MICHAEL CLARK (NPI# 1336147289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336147289 |
| Entity Type | Individual |
| Full Name | MICHAEL CLARK |
| Credential | P.T. |
| Practice Address |
341 Greeno Road Fairhope AL 36532 |
| Mailing Address |
Po Box 1186 Fairhope AL 36533-1186 |
| Practice Telephone | 2519282401 |
| Practice Fax Number | 2519285099 |
| Mailing Telephone | 2519282401 |
| Mailing Fax Number | 2519285099 |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2009-02-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PTH2465 | AL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 890006680 | 05 | |
| AL | BCBS | 051077610 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534227 | Michael Clark | Contractor | 1107 Lavender Shade Court, Houston, TX 77073 | 2020-10-02 |
| 1558858464 | Michael Clark | Optometrist | 990 Medical Dr Ste G3, Brigham City, UT 84302 | 2018-04-16 |
| 1740780006 | Michael Ryan Clark | Pharmacist | 556 Northside Drive, Statesboro, GA 30458 | 2018-02-13 |
| 1942715255 | Michael Clark | Physical Medicine & Rehabilitation | 10600 Riverside Drive, Coral Springs, FL 33071-3307 | 2017-12-08 |
| 1386170348 | Michael Clark | Registered Nurse | 317 E 100 N, Price, UT 84501-2504 | 2017-05-11 |
| 1184163982 | Michael Clark | Specialist/Technologist | 19 Second Ave, Auburn, NY 13021-5113 | 2017-02-14 |
| 1356780837 | Michael Clark | Adult Companion | 8305 Concord Dr, Rowlett, TX 75089-2001 | 2013-06-18 |
| 1417394503 | Michael Ray Clark | Pharmacist | 2661 Valleydale Rd, Hoover, AL 35244-2026 | 2013-05-29 |
| 1407143381 | Michael Jeffery Clark | Orthopaedic Surgery | 5671 Peachtree Dunwoody Ste 700, Atlanta, GA 30342-5047 | 2011-06-29 |
| 1700183993 | Michael Brady Clark | Preventive Medicine | 1400 Mckean Rd, Spring House, PA 19477 | 2011-02-24 |
| Street Address |
341 GREENO ROAD |
| City | FAIRHOPE |
| State | AL |
| Zip Code | 36532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710985833 | Michael J. Zoghby | Physical Therapist | 341 Greeno Road, Fairhope, AL 36532 | 2005-07-12 |
| 1043462187 | Lindsay Manning Brown | Physician Assistant | 341 Greeno Road, Fairhope, AL 36532 | 2008-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000729 | Abby Stockman | Marriage & Family Therapist | 372 S. Greeno Road, Fairhope, AL 36532 | 2019-02-21 |
| 1962973990 | Pain Consultants of Alabama | Non-Pharmacy Dispensing Site | 320 North Greeno Rd., Fairhope, AL 36532 | 2018-12-17 |
| 1881182236 | Interface Medical Consulting LLC | Family Medicine | 12141 Cri, Fairhope, AL 36532 | 2018-05-01 |
| 1063937167 | Julia W Stone, LLC | Counselor | 21180 Al State Hwy 181, Suite 2, Fairhope, AL 36532 | 2017-08-09 |
| 1568985349 | Eastern Shore Oral, Facial and Implant Surgery Center, P.C. | Clinic/Center | 24172 4th Street, Fairhope, AL 36532 | 2017-07-24 |
| 1205209509 | Comfort Care Coastal Hospice, LLC | Hospice Care, Community Based | 22502 U.S. Highway 98, Fairhope, AL 36532 | 2015-11-09 |
| 1609248632 | Sabrina Reeves | Physician Assistant | 77 Magnolia Ave, Fairhope, AL 36532 | 2015-10-29 |
| 1386025146 | Laura Lasecki Wimmer | Podiatrist | 23937 Us Highway 98 Ste 1, Fairhope, AL 36532 | 2015-06-17 |
| 1386024719 | Gulf Coast Homecare LLC Dba Firstlight Homecare of Mobile Eastern Shor | In Home Supportive Care | 924 Plantation Blvd., Suite C, Fairhope, AL 36532 | 2015-06-01 |
| 1386021525 | June Lassiter | Nurse Practitioner | 22823 Ecor Rouge Lane, Fairhope, AL 36532 | 2015-04-27 |
| Find all providers in zip 36532 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427025089 | Jennifer M Davis | Physical Therapist | 912 Plantation Blvd, Fairhope, AL 36532-2952 | 2006-03-02 |
| 1710985833 | Michael J. Zoghby | Physical Therapist | 341 Greeno Road, Fairhope, AL 36532 | 2005-07-12 |
| 1912295072 | Sarah Elizabeth Beaver | Physical Therapist | 341 Greeno Rd N, Fairhope, AL 36532-2979 | 2011-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336630755 | Karen Janert Vaughn | Physical Therapist | 4863 Promenade Pkwy Ste 109, Bessemer, AL 35022-7309 | 2018-05-21 |
| 1376963884 | Amelia Ratliff | Physical Therapist | 1550 E University Dr, Auburn, AL 36830-6352 | 2014-04-23 |
| 1669740106 | Wendy Woods Johnson | Physical Therapist | 1310 Alford Ave Ste 102, Hoover, AL 35226-3100 | 2011-12-13 |
| 1790082675 | Laura Elizabeth Richardson | Physical Therapist | 720 32nd St S, Birmingham, AL 35233-3516 | 2011-02-11 |
| 1407164882 | Cullman Physical Therapy, LLC | Physical Therapist | 1724 2nd Ave Nw, Cullman, AL 35055-5820 | 2010-09-20 |
| 1811134406 | Rachel Marie Green | Physical Therapist | 1118b Us Hwy 231, Troy, AL 36081 | 2009-01-19 |
| 1417194754 | Maribel Vista Dela Cruz | Physical Therapist | 1920 Springville Road, Suite 104, Birmingham, AL 35215 | 2009-01-08 |
| 1891993564 | Christopher Brian Stewart | Physical Therapist | 8546 Southern Oak Ct, Mobile, AL 36695-7307 | 2007-07-04 |
| 1750585527 | Chuck Lee Richards | Physical Therapist | 121 N 20th St Ste 18, Opelika, AL 36801-5457 | 2007-06-13 |
| 1154543338 | Todd Gibbons Miller | Physical Therapist | 1726 Ridgedale Dr, Tuscaloosa, AL 35406-1942 | 2007-05-03 |
| Find all providers with the same taxonomy | ||||
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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.