KIMBERLY CLARK (NPI# 1235255084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235255084 |
| Entity Type | Individual |
| Full Name | KIMBERLY CLARK |
| Credential | MD |
| Practice Address |
Nsuh-dept of Medicine 300 Community Drive Manhasset NY 11030 |
| Practice Telephone | 5165624970 |
| Mailing Telephone | 5165624970 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2016-05-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
179933 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902362452 | Kimberly Michelle Clark | Technician, Other | 2819 Se Brodiaea Ct, Hillsboro, OR 97123-5201 | 2019-02-20 |
| 1780037994 | Kimberly Clark | Nurse Practitioner | 11251 Westwood Ave, Denham Springs, LA 70726-6947 | 2016-07-22 |
| 1053651869 | Kimberly Gail Clark | Hearing Instrument Specialist | 401 Apperson Dr, Salem, VA 24153-7026 | 2013-02-15 |
| 1952660524 | Kimberly Jo Clark | Licensed Practical Nurse | 334 Elmwood Ave, Barberton, OH 44203-1153 | 2012-05-16 |
| 1336421999 | Kimberly D Clark | Speech-Language Pathologist | 1524 Lexington Road, Clovis, NM 88101-6846 | 2011-09-09 |
| 1376878595 | Kimberly Clark | Physical Therapist | 101 S Kraemer Blvd Ste 125, Placentia, CA 92870-6100 | 2009-10-06 |
| 1609050913 | Kimberly Irene Clark | Counselor | 3077 Coolidge Ave, Costa Mesa, CA 92626-2809 | 2007-12-21 |
| 1053591875 | Kimberly Ann Clark | Counselor | 1516 S Boston Ave, Suite 100, Tulsa, OK 74119-4003 | 2007-11-08 |
| 1841400868 | Kimberly Clark | Social Worker | 4350 Woodland Ave, Jackson, MS 39206-3955 | 2007-05-22 |
| 1902900293 | Kimberly A Clark | Physical Therapist | 614 Monkton Rd, Bristol, VT 05443-5392 | 2006-09-08 |
| Street Address |
NSUH-DEPT OF MEDICINE 300 COMMUNITY DRIVE |
| City | MANHASSET |
| State | NY |
| Zip Code | 11030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417073263 | Peter Gregersen | Internal Medicine | Nsuh-dept of Medicine, 300 Community Drive, Manhasset, NY 11030 | 2007-03-22 |
| 1447321534 | Jennifer Liu | Internal Medicine | Nsuh-dept of Medicine, 300 Community Drive, Manhasset, NY 11030 | 2006-11-13 |
| 1851462949 | Imran Baig | Internal Medicine | Nsuh-dept of Medicine, 300 Community Drive, Manhasset, NY 11030 | 2006-11-13 |
| 1588735583 | David Rosenberg | Hospitalist | Nsuh-dept of Medicine, 300 Community Drive, Manhasset, NY 11030 | 2006-11-13 |
| 1750452140 | Carol Chen | Internal Medicine | Nsuh-dept of Medicine, 300 Community Drive, Manhasset, NY 11030 | 2006-11-10 |
| 1588735971 | Bernard Boal | Internal Medicine | Nsuh-dept of Medicine, 300 Community Drive, Manhasset, NY 11030 | 2006-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831754126 | Diana Fox | Registered Nurse | 330 Community Drive, Manhasset, NY 11030 | 2019-05-02 |
| 1215470257 | Melissa Fackler | Registered Nurse | 1350 Northern Blvd Ste 202, Manhasset, NY 11030 | 2016-11-23 |
| 1821443391 | Sarah Javdan | Family Medicine | 800 Community Dr Ste 206, Manhasset, NY 11030 | 2016-05-03 |
| 1891167458 | Stacie Thaw Lcsw Pllc | Social Worker | 115 Park Ave., Manhasset, NY 11030 | 2015-10-22 |
| 1538547971 | Aarti Kumar | Podiatrist | 535 Plandome Rd # 2, Manhasset, NY 11030 | 2015-05-18 |
| 1073933586 | Rachel Durante | Occupational Therapist | 600 Community Drive, Manhasset, NY 11030 | 2014-04-23 |
| 1831436435 | Anesthesia Care, P.C. | General Practice | 565 Plandome Road, Manhasset, NY 11030 | 2013-01-16 |
| 1821350091 | Sylvia Yoonsun Kim | Pharmacist | 139 Vanderbilt Ave, Manhasset, NY 11030 | 2012-06-13 |
| 1699062588 | Rod Stern | Dentist | 444 Community Dr Ste 201, Manhasset, NY 11030 | 2011-06-30 |
| 1558654798 | Alexandria Pace Kress | Speech-Language Pathologist | 31 Circle Dr, Manhasset, NY 11030 | 2011-05-20 |
| Find all providers in zip 11030 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073992145 | Alfred Ryan Schwab | Internal Medicine | 300 Community Dr, Manhasset, NY 11030-3816 | 2015-05-22 |
| 1063647840 | Gioiamaria B Berna | Internal Medicine | 300 Community Dr, Manhasset, NY 11030-3816 | 2009-05-21 |
| 1295977866 | Sameer Khanijo | Internal Medicine | 300 Community Dr, Manhasset, NY 11030-3816 | 2009-03-29 |
| 1790752764 | Richard Albin Bagdonas | Internal Medicine | 300 Community Dr, 1 Dsu, Manhasset, NY 11030-3816 | 2006-03-08 |
| 1235101403 | Hugh Albert Cassiere | Internal Medicine | 300 Community Dr, Manhasset, NY 11030-3816 | 2006-02-02 |
| 1992785158 | Stephan L Kamholz | Internal Medicine | 300 Community Dr, Manhasset, NY 11030-3816 | 2006-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225508179 | Critical Care Telemedicine, Pllc | Internal Medicine | 1971 Western Ave # 197, Albany, NY 12203-5066 | 2018-12-04 |
| 1962908376 | Jan Bakker | Internal Medicine | 555 First Ave, New York, NY 10016 | 2018-04-04 |
| 1124543095 | Ccmma Nj LLC | Internal Medicine | 224 W 18th St Apt 8a, New York, NY 10011-4558 | 2017-08-11 |
| 1538698642 | Medical Care for All PC | Internal Medicine | 22 E 41st St Fl 4, New York, NY 10017-6280 | 2017-06-12 |
| 1437606050 | Sleep Solutions Inc. | Internal Medicine | 2446 East Tremont Avenue, Bronx, NY 10461-2817 | 2016-09-01 |
| 1841609302 | Laura Miranda | Internal Medicine | 4750 59th St, Woodside, NY 11377-5570 | 2014-08-10 |
| 1104236611 | Britta Kumley | Internal Medicine | 450 Clarkson Ave # Sl-50, Brooklyn, NY 11203-2012 | 2014-05-06 |
| 1467872739 | Glen Thomas Granati | Internal Medicine | Mather Hospital, 75 N Country Rd, Port Jefferson, NY 11777 | 2014-04-24 |
| 1497172548 | Michael Joseph Lau | Internal Medicine | 39 Brentwood Rd Ste 102, Bay Shore, NY 11706-8031 | 2014-03-26 |
| 1821431164 | Nidhi Kavi | Internal Medicine | 56 Myles Ave, Levittown, NY 11756-1717 | 2013-04-16 |
| 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.