MICHAEL CLARK (NPI# 1356780837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356780837 |
Entity Type | Individual |
Full Name | MICHAEL CLARK |
Practice Address |
8305 Concord Dr Rowlett TX 75089-2001 |
Practice Telephone | 2146940822 |
Mailing Telephone | 2146940822 |
Enumeration Date | 2013-06-18 |
Last Update Date | 2013-06-18 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 372600000X | Adult Companion | Nursing Service Related Providers |
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 |
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 |
1457663023 | Michael Ahart Clark | Massage Therapist | 2010 Mount Zion Rd, C, Morrow, GA 30260-3314 | 2010-07-11 |
Street Address |
8305 CONCORD DR |
City | ROWLETT |
State | TX |
Zip Code | 75089-2001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962022434 | Rowlett Tiny Teeth, Pllc | Dentist | 5404 Kenwood Drive, Rowlett, TX 75089 | 2020-04-24 |
1194292219 | Jacqueline G. Abraham | Physician Assistant | 9517 Fairway Vista Dr, Rowlett, TX 75089 | 2018-10-26 |
1487121810 | Eglorious, Inc. | Registered Nurse | 7314 Westhaven Dr., Rowlett, TX 75089 | 2018-10-24 |
1164901252 | Amber Saenz | Physical Therapist | 6706 Bluebell Dr, Rowlett, TX 75089 | 2018-08-09 |
1538544937 | Dallas Specialty Pharmacy,llc | Pharmacy | 5501 Gordon Smith, Suite 170, Rowlett, TX 75089 | 2015-07-27 |
1568782274 | Alix H. Sanders Jr. | Dentist | 7100 Rowlett Rd., Rowlett, TX 75089 | 2010-06-03 |
1174661318 | Anita Gaye Henrichson | Counselor | 9709 Peachtree Lane, Rowlett, TX 75089 | 2007-02-01 |
1689685133 | Mark Wayne Boren | Dentist | 7100 Rowlett Rd, Rowlett, TX 75089 | 2006-08-10 |
1750696803 | Care With Honor LLC | Community/Behavioral Health | 6114 San Marino Ct, Rowlett, TX 75089-0756 | 2010-08-13 |
1740423193 | A Time To Heal Health Care Services LLC | Home Health | 2713 Planetree Dr, Rowlett, TX 75089-1615 | 2009-04-15 |
Find all providers in zip 75089 |
Taxonomy Code | 372600000X |
Grouping | Nursing Service Related Providers |
Classification | Adult Companion |
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922607480 | Lisseth Carolina Bautista | Adult Companion | 25218 Spring Iris Ln, Katy, TX 77494-5580 | 2020-10-25 |
1417556689 | Angel's Place | Adult Companion | 909 Highland Dr, Kilgore, TX 75662-4040 | 2020-10-20 |
1134733397 | Edna Renee Phillips | Adult Companion | 3352 Jan Ct, Katy, TX 77493-1379 | 2020-09-04 |
1396355483 | J Person Inc Dba Living Word Home Care Service | Adult Companion | 1202 Evans Rd Apt 1225, San Antonio, TX 78258-6969 | 2020-08-04 |
1841808771 | Kidz Plus Medical Clinic | Adult Companion | 8613 Martin Luther King Blvd, Houston, TX 77033-2307 | 2020-07-16 |
1679199806 | Tammy Swan | Adult Companion | 4606 Fm 1960 Rd W Ste 640, Houston, TX 77069-4600 | 2020-06-23 |
1942826318 | Lacinder Roseann King | Adult Companion | 1205 Switchgrass Ln, Crowley, TX 76036-4341 | 2020-06-22 |
1841815768 | Bridget Danielle Hill | Adult Companion | 2417 Castle Creek Dr, Little Elm, TX 75068-4887 | 2020-06-16 |
1811512528 | Marina Martin Del Campo | Adult Companion | 11030 Oasis Dr, El Paso, TX 79936-1023 | 2020-06-09 |
1710513239 | Suzanne F Moore | Adult Companion | 5801 Rayburn Dr, Fort Worth, TX 76133-3026 | 2020-03-16 |
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.