GREGORY JAMES CLARK (NPI# 1386730836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386730836 |
| Entity Type | Individual |
| Full Name | GREGORY JAMES CLARK |
| Credential | MD |
| Practice Address |
800 E 1st St Ste 1700 Ankeny IA 50021-2100 |
| Mailing Address |
Po Box 1475 Des Moines IA 50305-1475 |
| Practice Telephone | 5156438100 |
| Practice Fax Number | 5156438139 |
| Mailing Telephone | (515) 643-8100 |
| Mailing Fax Number | 5156438139 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2017-06-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD-43163 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 101225800 | 05 | |
| MN | RR MEDICARE | 110164901 | 01 |
| MN | UCARE | 115522 | 01 |
| IA | 1942185 | 05 | |
| MN | BCBS MPIN | 8T180CL | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760991012 | Gregory Clark | Driver | 1091 Old South Dr, Lakeland, FL 33811 | 2017-09-28 |
| 1184758229 | Gregory Ray Clark | Physical Therapist | 3 Windsor Ct, Shawnee, OK 74804-2330 | 2007-03-14 |
| 1114064797 | Gregory Dale Clark | Dentist | 4212 Mcever Rd, Oakwood, GA 30566-2237 | 2007-01-31 |
| 1225141823 | Gregory Lynn Clark | Specialist | 11790 Sw Barnes Rd, Suite 330, Portland, OR 97225-5934 | 2006-08-16 |
| 1689608952 | Gregory D Clark | Social Worker | 118 Broadway N, Ste 810, Fargo, ND 58102-4949 | 2006-07-10 |
| 1164409728 | Gregory Clark | Counselor | 225 N Beaumont Rd, Prairie Du Chien, WI 53821-1445 | 2005-12-26 |
| 1528627833 | Gregory Scott Clark | Nurse Anesthetist, Certified Registered | 3333 W Deyoung St, Marion, IL 62959-5884 | 2019-06-10 |
| 1073178851 | Gregory Clark | Student in an Organized Health Care Education/Training Program | 550 1st Ave, New York, NY 10016-6402 | 2019-05-07 |
| 1548736622 | Gregory Allen Clark | Marriage & Family Therapist | 1150 5th St Ste 270, Coralville, IA 52241-2933 | 2018-10-16 |
| 1881055911 | Gregory Scott Clark Jr. | Counselor | 1121 E Southeast Loop 323 Ste 204, Tyler, TX 75701 | 2016-03-17 |
| Street Address |
800 E 1ST ST STE 1700 |
| City | ANKENY |
| State | IA |
| Zip Code | 50021-2100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114943628 | Mercy Clinics, Inc | Clinic/Center | 800 E 1st St Ste 1700, Ankeny, IA 50021-2100 | 2006-07-15 |
| 1114543048 | Tonya Shirrell Stewart | Nurse Practitioner | 800 E 1st St Ste 1700, Ankeny, IA 50021-2100 | 2020-06-16 |
| 1396254793 | Teresa Ward | Nurse Practitioner | 800 E 1st St Ste 1700, Ankeny, IA 50021-2100 | 2017-09-28 |
| 1225480411 | Otto Shill | Internal Medicine | 800 E 1st St Ste 1700, Ankeny, IA 50021 | 2016-07-12 |
| 1881044196 | Stephen Hoelscher | Internal Medicine | 800 E 1st St Ste 1700, Ankeny, IA 50021-2100 | 2016-06-17 |
| 1225341811 | William Trent Peterson | Family Medicine | 800 E 1st St Ste 1700, Ankeny, IA 50021-2100 | 2010-07-23 |
| 1386653707 | Kevin Rahner | Family Medicine | 800 E 1st St Ste 1700, Ankeny, IA 50021-2100 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851856298 | Amy Jo Coenen | Physical Therapy Assistant | 710 East 1st Street, Ankeny, IA 50021 | 2019-02-08 |
| 1073006847 | Kylie Linn Shear | Behavior Technician | 1555 Se Deleware, Ankeny, IA 50021 | 2018-06-07 |
| 1174013445 | Maxwell Sando | Psychologist | 250 Ne 41st Unit 260, Ankeny, IA 50021 | 2018-05-12 |
| 1235638537 | Bria Lynn Colyer | Massage Therapist | 104 Ne 46th Lane Number 9, Ankeny, IA 50021 | 2018-02-02 |
| 1134485998 | Leslie R. Fenimore | Nurse Practitioner | 800 1st Avenue, Mercy North Clinic, Ankeny, IA 50021 | 2012-04-05 |
| 1063713667 | Lori Eisbrener | Counselor | 2525 N Ankeny Blvd, Ste 113, Ankeny, IA 50021 | 2010-11-12 |
| 1679899355 | Rcf Youth Project | Community/Behavioral Health | 738 Ne 8th Street, Ankeny, IA 50021 | 2010-04-20 |
| 1437320595 | Iowa Sleep Disorders Center, P.C. | Clinic/Center | 400 Se Delaware Ave, Ankeny, IA 50021 | 2008-03-17 |
| 1558553891 | Center for Interpersonal Effectiveness, PC | Community/Behavioral Health | 2525 N. Ankeny Blvd., Ste 113, Ankeny, IA 50021 | 2007-08-10 |
| 1295850196 | Stacy Burns Young | Speech-Language Pathologist | 301 Ne Trilein, Suite 4, Ankeny, IA 50021 | 2007-03-20 |
| Find all providers in zip 50021 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811162779 | Danney Paul Drewry | Internal Medicine | 1410 Sw Tradition Dr Ste 150, Ankeny, IA 50023-9188 | 2008-04-22 |
| 1427137520 | Ankeny Internal Medicine PC | Internal Medicine | 2201 W 1st Street, Ste #4, Ankeny, IA 50023-2484 | 2006-11-02 |
| 1841279734 | Deanna L Questad | Internal Medicine | 2515 Sw State St, Suite 100, Ankeny, IA 50023-7011 | 2006-01-10 |
| 1194703439 | Michael Sean Mccleary | Internal Medicine | 1810 Sw White Birch Circle, Ste 111, Ankeny, IA 50023 | 2006-01-06 |
| 1225480411 | Otto Shill | Internal Medicine | 800 E 1st St Ste 1700, Ankeny, IA 50021 | 2016-07-12 |
| 1881044196 | Stephen Hoelscher | Internal Medicine | 800 E 1st St Ste 1700, Ankeny, IA 50021-2100 | 2016-06-17 |
| 1356755045 | Naima Adeel | Internal Medicine | 1410 Sw Tradition Dr Ste 150, Ankeny, IA 50023 | 2014-06-20 |
| 1912293598 | William Edward Wortman | Internal Medicine | 1410 Sw Tradition Dr Ste 150, Ankeny, IA 50023-9188 | 2011-06-22 |
| 1881905370 | Grant E Peterson | Internal Medicine | 2515 Sw State St, Ste 100, Ankeny, IA 50023-7079 | 2010-06-29 |
| 1356446983 | Melissa Ashbacher Myers | Internal Medicine | 120 Nw 36th St, Ankeny, IA 50023-8411 | 2006-09-14 |
| Find all providers in ANKENY | ||||
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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.