DR. ERICA ROUSSEAU CLARK


Address: 225 E Wood St, Spartanburg, SC 29303-3050
Phone: 8645604420

DR. ERICA ROUSSEAU CLARK (NPI# 1255635389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255635389
Entity Type Individual
Full Name DR. ERICA ROUSSEAU CLARK
Credential D.O.
Practice Address 225 E Wood St
Spartanburg
SC 29303-3050
Mailing Address Po Box 743070
Atlanta
GA 30374-3070
Practice Telephone 8645604420
Enumeration Date 2011-01-04
Last Update Date 2020-01-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208600000X Surgery 4772 SC Allopathic & Osteopathic Physicians
Y 2086S0129X Surgery
Specialization: Vascular Surgery
4772 SC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC MEDICARE PIN SCG3103365 01
SC 047728 05
TN Q027415 05
SC MEDICARE PIN SCG3105019 01
SC MEDICARE PIN SCG3109225 01

Other Providers ERICA CLARK

NPI Name Taxonomy Address Enumeration
1578051280 Erica La'shay Clark Home Health 100 E 216th St, Euclid, OH 44123-1155 2018-04-27
1730546656 Erica Clark Counselor 2209 Roosevelt Ave, Shreveport, LA 71104-2773 2016-01-22
1154944890 Erica Clark Counselor 8915 Sw Center St, Tigard, OR 97223-6307 2020-05-28
1639715329 Erica Clark Technician 4955 S Durango Dr Ste 120, Las Vegas, NV 89113-1054 2019-11-18
1184277881 Erica Clark Technician 1005 Terminal Way Ste 125, Reno, NV 89502-2198 2019-07-22
1265909311 Erica Clark Licensed Vocational Nurse 24969 Mulholland Hwy, Calabasas, CA 91302-2366 2018-10-26
1023510708 Erica Clark Nurse Practitioner 7991 S Suncoast Blvd, Homosassa, FL 34446-5005 2018-03-08
1174033443 Erica Lynn Clark Behavior Technician 308 Gratiot Ave, Alma, MI 48801-1809 2017-10-02
1154730174 Erica J. Clark Psychologist 200 S Hoover Blvd, Suite #165, Tampa, FL 33609-3540 2014-08-04
1598081143 Erica Lee Clark Day Training, Developmentally Disabled Services 425 W 3rd St, Powell, WY 82435-2304 2010-04-07

