DR. CRAIG D CLARK (NPI# 1326057852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326057852 |
| Entity Type | Individual |
| Full Name | DR. CRAIG D CLARK |
| Credential | M.D. |
| Practice Address |
825 Nw Highway 101 Ste A Lincoln City OR 97367-3241 |
| Mailing Address |
Po Box 1194 Corvallis OR 97339-1194 |
| Practice Telephone | 5419967480 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2020-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | MD199243 | OR | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 2017-00085 | NC | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 8253 | NV | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
2017-00085 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 002002817 | 05 | |
| NV | RAILROAD MEDICARE | 200034313 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 701 Jefferson St, Whiteville, NC 284723704 | 9106418625 | 9106418630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821227547 | Craig Clark | Specialist/Technologist | Furman University Sports Med, 3300 Poinsett Highway, Greenville, SC 29613-0001 | 2009-07-02 |
| 1427222843 | Craig Alan Clark | Dietitian, Registered | 9301 Sw 92nd Ave, Apt. #a312, Miami, FL 33176-2142 | 2008-04-16 |
| 1538262498 | Craig G Clark | Psychologist | 1800 Fair Oaks Ave Ste A, South Pasadena, CA 91030-4775 | 2006-09-06 |
| 1780165696 | Craig Steven Clark | Counselor | 4027 County Road 25, St Louis Park, MN 55416 | 2018-08-28 |
| 1598163453 | Craig Y Clark | Registered Nurse | 149 Spurwink Rd, Scarborough, ME 04074-8607 | 2014-12-09 |
| 1386971984 | Craig G. Clark | Pharmacist | 4949 W Ray Rd, Chandler, AZ 85226-2064 | 2009-11-03 |
| 1245453034 | Craig William Clark | Marriage & Family Therapist | 100 N Winchester Blvd, Suite 264, Santa Clara, CA 95050-6520 | 2007-04-10 |
| 1497830186 | Craig Raymond Clark | Chiropractor | 3140 Red Hill Ave, #120, Costa Mesa, CA 92626-3400 | 2006-10-25 |
| 1164529186 | Craig Anthony Clark | Psychiatry & Neurology | 30 Burton Hills Blvd, Suite 375, Nashville, TN 37215-6140 | 2006-09-20 |
| 1487609111 | Craig Leo Clark | Pharmacist | 1946 42nd St Ne, Cedar Rapids, IA 52402 | 2006-05-23 |
| Street Address |
825 NW HIGHWAY 101 STE A |
| City | LINCOLN CITY |
| State | OR |
| Zip Code | 97367-3241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174520902 | Darrell Duane Prins | Podiatrist | 825 Nw Highway 101 Ste A, Lincoln City, OR 97367-3241 | 2005-07-07 |
| 1326505876 | Holly Cauthers | Registered Nurse | 825 Nw Highway 101 Ste A, Lincoln City, OR 97367-3241 | 2019-02-20 |
| 1477080810 | Allison Paige Journey | Physician Assistant | 825 Nw Highway 101 Ste A, Lincoln City, OR 97367-3241 | 2017-05-16 |
| 1518494152 | Jennifer Lynne Guthrie | Registered Nurse | 825 Nw Highway 101 Ste A, Lincoln City, OR 97367-3241 | 2017-05-14 |
| 1215212840 | John M Nightingale | Physician Assistant | 825 Nw Highway 101 Ste A, Lincoln City, OR 97367-3241 | 2011-10-14 |
| 1396893327 | Samaritan North Lincoln Hospital | Clinic/Center | 825 Nw Highway 101 Ste A, Lincoln City, OR 97367-3241 | 2007-01-08 |
| 1720013519 | Daniel B. Robertson | Orthopaedic Surgery | 825 Nw Highway 101 Ste A, Lincoln City, OR 97367-3241 | 2006-07-11 |
| 1821048281 | Alana R Rushton | Emergency Medicine | 825 Nw Highway 101 Ste A, Lincoln City, OR 97367-3241 | 2006-05-10 |
