CHARLES A. CLARK, MD, PA (NPI# 1316184815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316184815 |
| Entity Type | Organization |
| Organization Name | CHARLES A. CLARK, MD, PA |
| Practice Address |
1609 W 40th Ave Suite 501 Pine Bluff AR 71603-6319 |
| Practice Telephone | 8705343449 |
| Practice Fax Number | 8705353973 |
| Mailing Telephone | 8705343449 |
| Mailing Fax Number | 8705353973 |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2009-03-04 |
| Authorized Official Name | DR. CHARLES ALLAN CLARK (PRESIDENT) |
| Authorized Official Telephone | 8705343449 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
1609 W 40TH AVE SUITE 501 |
| City | PINE BLUFF |
| State | AR |
| Zip Code | 71603-6319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407852734 | Amy Boast Cahill | Obstetrics & Gynecology | 1609 W 40th Ave, Ste 204, Pine Bluff, AR 71603-6367 | 2005-06-22 |
| 1851787089 | Katie Loetscher | Nurse Practitioner | 1609 W 40th Ave, #204, Pine Bluff, AR 71603-6319 | 2015-04-14 |
| 1578906152 | Torrance A Walker Md Pa | Preferred Provider Organization | 1609 W 40th Ave, Suite 201, Pine Bluff, AR 71603-6319 | 2013-04-12 |
| 1982940433 | Jefferson Hospital Assn, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1609 W 40th Ave, Suite 403, Pine Bluff, AR 71603-6319 | 2013-01-02 |
| 1962753574 | Jefferson Hospital Assn, Inc. | Surgery | 1609 W 40th Ave, Suite 403, Pine Bluff, AR 71603-6319 | 2012-09-21 |
| 1275841306 | Jefferson Hospital Association, Inc. | Orthopaedic Surgery | 1609 W 40th Ave, Suite 501, Pine Bluff, AR 71603-6319 | 2010-09-23 |
| 1285865865 | Lisa A Bearden Md Pa | Clinic/Center | 1609 W 40th Ave, Suite 204, Pine Bluff, AR 71603-6319 | 2009-07-30 |
| 1770750176 | Roy Louis Burrell | Orthopaedic Surgery | 1609 W 40th Ave, Suite 501, Pine Bluff, AR 71603-6319 | 2008-05-14 |
| 1891975173 | Amy Boast Cahill, M.d., P.a. | Clinic/Center | 1609 W 40th Ave, Suite 204, Pine Bluff, AR 71603-6319 | 2007-11-05 |
| 1801922794 | South Arkansas Surgical Associates | Specialist | 1609 W 40th Ave, Suite 403, Pine Bluff, AR 71603-6319 | 2007-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700445038 | Hannah Carter | Dentist | 3801 S Olive St, Pine Bluff, AR 71603 | 2019-06-11 |
| 1821544628 | Nauman Yunus Md Pa | Internal Medicine | 1600 West 40th Ave, Jefferson Regional Medical Center, Pine Bluff, AR 71603 | 2016-08-31 |
| 1407278120 | Arkansas Cancer Clinic Pa | Radiology | 7200 South Hazel Street, Pine Bluff, AR 71603 | 2014-01-15 |
| 1730515396 | Sharon Yvette Webb | Student in an Organized Health Care Education/Training Program | 2318 Kyle Street, Pine Bluff, AR 71603 | 2013-09-16 |
| 1477992733 | David Larry Byrd | Pharmacist | 5 Longmeadow, Pine Bluff, AR 71603 | 2013-06-20 |
| 1437400371 | Thomas Jordan Harper | Pharmacist | 2809 South Camden Road, Pine Bluff, AR 71603 | 2012-10-01 |
| 1992080469 | C&d Disability.inc | Early Intervention Provider Agency | 4806 W 9th Street, Pine Bluff, AR 71603 | 2011-10-17 |
| 1457645863 | Clifton G Roaf & Marvin Q Caudle | Dentist | 1310 South Linden Street, Pine Bluff, AR 71603 | 2011-06-02 |
