DENNIS DEWAYNE CLARK (NPI# 1356313969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356313969 |
| Entity Type | Individual |
| Full Name | DENNIS DEWAYNE CLARK |
| Credential | M.D. |
| Practice Address |
111 Town Center Dr Anniston AL 36205-4101 |
| Mailing Address |
Po Box 5430 Anniston AL 36205-0430 |
| Practice Telephone | 2562371624 |
| Practice Fax Number | 2562380555 |
| Mailing Telephone | 2562371624 |
| Mailing Fax Number | 2562380555 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2011-07-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 23397 | AL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | UNITED HEALTHCARE | 020048856 | 01 |
| AL | 000097064 | 05 | |
| AL | BLUE CROSS BLUE SHIELD | 51097064 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851629422 | Dennis Erin Clark | Registered Nurse | 112 W Mcdonald St, Edgerton, KS 66021-2430 | 2009-11-19 |
| 1780778050 | Dennis Eugene Clark | Dentist | 2121 Leeds Rd, Merced, CA 95340-9651 | 2006-10-03 |
| 1871515643 | Dennis Howard Clark | Dentist | 375 N Stephanie St, Suite #611, Henderson, NV 89014-8771 | 2006-07-24 |
| 1750364188 | Dennis Jay Clark Jr. | Physician Assistant | 110 Magee, Groveton, TX 75845-4185 | 2005-11-21 |
| 1750629267 | Dennis Ray Clark | Pharmacist | 162 Ne Beacon Dr, Suite #109, Grants Pass, OR 97526-4260 | 2013-01-18 |
| 1689863805 | Dennis J Clark | Physician Assistant | 1850 E Park Ave, Suite 112, State College, PA 16803-6705 | 2007-10-24 |
| 1386868370 | Dennis P Clark | Dentist | 9430 Sw Coral St, Suite 200, Tigard, OR 97223-6691 | 2007-04-12 |
| 1730220518 | Dennis Clark | Physical Therapist | 4210 Southtown Dr, Eau Claire, WI 54701-2635 | 2007-02-12 |
| 1508964313 | Dennis P Clark | Psychologist | 100 Caldwell Drive, Dubois, PA 15801 | 2006-09-20 |
| 1699700849 | Dennis L Clark | Internal Medicine | 3816 Woodruff Ave, Suite 401, Long Beach, CA 90808-2147 | 2006-07-12 |
| Street Address |
111 TOWN CENTER DR |
| City | ANNISTON |
| State | AL |
| Zip Code | 36205-4101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487895488 | Micheal Anthony Hall | Surgery | 111 Town Center Dr, Anniston, AL 36205-4101 | 2009-03-20 |
| 1023218252 | Intellimed Solutions, LLC | Contractor | 111 Town Center Dr, Anniston, AL 36205-4101 | 2007-07-25 |
| 1649243916 | James E West | Specialist | 111 Town Center Dr, Anniston, AL 36205-4101 | 2006-02-08 |
| 1134192412 | John F Valente | Specialist | 111 Town Center Dr, Anniston, AL 36205-4101 | 2006-02-08 |
| 1437121050 | The Surgical Clinic of Anniston | Specialist | 111 Town Center Dr, Anniston, AL 36205-4101 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720348576 | Allison Fogg Crabtree | Nurse Practitioner | 731 Leighton Ave., Suite 407, Anniston, AL 36205 | 2012-05-25 |
| 1447579644 | Alabama Cancer Care, LLC | Internal Medicine | 171 Town Center Dr Ste 6, Anniston, AL 36205 | 2010-05-27 |
| 1689629602 | Aasim S. Sehbai | Internal Medicine | 171 Town Center Dr, Suite 6, Anniston, AL 36205 | 2006-05-24 |
| 1568021822 | Courtney Carlisle Stellos | Nurse Practitioner | 171 Town Center Dr, Anniston, AL 36205 | 2019-06-11 |
| 1124625751 | Tnm Social Services Consulting | Public Health or Welfare | 827 Morton Rd, Anniston, AL 36205-3438 | 2020-10-06 |
| 1013381516 | Amanda Marable | Speech-Language Pathologist | 415 Castle Ave, Anniston, AL 36205-3914 | 2015-11-20 |
| 1861954430 | Emily Thomas Mullins | Occupational Therapist | 415 Castle Ave, Anniston, AL 36205-3914 | 2019-04-03 |
| 1629050059 | Brian D Greene | Surgery | 171 Town Center Dr, Anniston, AL 36205-4101 | 2005-11-21 |
| 1477816981 | Cheaha Women's Health and Wellness LLC | Obstetrics & Gynecology | 171 Town Center Dr, Anniston, AL 36205-4101 | 2012-06-19 |
| 1245472356 | Southeast Cancer Network, Inc | Internal Medicine | 171 Town Center Dr, Suite Mps-6, Anniston, AL 36205-4101 | 2009-04-03 |
| Find all providers in zip 36205 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184859662 | Ralph T. Brunson | Specialist | 600 Leighton Ave Ste C, Anniston, AL 36207-5744 | 2009-05-27 |
| 1083764526 | Anniston Gastroenterology Associates | Specialist | 1720 Leighton Ave, Anniston, AL 36207-3811 | 2007-01-10 |
| 1033273438 | Urologic Health of Eastern Alabama, P.C. | Specialist | 901 Leighton Ave Ste 504, Anniston, AL 36207-5704 | 2006-12-20 |
| 1396805305 | Edna A Morrison | Specialist | 409 E 10th St Ste 305, Anniston, AL 36207-4781 | 2006-12-11 |
| 1598855827 | Charles Phillip Brockwell | Specialist | 2109 Del Carmen Dr, Anniston, AL 36207-7614 | 2006-10-16 |
| 1386738045 | North Alabama Women's Center | Specialist | 721 E. 10th Street, Anniston, AL 36207-4785 | 2006-10-03 |
| 1316903396 | Clifford P. Black Jr. | Specialist | 1901 Leighton Ave, Anniston, AL 36207-3270 | 2006-04-26 |
| 1437116456 | George I. Crawford Jr. | Specialist | 1105 Woodstock Ave, Anniston, AL 36207-4708 | 2006-04-26 |
| 1518923465 | Osita Anthony Onyekwere | Specialist | 1129 Christine Ave, Anniston, AL 36207-4657 | 2006-04-20 |
| 1770545626 | James Patrick Stewart | Specialist | 901 Leighton Avenue, Suite 501, Anniston, AL 36207-5765 | 2006-04-05 |
| Find all providers in ANNISTON | ||||
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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.