| 1598748360 | Michael D Van Anrooy | Orthopaedic Surgery | 825 Nw Highway 101 Ste A, Lincoln City, OR 97367-3241 | 2005-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881256121 | Amanda Suzanne Cherryholmes | Peer Specialist | 1206 Se 48th Place, Montgomery, Lincoln City, OR 97367 | 2019-07-08 |
| 1982198719 | Lakeside Family Dentistry | Dentist | 3173 Ne West Devils Lake Rd., Lincoln City, OR 97367 | 2018-06-15 |
| 1891282117 | Mark J Lee | Marriage & Family Therapist | 412 Southwest Highway 101, Lincoln City, OR 97367 | 2018-04-23 |
| 1508130196 | Michelle Marie Becker | Pharmacist | 1030 Se Oar Ave Bi-mart, Lincoln City, OR 97367 | 2012-02-29 |
| 1457651465 | Laurene Norelle Alcocer | Pharmacist | 4048 Ne Hwy 101, Lincoln City, OR 97367 | 2010-10-25 |
| 1518106228 | Estate of Kevin L. Chancellor | Dentist | 3173 Ne West Devils Lake Rd, Lincoln City, OR 97367 | 2009-02-19 |
| 1346403656 | Lincoln City Pharmacy & Gifts | Pharmacy | 1800 Se Hwy 101, Suite C, Lincoln City, OR 97367 | 2008-07-07 |
| 1841487139 | Assisted Living Concepts Inc | Assisted Living Facility | 1400 Se 19th, Lincoln City, OR 97367 | 2007-10-01 |
| 1376741074 | Frank Wesley Nettleship | Dentist | 9101 Keys Place, Lincoln City, OR 97367 | 2007-07-05 |
| 1306043989 | Julie Anne Bass | Case Manager/Care Coordinator | 4402 Devils Lake Blvd #2, Lincoln City, OR 97367 | 2007-06-28 |
| Find all providers in zip 97367 | ||||
| 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 |
|---|---|---|---|---|
| 1124384383 | Samaritan North Lincoln Hospital | Orthopaedic Surgery | 825 Nw Highway 101, Suite B, Lincoln City, OR 97367-3241 | 2012-04-02 |
| 1003979105 | Howard W Frank Jr. | Orthopaedic Surgery | 825 Nw Highway 101, Suite A, Lincoln City, OR 97367-3241 | 2006-12-19 |
| 1720013519 | Daniel B. Robertson | Orthopaedic Surgery | 825 Nw Highway 101 Ste A, Lincoln City, OR 97367-3241 | 2006-07-11 |
| 1598748360 | Michael D Van Anrooy | Orthopaedic Surgery | 825 Nw Highway 101 Ste A, Lincoln City, OR 97367-3241 | 2005-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871110338 | Praxis Medical Group Inc | Orthopaedic Surgery | 354 W. Adams Avenue, Sisters, OR 97759 | 2020-07-01 |
| 1609435049 | Praxis Medical Group Inc | Orthopaedic Surgery | 1140 Sw Simpson Avenue, Suite 100, Bend, OR 97702 | 2019-06-10 |
| 1598252272 | Venel Orthopaedic Institute At Lake Andrew | Orthopaedic Surgery | 10000 Se Main St Ste 205, Portland, OR 97216-2448 | 2018-04-18 |
| 1881108918 | Vvrx Pharmacy Billing Solutions LLC | Orthopaedic Surgery | 7427 Sw Coho Ct Ste 200, Tualatin, OR 97062-8618 | 2017-11-28 |
| 1427404672 | Jay Shelton Cox | Orthopaedic Surgery | 80 Raven Lane, Depoe Bay, OR 97341-0185 | 2016-05-06 |
| 1710382296 | Michael Baskin Md LLC | Orthopaedic Surgery | 4166 Sw Greenleaf Dr, Portland, OR 97221-3225 | 2014-10-27 |
| 1568864171 | Thomas P Mcweeney Md PC | Orthopaedic Surgery | 19255 Sw 65th Ave Ste 110, Tualatin, OR 97062-9717 | 2014-09-25 |
| 1083030266 | Ryan Thomas Colley | Orthopaedic Surgery | 707 Murphy Rd, Medford, OR 97504-8520 | 2014-03-11 |
| 1730505488 | David William Waldram | Orthopaedic Surgery | 15200 Sw Aquatic View, Powell Butte, OR 97753 | 2014-03-05 |
| 1346582525 | Derek Beeson Smith | Orthopaedic Surgery | 1140 Sw Simpson Ave Ste 100, Bend, OR 97702 | 2013-03-26 |
| Find all providers with the same taxonomy | ||||
| City | LINCOLN CITY |
| Zip Code | 97367 |
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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.