MR. ROBERT CLARK


Address: Employee and Occupational Health, Medical Center Boulevard, Winston Salem, NC 27157-0001
Phone: 7344746325

MR. ROBERT CLARK (NPI# 1376765925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376765925
Entity Type Individual
Full Name MR. ROBERT CLARK
Credential N.P.
Practice Address Employee and Occupational Health
Medical Center Boulevard
Winston Salem
NC 27157-0001
Mailing Address 4105 Birch Creek Trl
Winston Salem
NC 27106-6510
Practice Telephone 7344746325
Practice Fax Number 3367166127
Mailing Telephone 7344746325
Enumeration Date 2007-05-03
Last Update Date 2013-12-05
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
5006585 NC Physician Assistants & Advanced Practice Nursing Providers

Other Providers ROBERT CLARK

NPI Name Taxonomy Address Enumeration
1457989048 Robert William Clark Registered Nurse 1511 Se 16th Ave, Ocala, FL 34471-4627 2020-03-30
1578012225 Robert Clark Technician, Other 5075 Belmere Dr, Manitou Beach, MI 49253-9626 2016-09-22
1447535620 Robert Leal Clark Ophthalmology 901 Forest Ave., Johnson City, TN 37601 2011-10-19
1619287216 Robert Earl Clark Occupational Therapist 6623 N Main St, Davenport, IA 52806 2010-10-15
1376778746 Robert T Clark Sr. Chiropractor 2411 Us Highway 27 S, Sebring, FL 33870-4943 2009-05-28
1538358924 Robert Coleman Clark Massage Therapist 1501b Grape St, Tallahassee, FL 32303-5637 2007-10-22
1396963666 Robert Clark Licensed Practical Nurse 26347 Lake Lindsey Rd, Brooksville, FL 34601-4304 2007-04-23
1770708349 Robert Douglas Clark Physical Therapist 3580 Discovery Dr, Grove City, OH 43123-9329 2007-04-17
1053432633 Robert Joseph Clark Dentist 5323 Brainerd Rd Ste 105, Chattanooga, TN 37411-5305 2007-04-02
1275659971 Robert Clark Anesthesiology 7044 Sandy Hill Way, Holland, OH 43528-8088 2007-03-22

Office Location

Street Address EMPLOYEE AND OCCUPATIONAL HEALTH
MEDICAL CENTER BOULEVARD
City WINSTON SALEM
State NC
Zip Code 27157-0001

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255960241 Alexandra Marie Balmaceda Student in an Organized Health Care Education/Training Program Wake Forest Baptist Medical Center Pathology Dept, #1 Medical Center Blvd., Winston-salem, NC 27157 2020-04-02
1164916680 Jorie Elizabeth Gatts Student in an Organized Health Care Education/Training Program Wake Forest Baptist Medical Department of Pediatrics, Winston Salem, NC 27157 2018-06-18
1932606555 Alexi Rae Ellington Webb Student in an Organized Health Care Education/Training Program Wake Forest School of Medicine, Dept of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 2018-04-10
1851896674 Wasim Muhammad Student in an Organized Health Care Education/Training Program Wake Forest School of Medicine Dept. of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 2018-03-25
1336643535 Phillip Martin Kostelic Student in an Organized Health Care Education/Training Program Anesthesiology - Wake Forest Baptist Medical Center, 1 Medical Center Blvd, Winston-salem, NC 27157 2018-03-21
1831693324 Aleah Bond Student in an Organized Health Care Education/Training Program Anesthesiology Wake Forest Baptist Medical Center, Medical Center Boulevard, Winston-salem, NC 27157 2018-03-20
1134644859 Ilan Binyamin Klein Urology Wake Forest Baptist Health, Department of Urology, Medical Center Boulevard, Winston-salem, NC 27157 2017-08-03
1023467529 Edward John Doyle IIi Student in an Organized Health Care Education/Training Program Wake Forest School of Medicine Dept. of Otolaryngology, Watlington Hall 4th Fl. Medical Center Boulevard, Winston-salem, NC 27157 2016-06-07
1477917888 Jordan Mae Burner Student in an Organized Health Care Education/Training Program Graduate Medical Education Office, Wake Forest Baptist Medical Center, Medical Center Blvd, Winston-salem, NC 27157 2016-04-12
1174900476 Kate Elise Winterbottom Speech-Language Pathologist 4 Janeway Medical Center Blvd, Hearing and Speech, Winston Salem, NC 27157 2015-05-06
Find all providers in zip 27157

Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073915880 Elena Kay Bedingfield Nurse Practitioner 639 S Green St, Winston Salem, NC 27101-5109 2014-09-23
1457543365 Judy Ann Shives Nurse Practitioner 1100 Reynolds Blvd, Winston Salem, NC 27105-3400 2007-08-14
1851446728 Patricia Kearney Nurse Practitioner 147 Columbine Dr, Winston Salem, NC 27106-3112 2007-01-23
1427012301 Carol A Brown Nurse Practitioner 3880 Vest Mill Rd, Suite 100, Winston Salem, NC 27103-1323 2006-04-17
1366963589 Wendy Rash Nurse Practitioner Medical Center Blvd, Winston Salem, NC 27157-0001 2017-06-28
1255794855 Cheri Taylor Nurse Practitioner 615 Saint George Square Ct Ste 300, Winston Salem, NC 27103-1368 2016-03-31
1154789170 Emma B Denny Nurse Practitioner Medical Center Blvd, Winston Salem, NC 27157-2444 2016-02-04
1558726745 Kristin Suzanne Mcnally Nurse Practitioner 4692 Brownsboro Rd, Winston Salem, NC 27106-3410 2015-12-15
1063803740 Tiyika Sullivan Nurse Practitioner 4692 Brownsboro Rd, Winston Salem, NC 27106-3410 2015-02-17
1316361470 Karen Pfotenhauer Nurse Practitioner Medical Center Blvd, Winston Salem, NC 27157-0001 2014-02-10
Find all providers in WINSTON SALEM

Competitor

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City WINSTON SALEM
Zip Code 27157

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Dataset Information

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.

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