DR. DARREL CHRISTIAN CLARK (NPI# 1386668846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386668846 |
| Entity Type | Individual |
| Full Name | DR. DARREL CHRISTIAN CLARK |
| Other Name | DR. CHRIS CLARK |
| Credential | DO |
| Practice Address |
241 N. 4th St. # 331 Grand Junction CO 81502-0331 |
| Mailing Address |
241 N. 4th St. Box 331 Grand Junction CO 81502-0331 |
| Practice Telephone | 9704099734 |
| Mailing Telephone | 9704099734 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2010-01-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 26814 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | RAIL ROAD MEDICARE | 080038341 | 01 |
| CO | 01268143 | 05 | |
| CO | BCBS | CLO2552 | 01 |
| Street Address |
241 N. 4TH ST. # 331 |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81502-0331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073720462 | Hai O Kong | Acupuncturist | 511 N. Victory Bl, Burbank, CA 81502 | 2007-05-17 |
| 1275746372 | Felicia Marie Daniels | Registered Nurse | 510 29 .5 Rd., Grand Junction, CO 81502-5033 | 2007-05-07 |
| 1457485674 | Diane Elizabeth Balster | Registered Nurse | 510 29 12 Road, Grand Junction, CO 81502-5033 | 2007-03-16 |
| 1063626067 | Joyce Patton | Registered Nurse | 510 29 12 Road, Grand Junction, CO 81502-5033 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253902 | Brooke Anne Melkus | Pharmacist | 261 Durant St, Grand Junction, CO 81503-3411 | 2020-10-26 |
| 1669071213 | Crystal Reanee Kisselburgh | Counselor | 2956 North Ave Ste 1, Grand Junction, CO 81504-3919 | 2020-10-23 |
| 1013515600 | Julie Kissner | Registered Nurse | 607 25 Rd Ste 201, Grand Junction, CO 81505-1287 | 2020-10-15 |
| 1275130866 | Melissa Pipkin | Dietitian, Registered | 2542 Brenna Way, Grand Junction, CO 81505-1421 | 2020-10-06 |
| 1568079283 | Jessica Adele Page | Student in an Organized Health Care Education/Training Program | 420 Broken Arrow Dr Unit A, Grand Junction, CO 81504-7635 | 2020-09-27 |
| 1689281727 | Nichole Romero | Specialist | 1000 N 9th St Ste 41, Grand Junction, CO 81501-3153 | 2020-09-23 |
| 1679189831 | Mita White | Student in an Organized Health Care Education/Training Program | 2413 Brandys Ct, Grand Junction, CO 81507-1631 | 2020-09-22 |
| 1356957757 | Monument Physical Therapy LLC | Clinic/Center | 406 Chipeta Ave, Grand Junction, CO 81501-2532 | 2020-09-21 |
| 1982218343 | Foundations 4 Life, LLC | Counselor | 2956 North Ave Ste 6, Grand Junction, CO 81504-3919 | 2020-09-03 |
| 1578177119 | Callen Marie Young | Student in an Organized Health Care Education/Training Program | 4 Merlot Ct, Grand Junction, CO 81507-1246 | 2020-09-01 |
| Find all providers in GRAND JUNCTION | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720646292 | Creed Ott | Family Medicine | 2698 Patterson Road, Grand Junction, CO 81506 | 2019-05-30 |
| 1578031241 | Rachel Anne Murray | Family Medicine | 2237 Redlands Pkwy, Grand Junction, CO 81507-1101 | 2018-11-10 |
| 1730453861 | Paul David Wubben | Family Medicine | 804 Mazatlan Dr, Grand Junction, CO 81506-1773 | 2012-03-07 |
| 1801127147 | Jeri White Do Pllc | Family Medicine | 1204 N. 7th Street, Suite 104, Grand Junction, CO 81501-2985 | 2010-01-27 |
| 1760660047 | Verne A Smith | Family Medicine | 2013 Overlook Dr, Grand Junction, CO 81505-7041 | 2008-02-08 |
| 1689885360 | Douglas Carl Shenk | Family Medicine | 308 Bookcliff Ct, Grand Junction, CO 81501-2022 | 2007-05-24 |
| 1083734313 | Angela L Kurtz | Family Medicine | 1060 Orchard Ave Unit N, Grand Junction, CO 81501 | 2007-03-30 |
| 1437294287 | Honglan Lu | Family Medicine | 2525 N 8th St Ste 104, Grand Junction, CO 81501-8808 | 2007-02-20 |
| 1982745212 | Tarek T. Arja | Family Medicine | 525 North Ave, Grand Junction, CO 81501-7512 | 2007-02-09 |
| 1336293471 | Kenneth E Nelson | Family Medicine | 2676 G Rd, Grand Junction, CO 81506-8395 | 2007-01-23 |
| Find all providers in GRAND JUNCTION | ||||
| City | GRAND JUNCTION |
| Zip Code | 81502 |
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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.