 |
| 1124176383 | William Henry Price | Physician Assistant | 4819 5th Ave, Unit 2, Kenosha, WI 53140-2924 | 2007-01-06 |
| 1619032919 | Michael R Depew | Physician Assistant | 1650 S. 41st St., Lakeshore Orthopedics, Manitowoc, WI 54220 | 2006-12-27 |
| Find all providers with the same taxonomy | ||||
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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.