DR. SHAWN GERALD CLARK (NPI# 1285661306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285661306 |
| Entity Type | Individual |
| Full Name | DR. SHAWN GERALD CLARK |
| Credential | D.O. |
| Practice Address |
1000 East Mountain Drive, Geisinger Medical Center Mc 34-20 Wilkes Barre PA 18711 |
| Practice Telephone | 5708087818 |
| Mailing Telephone | 5708087818 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2013-08-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | WV 2166 | WV | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | OS012489 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 101386321 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144681578 | Shawn Clark | Registered Nurse | 405 Taylor Rd, Fall Branch, TN 37656-3013 | 2016-03-12 |
| 1306849575 | Shawn B Clark | Neurological Surgery | 6701 Airport Blvd Ste D146, Mobile, AL 36608-3784 | 2005-05-23 |
| 1790226330 | Shawn Clark | Hearing Instrument Specialist | 5303 50th St, Lubbock, TX 79414-1817 | 2017-03-15 |
| 1073938973 | Shawn Clark | Internal Medicine | 1900 23rd St, Cuyahoga Falls, OH 44223-1404 | 2014-02-28 |
| 1265873327 | Shawn Curtis Clark | Case Manager/Care Coordinator | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2013-07-17 |
| 1861764839 | Shawn David Clark | Counselor | 214 Sw 30th St, Oklahoma City, OK 73109-6506 | 2012-02-06 |
| 1184776007 | Shawn L Clark | Psychologist | 2400 Hospital Rd, 123, Tuskegee, AL 36083-5001 | 2007-01-18 |
| Street Address |
1000 EAST MOUNTAIN DRIVE, GEISINGER MEDICAL CENTER MC 34-20 |
| City | WILKES BARRE |
| State | PA |
| Zip Code | 18711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467924274 | Leeann Kayal | Nurse Practitioner | 111 East End Boulevard, Wilkes Barre, PA 18711 | 2018-12-19 |
| 1336661701 | Patricia Dworak | Occupational Therapist | 1175 East Mountain Boulevard, Wilkes-barre, PA 18711 | 2017-07-07 |
| 1992160352 | Hope Danishanko | Social Worker | 111 East End Blvd, Wilkes Barre, PA 18711 | 2015-12-29 |
| 1477962785 | Jennifer L. Heck | Physical Therapist | 1140 Route 315, Suite 207, Wilkes-barre, PA 18711 | 2014-08-12 |
| 1821338807 | Melinda Flaim | Physical Therapist | 1555 East End Blvd, Wilkes Barre, PA 18711 | 2013-02-27 |
| 1598900953 | Elizabeth Patricia Keating | Pharmacist | 1000 East Mountain Drive, Wilkes Barre, PA 18711 | 2008-12-12 |
| 1457433294 | Christopher William O'brien | Specialist/Technologist | King's College, 133 North River Street, Wilkes-barre, PA 18711 | 2006-10-20 |
| 1821197450 | Louis Jay Freedman | Obstetrics & Gynecology | Valley Medical Building, 3rd Floor, 1010 East Mountain Boulevard, Wilkes-barre, PA 18711 | 2006-09-21 |
| 1730282625 | Natalia N Belikova | Internal Medicine | 1111 East End Boulvard, Wilkesbarre, PA 18711 | 2006-09-06 |
| 1609883628 | Va Medical Center | General Acute Care Hospital | 1111 East End Blvd., Wilkes-barre, PA 18711 | 2006-08-02 |
| Find all providers in zip 18711 | ||||
| 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 |
|---|---|---|---|---|
| 1518256080 | Medexpress Urgent Care, PC-pennsylvania | Emergency Medicine | 677d Kidder St, Wilkes Barre, PA 18702-6908 | 2011-04-05 |
| 1598308777 | Corey Scott Rossi | Emergency Medicine | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2019-10-21 |
| 1639724669 | Alexis Maria Makowiec | Emergency Medicine | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0001 | 2019-08-06 |
| 1558816694 | Wyoming Emergency Services, LLC | Emergency Medicine | 575 N River St, Wilkes Barre, PA 18764-0999 | 2016-08-18 |
| 1740734979 | Poconos Emergency Group, LLC | Emergency Medicine | 575 N River St, Wilkes Barre, PA 18764-0001 | 2016-08-04 |
| 1962866046 | Vincent Giannotti | Emergency Medicine | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2016-04-05 |
| 1528427473 | Zia Rehman | Emergency Medicine | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2016-02-21 |
| 1386026219 | Keith D. Willner | Emergency Medicine | 1000 E Mountain Blvd, Wilkes Barre, PA 18711 | 2015-06-27 |
| 1780070011 | Sheel Mehta | Emergency Medicine | 1000 E Mountain Blvd, Wilkes Barre, PA 18711 | 2015-04-14 |
| 1467851469 | Mary Kathryn Jones | Emergency Medicine | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2014-08-15 |
| Find all providers in WILKES BARRE | ||||
| City | WILKES BARRE |
| Zip Code | 18711 |
Please comment or provide details below to improve the information on DR. SHAWN GERALD CLARK.
| 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.