DR. SCOTT CLARK (NPI# 1366447740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366447740 |
| Entity Type | Individual |
| Full Name | DR. SCOTT CLARK |
| Credential | MD |
| Practice Address |
1925 W Mountain View Ave Longmont CO 80501-3128 |
| Practice Telephone | 3037761234 |
| Practice Fax Number | 7204943107 |
| Mailing Telephone | 3037761234 |
| Mailing Fax Number | 7204943107 |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2015-03-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 25764 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01257641 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275650657 | Scott C Clark | Chiropractor | 1540 N Arlington Heights Rd, Arlington Heights, IL 60004-3906 | 2007-03-23 |
| 1205903754 | Scott Clark | Optometrist | 491 Rantoul St, Beverly, MA 01915-3231 | 2006-11-29 |
| 1225119191 | Scott Earl Clark | Physician Assistant | 6 Fountain Plaza, Buffalo, NY 14202 | 2006-10-18 |
| 1255440475 | Scott Clark | Physician Assistant | 1503 Buenos Aires Blvd Ste 100, The Villages, FL 32159-6825 | 2006-08-30 |
| 1265490734 | Scott Matthew Clark | Chiropractor | 8000 Dallas St, Fort Smith, AR 72903-4277 | 2006-05-03 |
| 1700865748 | Scott A Clark | Podiatrist | 24 S 1100 E Ste 210, Salt Lake City, UT 84102 | 2006-01-10 |
| 1336752286 | Scott Clark | Behavior Technician | 5457 Sw Canyon Ct, Portland, OR 97221-2401 | 2020-08-28 |
| 1518528868 | Scott Randall Clark | Nurse Practitioner | 809 W Randol Mill Rd, Arlington, TX 76012-2507 | 2019-06-27 |
| 1487163002 | Scott Thomas Clark | Counselor | 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2017-09-26 |
| 1710432984 | Scott Clark | Pharmacist | 100 W Riverside Dr, Parker, AZ 85344-5205 | 2016-08-17 |
| Street Address |
1925 W MOUNTAIN VIEW AVE |
| City | LONGMONT |
| State | CO |
| Zip Code | 80501-3128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467456889 | Marie Bush | Internal Medicine | 1925 W Mountain View Ave, Longmont, CO 80501-3128 | 2005-06-13 |
| 1871893818 | Kimberly J Welch | Dietitian, Registered | 1925 W Mountain View Ave, Longmont, CO 80501-3128 | 2010-10-25 |
| 1225351844 | Sheryl A Bachman | Dietitian, Registered | 1925 W Mountain View Ave, Longmont, CO 80501-3128 | 2010-03-10 |
| 1285812958 | Vanessa Lea Pomfret | Registered Nurse | 1925 W Mountain View Ave, Longmont, CO 80501-3128 | 2008-02-05 |
| 1063600096 | Katherine Dueber | Pediatrics | 1925 W Mountain View Ave, Longmont, CO 80501-3128 | 2007-10-03 |
| 1235277104 | Robert J Moffat | Internal Medicine | 1925 W Mountain View Ave, Longmont, CO 80501-3128 | 2007-02-02 |
| 1285799056 | Abby C Emdur | Otolaryngology | 1925 W Mountain View Ave, Longmont, CO 80501-3128 | 2006-12-22 |
| 1184675258 | Jalpa B Kim | Obstetrics & Gynecology | 1925 W Mountain View Ave, Longmont, CO 80501-3128 | 2006-05-13 |
| 1043269772 | Longmont Clinic PC | General Practice | 1925 W Mountain View Ave, Longmont, CO 80501-3128 | 2006-05-09 |
| 1689635609 | Janelle C Laughlin | Internal Medicine | 1925 W Mountain View Ave, Longmont, CO 80501-3128 | 2006-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376774 | Boulder County Public Health | Public Health or Welfare | 515 Coffman Street, Suite 200, Longmont, CO 80501 | 2020-08-12 |
| 1164032827 | Kidstuff Child and Family Counseling, P.C. | Marriage & Family Therapist | 360 15th Ave, Ste. 104, Longmont, CO 80501 | 2020-08-06 |
| 1861036501 | Stateserv Medical of Colorado | Durable Medical Equipment & Medical Supplies | 63 South Pratt Pkwy, Landmont, CO 80501 | 2019-11-06 |
