DAVID R CLARK (NPI# 1336276922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336276922 |
| Entity Type | Individual |
| Full Name | DAVID R CLARK |
| Practice Address |
16601 E Centretech Pkwy Aurora CO 80011-9045 |
| Practice Telephone | 3037393534 |
| Mailing Telephone | 3037393534 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 15934 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KAISER-COMMERCIAL NUMBER | 012394 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225388531 | David Clark | Pharmacist | 87 Garner Rd., Cvs 4174, Spartanburg, SC 29303 | 2012-09-13 |
| 1568778793 | David F Clark | Social Worker | 4425 S Jones Blvd, Suite D3, Las Vegas, NV 89103-3370 | 2010-08-25 |
| 1407093065 | David E. Clark | Dietitian, Registered | 4132 Sierra Park Ter, Dayton, OH 45440-3324 | 2009-01-19 |
| 1962668202 | David Allen Clark | Dentist | 4209 Tieton Dr, Suite 102, Yakima, WA 98908-3377 | 2008-08-06 |
| 1548427693 | David Kyle Clark | Dentist | 2120 Bert Kouns Loop Ste D, Shreveport, LA 71118-3351 | 2008-05-16 |
| 1790957603 | David C. Clark | Pharmacist | 1215 Route 31, Macedon, NY 14502-9763 | 2008-03-31 |
| 1275722365 | David Allan Clark | Counselor | 50196 872nd Rd, Page, NE 68766-5539 | 2007-10-15 |
| 1649488214 | David D Clark | Chiropractor | 2573 N Reading Rd, Denver, PA 17517-9333 | 2007-05-18 |
| 1306059480 | David Roger Clark | Ophthalmology | 2812 Millbrook Ct, Arlington, TX 76012-2116 | 2007-05-07 |
| 1619049327 | David B Clark | Chiropractor | 106 Se 12th St, Oak Grove, MO 64075-9538 | 2006-11-15 |
| Street Address |
16601 E CENTRETECH PKWY |
| City | AURORA |
| State | CO |
| Zip Code | 80011-9045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366439945 | Cari N Rice | Pharmacist | 16601 E Centretech Pkwy, Aurora, CO 80011-9045 | 2005-09-29 |
| 1609489475 | Bryce Johnson | Pharmacist | 16601 E Centretech Pkwy, Aurora, CO 80011-9045 | 2020-08-31 |
| 1831714971 | Laura Lynn Hayes | Pharmacist | 16601 E Centretech Pkwy, Aurora, CO 80011-9045 | 2020-06-15 |
| 1629613104 | Nga Thi Le | Pharmacist | 16601 E Centretech Pkwy, Aurora, CO 80011-9045 | 2019-11-08 |
| 1700448990 | Marilyn Du Vall | Pharmacist | 16601 E Centretech Pkwy, Aurora, CO 80011-9045 | 2019-07-08 |
| 1093274789 | Antonette M Reed | Pharmacist | 16601 E Centretech Pkwy, Aurora, CO 80011-9045 | 2019-03-13 |
| 1972067593 | Lauren Elise Kirchner | Pharmacist | 16601 E Centretech Pkwy, Aurora, CO 80011-9045 | 2019-01-28 |
| 1184188047 | Brandon Ou | Pharmacist | 16601 E Centretech Pkwy, Aurora, CO 80011-9045 | 2019-01-24 |
| 1851862999 | Carl Pansini | Pharmacist | 16601 E Centretech Pkwy, Aurora, CO 80011-9045 | 2018-12-16 |
| 1083180871 | Carley Castelein | Pharmacist | 16601 E Centretech Pkwy, Aurora, CO 80011-9045 | 2018-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417590985 | Trang-anh Thuy Do | Pharmacist | 1600 E. Centretech Parkway, Aurora, CO 80011 | 2019-10-28 |
| 1003372137 | Nickes Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 365 N. Telluride St., Buckley Afb, Aurora, CO 80011 | 2019-02-13 |
| 1093294795 | University Physicians Incorporated | Pediatrics | 13100 E Colfax Ave Fl 3, Aurora, CO 80011 | 2018-08-13 |
| 1841783230 | Gabrielle Carmely | Counselor | 16380 E 14th Place, Aurora, CO 80011 | 2018-06-11 |
| 1376049866 | Olusegun Joseph Ogundele | Counselor | 791 Chamber Zone 3rd Floor, Aurora, CO 80011 | 2018-04-03 |
| 1750883567 | Mikiyas Fessha Tegen | Non-emergency Medical Transport (VAN) | 501 Evanston Court, Aurora, CO 80011 | 2018-03-07 |
| 1124528005 | Happy and Smile Home Care | Home Health | 14221 E 4th Ave Ste 221, Aurora, CO 80011 | 2018-02-16 |
| 1902313240 | Dp Assisting | Specialist/Technologist, Other | 1279 Salem St., Aurora, CO 80011 | 2018-01-09 |
| 1548788219 | Lisa Chan | Dietitian, Registered | 17890 E. Steamboat Ave, Building 35, Aurora, CO 80011 | 2017-09-01 |
| 1154851962 | Tania Chanae Anderson | Counselor | 14500 E 33rd Place, Aurora, CO 80011 | 2017-06-14 |
| Find all providers in zip 80011 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366968505 | Dynamic Health Center, LLC | General Practice | 2993 S Peoria St Ste 270, Aurora, CO 80014-5710 | 2017-08-18 |
| 1407007461 | Larisa Y Ravdel | General Practice | 1421 S Potomac St Ste 320, Aurora, CO 80012-4512 | 2008-10-08 |
| 1710142641 | Mark David Mclean | General Practice | 3292 Peoria St., Aurora, CO 80010-1517 | 2008-07-21 |
| 1275754590 | Chesley Lamb | General Practice | 2550 S. Parker Rd., Suite 400, Aurora, CO 80014 | 2007-05-02 |
| 1669509675 | Melissa A Rasmussen | General Practice | 2400 South Havana St, Aurora, CO 80214 | 2007-02-27 |
| 1184786980 | Yin Woo | General Practice | 1577 Havana St, Aurora, CO 80010-2325 | 2006-12-15 |
| 1588669626 | Evan Jay Pollack | General Practice | 13701 E Mississippi Ave, Aurora, CO 80012-6141 | 2005-06-16 |
| 1811502990 | Poudre Valley Medical Group, LLC | General Practice | 2450 S Peoria St Ste 245, Aurora, CO 80014-5475 | 2020-09-15 |
| 1780171751 | Tiffany Iris Hsiao | General Practice | 12631 E 17th Ave Ofc 1, Aurora, CO 80045 | 2018-04-16 |
| 1679969331 | Mark Joseph Kissler | General Practice | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2015-04-09 |
| Find all providers in AURORA | ||||
Please comment or provide details below to improve the information on DAVID R 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.