DR. JOSEPH MARTIN CLARK (NPI# 1417319161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417319161 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH MARTIN CLARK |
| Credential | M.D. |
| Practice Address |
16 E High St Lebanon PA 17042-5454 |
| Practice Telephone | 7172726061 |
| Practice Fax Number | 7172726061 |
| Mailing Telephone | 7172726061 |
| Mailing Fax Number | 7172726061 |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD014896E | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285936005 | Joseph R Clark | Dentist | 42 Georgia Ave, Commerce, GA 30529-2320 | 2010-11-30 |
| 1467776484 | Joseph Lefiever Clark Iv | Nurse Practitioner | 618 Oak St, Graham, TX 76450-3040 | 2010-03-19 |
| 1437354842 | Joseph Patterson Clark | Audiologist | 510 Fleming St Ste D, Hendersonville, NC 28739-4250 | 2007-06-15 |
| 1821217738 | Joseph Allen Clark | Massage Therapist | 3270 Fir Ridge Rd, Lake Oswego, OR 97035-2643 | 2007-04-25 |
| 1194795856 | Joseph D Clark | Psychiatry & Neurology | 81 Hillcrest Dr Ste 1300, Punxsutawney, PA 15767-2605 | 2006-01-25 |
| 1053308288 | Joseph M Clark | Otolaryngology | 1248 Huffman Mill Rd, Ste 201, Burlington, NC 27215-8700 | 2005-10-03 |
| 1164021093 | Joseph Brady Clark | Physical Therapy Assistant | 1030 Scott Dr, Prescott, AZ 86301-4737 | 2020-10-21 |
| 1740814656 | Joseph D Clark | Case Manager/Care Coordinator | 3100 E 45th St Ste 408, Cleveland, OH 44127-1095 | 2020-02-29 |
| 1235626110 | Joseph Louis Clark II | Physical Medicine & Rehabilitation | 11565 Harts Rd, Jacksonville, FL 32218-3777 | 2018-04-17 |
| 1669984407 | Joseph Raymond Clark | Nurse Anesthetist, Certified Registered | 6606 Lbj Fwy Ste 200, Dallas, TX 75240 | 2017-11-02 |
| Street Address |
16 E HIGH ST |
| City | LEBANON |
| State | PA |
| Zip Code | 17042-5454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676384 | Sandra L Pistone | Registered Nurse | 905 S. 2nd Ave, Lebanon, PA 17042 | 2019-06-03 |
| 1154848414 | Kihc, LLC | Home Health | 900-c Centerville Road, Suite C, Lancaster, PA 17042 | 2017-08-28 |
| 1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
| 1609265883 | Ashley Hess | Behavioral Analyst | 15th South 9th Street, Lebanon, PA 17042 | 2015-01-12 |
| 1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
| 1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
| 1437414505 | Odalys Gonzalez-rodriguez | Physical Therapist | 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 | 2012-07-05 |
| 1750677175 | Anita Lyn Stokes | Speech-Language Pathologist | 1126 Walnut Street, Lebanon, PA 17042 | 2011-06-23 |
| 1205126497 | Karey Lynn Foote | Pharmacist | 415 S. 9th St, Lebanon, PA 17042 | 2011-04-09 |
| 1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
| Find all providers in zip 17042 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114551132 | Lebanon Pet Scan Center, LLC | Radiology | 103 Physicians Way Ste 100, Lebanon, TN 37090-4129 | 2020-02-28 |
| 1902900061 | Susan B Humphreys Md PC | Radiology | Carroll & Tate Streets, Lebanon, VA 24266 | 2006-09-11 |
| 1467499079 | Philip Dennison Stieg | Radiology | Fourth & Walnut Streets, Radiology Department, Lebanon, PA 17042-1281 | 2006-06-01 |
| 1285689513 | Vision Imaging of Lebanon LLC | Radiology | 805 Helen Dr, Lebanon, PA 17042-7493 | 2006-05-24 |
| 1902876352 | Radiology & Nuclear Medicine Associates | Radiology | 1411 W Baddour Pkwy, Lebanon, TN 37087-2513 | 2006-01-26 |
| 1669469532 | Daniel William Hottenstein | Radiology | 231 Valley Rd, Lebanon, PA 17042-8930 | 2005-10-05 |
| 1811998073 | Susan Barrow Humphreys | Radiology | Carroll & Tate Sts, Box 3600, Lebanon, VA 24266 | 2005-08-09 |
| 1346246436 | Lebanon Diagnostic Imaging, LLC | Radiology | 960 Isabel Dr, Lebanon, PA 17042-7482 | 2005-06-23 |
| 1386175859 | Joshua Harris Litchman | Radiology | 1 Medical Dr, Lebanon, NH 03756 | 2017-03-25 |
| 1821477175 | David S Sargent | Radiology | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2015-05-20 |
| Find all providers in LEBANON | ||||
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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.