DR. RICHARD TODD CLARK (NPI# 1245596147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245596147 |
| Entity Type | Individual |
| Full Name | DR. RICHARD TODD CLARK |
| Credential | M.D. |
| Practice Address |
12605 E 16th Ave Aurora CO 80045-2545 |
| Mailing Address |
Po Box 110429 Aurora CO 80042-0429 |
| Practice Telephone | 7208480000 |
| Practice Fax Number | 3034937202 |
| Mailing Telephone | 3034937000 |
| Mailing Fax Number | 3034937200 |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2019-06-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD176848 | OR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366922684 | Richard Sheldon Clark | Counselor | 311 Penny Dr, Lithopolis, OH 43136-9704 | 2018-08-16 |
| 1871929000 | Richard H Clark | Chiropractor | 462 Warren Rd, Franklin, PA 16323-6544 | 2013-09-19 |
| 1770831901 | Richard Clark | Counselor | 2902 Jack Pine St, Bellevue, NE 68123-5519 | 2012-08-20 |
| 1285866079 | Richard C Clark IIi | Counselor | 800 Pineview Dr, Hattiesburg, MS 39401-7459 | 2009-08-13 |
| 1134318140 | Richard S Clark | Marriage & Family Therapist | 2801 Summit St Apt 307, Oakland, CA 94609-3643 | 2007-10-16 |
| 1023042470 | Richard R. Clark | Family Medicine | 1475 E Belvidere Rd Unit 385, Grayslake, IL 60030-2026 | 2006-07-10 |
| 1942249545 | Richard James Clark IIi | Dentist | 2300 Garrett Rd, Drexel Hill, PA 19026-1102 | 2006-06-06 |
| 1699744011 | Richard C Clark | Physical Therapist | 4909 Nolensville Rd, Nashville, TN 37211-5411 | 2006-03-16 |
| 1528059565 | Richard K Clark | Optometrist | 810 Ne 25th Ave, Ocala, FL 34470-6335 | 2005-10-31 |
| 1053316364 | Richard Don Clark | Family Medicine | 802 Wayne St, Ste 202, Marietta, OH 45750-3300 | 2005-06-15 |
| Street Address |
12605 E 16TH AVE |
| City | AURORA |
| State | CO |
| Zip Code | 80045-2545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556694 | Mark Armin Levine | Internal Medicine | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2005-05-23 |
| 1962001719 | Poudre Valley Medical Group, LLC | Social Worker | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2020-10-22 |
| 1811595473 | Jason Hayes | Nurse Practitioner | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2020-10-15 |
| 1710584560 | Alleson Bayer | Nurse Practitioner | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2020-10-05 |
| 1316554009 | Lisa Najera | Nurse Practitioner | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2020-09-26 |
| 1699382705 | James Lloyd Martin Jr. | Pharmacy | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2020-09-23 |
| 1740808575 | Beth Lee Smilkstein | Physician Assistant | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2020-07-08 |
| 1780200907 | Amanda Marie Miller-sarmento | Nurse Practitioner | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2020-06-23 |
| 1558987909 | Heather Ann Sutton | Counselor | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2020-06-22 |
| 1982220349 | Rocco James Miele | Nurse Practitioner | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2020-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942817408 | Salwa Mourtada Bamba | Nurse Practitioner | University of Colorado Medicine, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-09-29 |
| 1114545233 | Chun Cheong Tsui | Student in an Organized Health Care Education/Training Program | 12801 E. 17th Avenue, Ms 8117, Aurora, CO 80045 | 2020-07-07 |
| 1487278719 | James Charles Tuka IIi | Social Worker | 1700 North Wheeling, Aurora, CO 80045 | 2020-06-02 |
| 1427677806 | Justin Yu | Student in an Organized Health Care Education/Training Program | 12631 E. 17th Ave. Ms B205, Aurora, CO 80045 | 2020-04-15 |
| 1558980011 | Erik Von Polsdofer | Student in an Organized Health Care Education/Training Program | Academic Office 1; Department of Pathology, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-04-14 |
| 1831718568 | Luke Porter Bacon | Student in an Organized Health Care Education/Training Program | 3001 East 17th Place, Aurora, CO 80045 | 2020-04-13 |
| 1366061368 | Hilary Novatt | Student in an Organized Health Care Education/Training Program | 12631 E 17th Ave, B198-6, Room 4007, Aurora, CO 80045 | 2020-04-10 |
| 1376195362 | Katie Tuck | Pharmacist | 1700 North Wheeling Street (119), Fs-111o, Aurora, CO 80045 | 2019-07-10 |
| 1518529130 | Ronak Kamal Kapadia | Student in an Organized Health Care Education/Training Program | 12700 E. 19th Ave, Ms B182 Rm 5104, Aurora, CO 80045 | 2019-07-03 |
| 1245898253 | Rasha Elbadry Ahmed | Student in an Organized Health Care Education/Training Program | Childrens Hospital Colorado Pediatric Neurosurgery, 13123e. 16th Ave, B330, Aurora, CO 80045 | 2019-06-04 |
| Find all providers in zip 80045 | ||||
| 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 |
|---|---|---|---|---|
| 1477075224 | Highlands Ranch Healthcare LLC | Emergency Medicine | 10797 E Mississippi Avenue, Aurora, CO 80012-3101 | 2017-07-13 |
| 1114026234 | Matthew Carson Ponder | Emergency Medicine | 3350 Peoria St Ste 120, Aurora, CO 80010-1430 | 2006-09-22 |
| 1104938422 | Jamira T Jones | Emergency Medicine | 25551 E Smoky Hill Rd, Aurora, CO 80016 | 2006-08-31 |
| 1881608255 | Matthew Chase | Emergency Medicine | 15300 E Mississippi Ave, Aurora, CO 80017-3026 | 2006-07-28 |
| 1083664569 | Jerald Solot | Emergency Medicine | 18890 E Hampden Ave, Aurora, CO 80013-3504 | 2006-05-12 |
| 1497718829 | Michael David Weiner | Emergency Medicine | White Comm Hosp, Aurora, MN 55750 | 2006-04-07 |
| 1861452716 | Michael E Roberts | Emergency Medicine | 10355 E Iliff Ave, Aurora, CO 80247-3622 | 2006-03-24 |
| 1407822851 | Charles P Buckley | Emergency Medicine | 1561 Jeanel Ln, Aurora, IL 60502-9633 | 2006-02-27 |
| 1780659573 | George A. Melone Jr. | Emergency Medicine | 12631 E 17th Ave, Aurora, CO 80045 | 2006-02-23 |
| 1760466239 | Richard G. Bieser | Emergency Medicine | 1501 S. Potomac Street, Aurora, CO 80012-5411 | 2005-11-30 |
| Find all providers in AURORA | ||||
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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.