| 1932402682 | Mary Campbell | Licensed Practical Nurse | 2302 W. 28th, Suite A, Pine Bluff, AR 71603 | 2010-12-17 |
| 1245468925 | Evan N Newbolt | Ophthalmology | 3805 West 28th Ave, Pine Bluff, AR 71603 | 2009-07-01 |
| Find all providers in zip 71603 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043612625 | University of Arkansas At Pine Bluff | Orthopaedic Surgery | 1200 University Dr, Pine Bluff, AR 71601-2780 | 2014-09-25 |
| 1578705414 | John O Lytle Md Pa | Orthopaedic Surgery | 1609 W 40th Ave Ste 501, Pine Bluff, AR 71603-6364 | 2009-03-24 |
| 1275841306 | Jefferson Hospital Association, Inc. | Orthopaedic Surgery | 1609 W 40th Ave, Suite 501, Pine Bluff, AR 71603-6319 | 2010-09-23 |
| 1124330840 | James Alan Pollard Md Pa | Orthopaedic Surgery | 1609 W 40th Ave Ste 501, Pine Bluff, AR 71603-6364 | 2010-07-10 |
| 1770750176 | Roy Louis Burrell | Orthopaedic Surgery | 1609 W 40th Ave, Suite 501, Pine Bluff, AR 71603-6319 | 2008-05-14 |
| 1265497408 | South Arkansas Orthopaedic Center | Orthopaedic Surgery | 1609 W 40th Ave, Suite 501, Pine Bluff, AR 71603-6329 | 2006-04-19 |
| 1891780219 | John Ora Lytle | Orthopaedic Surgery | 1609 W 40th Ave, Ste 501, Pine Bluff, AR 71603-6329 | 2005-09-12 |
| 1043205461 | Charles A Clark | Orthopaedic Surgery | 1609 W 40th Ave, Ste 501, Pine Bluff, AR 71603-6329 | 2005-09-12 |
| 1992799555 | James Alan Pollard | Orthopaedic Surgery | 1609 W 40th Ave, Ste 501, Pine Bluff, AR 71603-6329 | 2005-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790257442 | Samuel G. Meredith Md Pa | Orthopaedic Surgery | 1229 State Highway 77 Ste 1, Marion, AR 72364-9050 | 2018-12-19 |
| 1275056004 | University of Arkansas for Medical Sciences | Orthopaedic Surgery | 108015 Colonel Glenn Rd, Little Rock, AR 72204 | 2017-07-24 |
| 1881959450 | Robert J. Tomlinson Md, Pa | Orthopaedic Surgery | 212 W. Monroe Ave., Ste A, Lowell, AR 72745 | 2012-07-10 |
| 1497023147 | Reeves Spine and Orthopedic,llc | Orthopaedic Surgery | 224 W. Erie, Harrison, AR 72601 | 2011-12-09 |
| 1578840237 | Bill T. Shanlever | Orthopaedic Surgery | 1103 Wilkins Ave, Jonesboro, AR 72401 | 2011-11-09 |
| 1376828954 | Cooper Clinic, P.a. | Orthopaedic Surgery | 1500 Dodson Ave Ste 285, Fort Smith, AR 72901-5182 | 2011-10-14 |
| 1164700068 | Nwa Orthopaedic Consulting, Pa | Orthopaedic Surgery | 161 W Van Asche Dr Ste 101, Fayetteville, AR 72703-4999 | 2011-07-26 |
| 1588954416 | Donald Claude Bailey | Orthopaedic Surgery | 500 Fairway Cir Apt G, Springdale, AR 72764-1026 | 2011-04-12 |
| 1700183548 | Robert G Bebout Md | Orthopaedic Surgery | 1804 Rannoch Trce, Fort Smith, AR 72908-0971 | 2011-02-14 |
| 1497056998 | Jerry Lynn Thomas | Orthopaedic Surgery | 39 Quercus Cir, Little Rock, AR 72223-5159 | 2010-11-15 |
| Find all providers with the same taxonomy | ||||
| City | PINE BLUFF |
| Zip Code | 71603 |
Please comment or provide details below to improve the information on CHARLES A. CLARK, MD, PA.
| 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.