DR. CLARK C CHEN (NPI# 1437149523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437149523 |
| Entity Type | Individual |
| Full Name | DR. CLARK C CHEN |
| Credential | MD PHD |
| Practice Address |
909 Fulton St Se Minneapolis MN 55455-4800 |
| Mailing Address |
Po Box 232410 San Diego CA 92193-2410 |
| Practice Telephone | 6126727422 |
| Mailing Telephone | (858) 822-4048 |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2017-09-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 62432 | MN | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | 216069 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932112265 | Clark C Chen | Dentist | 1806 San Miguel Dr, Walnut Creek, CA 94596 | 2006-08-15 |
| 1619592748 | Clark Jia-long Chen | Surgery | 5401 Old York Rd # Klein101, Philadelphia, PA 19141-3030 | 2020-06-15 |
| 1790152403 | Clark Chen | Dentist | 5855 E Still Cir, Mesa, AZ 85206-3631 | 2015-08-28 |
| 1457733719 | Clark Chen | Psychiatry & Neurology | 2075 W Big Beaver Rd Ste 520, Troy, MI 48084-3442 | 2015-06-23 |
| Street Address |
909 FULTON ST SE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55455-4800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558365122 | Gary L Bryant | Internal Medicine | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2005-06-10 |
| 1437756848 | Kelsey Larsen | Pharmacist | 909 Fulton St Se, Attn: 1st Floor Pharmacy 1.273, Minneapolis, MN 55455-4800 | 2020-10-08 |
| 1518572254 | Rachel Elizabeth Kraemer | Audiologist | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2020-09-10 |
| 1912527268 | Becca Marie Mahnesmith | Nurse Practitioner | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2020-04-16 |
| 1073142212 | Emily Kline | Health Educator | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2020-04-08 |
| 1689200024 | Zach Rivers | Pharmacist | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2020-03-17 |
| 1518506138 | Carrie Leigh Kwiatkowski | Specialist/Technologist | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2019-12-30 |
| 1801432414 | Abigail Denise Conrad | Physician Assistant | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2019-11-19 |
| 1700428497 | Ashley Herman | Dietitian, Registered | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2019-10-14 |
| 1104471275 | Holly Heewon Lee | Genetic Counselor, MS | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2019-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715679 | Kara Biscobing | Nurse Anesthetist, Certified Registered | M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 | 2020-09-18 |
| 1982213237 | Yue Hu | Dentist | 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 | 2020-07-23 |
| 1952922148 | Jacob Laurence Tigner | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-29 |
| 1710507538 | Rachael Grundman | Student in an Organized Health Care Education/Training Program | 420 Delaware St, Mmc 395, Minneapolis, MN 55455 | 2020-04-22 |
| 1497375240 | Sanjay Dhawan | Student in an Organized Health Care Education/Training Program | 420 Delaware St. Se, Mmc 195, Minneapolis, MN 55455 | 2020-04-22 |
| 1508486549 | Dariel Andres Diaz | Student in an Organized Health Care Education/Training Program | 420 Se Delaware Street, Mmc 195, Minneapolis, MN 55455 | 2020-04-20 |
| 1275186280 | Kerem Ozturk | Radiology | B-226 Mayo Memorial Building, Mmc 292 420 Delaware Street S.e., Minneapolis, MN 55455 | 2019-07-18 |
| 1275194631 | Andres Jose Gonzalez Coba | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se Mmc 284, Minneapolis, MN 55455 | 2019-06-26 |
| 1841850278 | Brendan Andrew Schleyer | Dentist | 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 | 2019-06-18 |
| 1932767399 | Claire-audrey Y Bayan | Student in an Organized Health Care Education/Training Program | 420 Delaware Street, Mmc 98, Minneapolis, MN 55455 | 2019-05-31 |
| Find all providers in zip 55455 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770999716 | Gigante Acquisitions LLC | Neurological Surgery | 2215 Pillsbury Ave S, Minneapolis, MN 55404-3213 | 2014-07-10 |
| 1912136284 | Ann M Parr | Neurological Surgery | 516 Delaware St Se, Clinic 1a, Umphysicians Neurosurgery Clinic, Minneapolis, MN 55455 | 2009-07-08 |
| 1629289939 | Andrew Grande | Neurological Surgery | 420 Delaware St. Se, Mmc 96, D429 Mayo Memorial Building, Minneapolis, MN 55455 | 2007-05-25 |
| 1871695098 | Cornelius Hoktsim Lam | Neurological Surgery | 420 Delaware St Se # Mmc96, Minneapolis, MN 55455-0341 | 2006-09-01 |
| 1124044334 | Zhiyi Sha | Neurological Surgery | 420 Delaware Street S.e., Mmc 295, Minneapolis, MN 55455 | 2006-07-14 |
| 1114900966 | Eric John Decuir | Neurological Surgery | 913 E 26th St, Suite 305 Piper Building, Minneapolis, MN 55404-4515 | 2005-11-25 |
| 1932193083 | Daniel James Guillaume | Neurological Surgery | 516 Delaware Street Se, Ump Neurosurgery Clinic, Minneapolis, MN 55455 | 2005-09-06 |
| 1326334889 | Andrew S Venteicher | Neurological Surgery | 909 Fulton St Se, Minneapolis, MN 55455 | 2011-06-23 |
| 1770878993 | Joshua Lim | Neurological Surgery | 420 Delaware St Se, Mmc 96, Room D429, Minneapolis, MN 55455-0341 | 2011-06-15 |
| 1447550876 | Walter Lee Bailey | Neurological Surgery | 500 River St, Minneapolis, MN 55401 | 2010-11-02 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55455 |
Please comment or provide details below to improve the information on DR. CLARK C CHEN.
| 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.