| 1558915090 | Array Clinical and Therapeutic Services | Assistant Behavior Analyst | 451 21st Ave. Suite B, Longmont, CO 80501 | 2019-08-01 |
| 1275195042 | Alisa Marie Schwegerl | Speech-Language Pathologist | 1800 Stroh Place, Longmont, CO 80501 | 2019-07-02 |
| 1295298545 | Jovahna Pena | Counselor | Behavioral Health Group, 850 23rd Ave Unit A, Longmont, CO 80501 | 2019-04-12 |
| 1659845568 | University Physicians Incorporated | Advanced Practice Midwife | 2030 Mountain View Ave Ste 400, Longmont, CO 80501 | 2019-01-14 |
| 1013404714 | Crafted Physical Therapy Pllc | Physical Therapist | 701 Delaware Ave Unit E, Longmont, CO 80501 | 2018-04-18 |
| 1588110860 | Randall Bonnom | Counselor | 420 21st Ave #113, Longmont, CO 80501 | 2016-08-28 |
| 1225401771 | Sowash Optometry Group, PC | Eyewear Supplier (Equipment, not the service) | 1242 S. Hover Street, Suite C200, Longmont, CO 80501 | 2015-11-05 |
| Find all providers in zip 80501 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558853846 | Crossroads Dermatology LLC | Dermatology | 2350 17th Ave Ste 100, Longmont, CO 80503-1738 | 2018-06-01 |
| 1801930110 | Isabel Koelsch | Dermatology | 1850 Mountain View Ave, Longmont, CO 80501-3212 | 2007-02-19 |
| 1134299282 | Isabel H Koelsch Md | Dermatology | 1850 W Mountain View Ave, Longmont, CO 80501 | 2006-11-08 |
| 1023000692 | John Christopher Fueston | Dermatology | 205 S Main St, Suite E, Longmont, CO 80501-1716 | 2005-08-18 |
| 1477182640 | Poudre Valley Medical Group, LLC | Dermatology | 1850 Mountain View Ave, Longmont, CO 80501-3212 | 2020-04-08 |
| 1730523531 | Jessica N Doty | Dermatology | 1850 Mountain View Ave, Longmont, CO 80501-3212 | 2013-04-23 |
| 1467628404 | Twin Peaks Dermatology, PC | Dermatology | 205 S Main St, Suite E, Longmont, CO 80501-1716 | 2008-04-30 |
| 1013900539 | Kristin M Baird | Dermatology | 1551 Professional Ln, Suite 135, Longmont, CO 80501-6972 | 2005-08-30 |
| 1992702161 | Peter Bachmann | Dermatology | 1925 Mountain View Ave, Longmont, CO 80501-3128 | 2005-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720685894 | Colorado Springs Dermatology Clinic, P.C. | Dermatology | 1332 Bauer Ln, Canon City, CO 81212-4669 | 2020-10-02 |
| 1891392973 | Colorado Springs Dermatology Clinic, P.C. | Dermatology | 2060 Briargate Pkwy Ste 150, Colorado Springs, CO 80920-7660 | 2020-10-02 |
| 1033723465 | Inspired Dermatology, Pllc | Dermatology | 6050 Greenwood Plaza Blvd Ste 130, Greenwood Village, CO 80111-4823 | 2020-09-02 |
| 1700496668 | Sorkin Dermatology Associates Professional LLC | Dermatology | 1960 N. Ogden Street, Suite 555, Denver, CO 80218-3602 | 2020-08-05 |
| 1194340802 | Epiphany Dermatology of Colorado, LLC | Dermatology | 2530 N 8th St Ste 205, Grand Junction, CO 81501-8858 | 2020-06-09 |
| 1861026189 | University Physicians Incorporated | Dermatology | 14305 E Alameda Ave Ste 225, Aurora, CO 80012-2549 | 2020-02-25 |
| 1316577323 | Medical Man Cave Pllc | Dermatology | 250 Steele Street, Suite 350, Denver, CO 80206-5242 | 2020-01-17 |
| 1124664248 | Allison Marquis | Dermatology | 4350 Limelight Ave Ste 205, Castle Rock, CO 80109-8034 | 2019-11-24 |
| 1790255313 | Core Dermatology, Pllc | Dermatology | 425 South Cherry Suite 907, Glendale, CO 80246 | 2018-11-26 |
| 1326521576 | Kaitlyn Laurel Pell | Dermatology | 125 Inverness Dr E Ste 340, Englewood, CO 80112-5139 | 2018-09-13 |
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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.