Office Location

Street Address 225 E WOOD ST
City SPARTANBURG
State SC
Zip Code 29303-3050

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609876374 William Cuyler Calton Jr. Surgery 225 E Wood St, Spartanburg, SC 29303-3050 2005-07-26
1598132961 Blaine David Buchanan Physician Assistant 225 E Wood St, Spartanburg, SC 29303-3050 2015-09-01
1316335854 Becky Williams Nurse Practitioner 225 E Wood St, Spartanburg, SC 29303-3050 2015-01-07
1558764654 Christy Flores I Nurse Practitioner 225 E Wood St, Spartanburg, SC 29303-3050 2014-10-02
1982023339 Christopher James Edenfield Physician Assistant 225 E Wood St, Spartanburg, SC 29303 2014-04-14
1841587797 Ronald Howard Figura Surgery 225 E Wood St, Spartanburg, SC 29303 2011-06-29
1124330014 Susan Grizzard Peterson Nurse Practitioner 225 E Wood St, Spartanburg, SC 29303-3050 2010-07-08
1356537161 Phillip Brent Reustle Physician Assistant 225 E Wood St, Spartanburg, SC 29303-3050 2007-09-15
1982803144 Charles Jason Rousseau Surgery 225 E Wood St, Spartanburg, SC 29303-3050 2007-07-17
1730219205 Scott Marion Hovis Surgery 225 E Wood St, Suite G, Spartanburg, SC 29303-3050 2007-03-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013532126 Adam Joseph Fulcher Family Medicine Center for Family Medicine, 853 N. Church Street, Suite 510, Spartanburg, SC 29303 2020-06-15
1275011652 Tri-state Medical Supplies, North Grove Durable Medical Equipment & Medical Supplies 1330 Boiling Springs Rd Ste 2900, Spartanburg, SC 29303 2018-07-30
1992227151 Roxanne Pope Speech-Language Pathologist 290 N Grove Medical Park Dr., Spartanburg, SC 29303 2017-07-10
1861934879 Cortney Redmond Mckinney I Counselor 250 Dewey Sve., Spartanburg, SC 29303 2016-11-08
1578011474 Instride Foot and Ankle Specialists, Pllc Podiatrist 269 North Grove Medical Drive, Spartanburg, SC 29303 2016-09-20
1023477536 Whitney Brooke Terry Physician Assistant 391 Serpentine Dr Ste 250, Spartanburg, SC 29303 2016-02-12
1306244348 Medcare Urgent Care Spartanburg, LLC Clinic/Center 301 E Wood Street, Spartanburg, SC 29303 2014-12-08
1508201393 Tom Ju Anesthesiology 1330 Boiling Springs Rd Ste 2700, Spartanburg, SC 29303 2013-05-07
1295072312 Marie O'dell Registered Nurse 7 698 Howard Street, Spartanburg School District, Spartanburg, SC 29303 2013-01-09
1518203330 Sherard Hamilton Ansley Speech-Language Pathologist 698 Howard St., Spartanburg School District 7, Spartanburg, SC 29303 2012-12-26
Find all providers in zip 29303

Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962519546 Mary Black Health System LLC Surgery 1690 Skylyn Dr Ste 350, Spartanburg, SC 29307-1039 2006-08-23
1609876374 William Cuyler Calton Jr. Surgery 225 E Wood St, Spartanburg, SC 29303-3050 2005-07-26
1043547102 John Bottsford Surgery 385 Serpentine Dr, Ste B, Spartanburg, SC 29303-3018 2009-11-11
1730219205 Scott Marion Hovis Surgery 225 E Wood St, Suite G, Spartanburg, SC 29303-3050 2007-03-06
1508847005 John Eugene Bottsford Jr. Surgery 385 Serpentine Dr, Suite A, Spartanburg, SC 29303-3018 2005-11-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1740840024 Tyler Buckley Surgery 169 Ashley Ave, Room 202 Main Hospital, Msc333, Charleston, SC 29425 2019-06-18
1043766017 Charleston Vascular Surgery, P.C. Surgery 1280 Hospital Drive, Suite 302, Charleston Vascular Surgery, P.C., Mount Pleasant, SC 29464-1901 2016-08-30
1104237338 William Jackson Surgery 101 S Ravenel St Ste 230, Florence, SC 29506-2624 2014-05-09
1962765081 Goatee Vascular LLC Surgery 4036 River Oaks Dr, Unit B2, Myrtle Beach, SC 29579-6695 2012-06-22
1518149350 Thomas Russell Wieters, M.d., P.a. Surgery 3070 Highway 17 N, Suite 202, Mount Pleasant, SC 29466-9300 2007-12-04
1801985007 Thomas C. Appleby Surgery 1327 Ashley River Road, Building B, Charleston, SC 29407 2006-10-12
1164536215 Sean J Hislop Surgery 1327 Ashley River Rd, Charleston, SC 29407-5384 2006-08-18
1881600963 Louis F Knoepp IIi Surgery 100 Health Way, Suite 1240, Anderson, SC 29621-7917 2006-07-31
1659321115 Robert C. Allen Surgery 197 Piedmont Blvd Ste 100, Rock Hill, SC 29732-1824 2006-05-12
1164496527 The Regional Medical Center of Orangeburg and Calhoun Counties Surgery 1175 Cook Rd Ste 320, Orangeburg, SC 29118-8247 2006-02-14
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Competitor

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City SPARTANBURG
Zip Code 29303

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Dataset Information

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.

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