CLARK CHIROPRACTIC HEALTH CENTER INC (NPI# 1467516856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467516856 |
| Entity Type | Organization |
| Organization Name | CLARK CHIROPRACTIC HEALTH CENTER INC |
| Practice Address |
2909 4th St N St Petersburg FL 33704-2103 |
| Practice Telephone | 7275282808 |
| Practice Fax Number | 7278248855 |
| Mailing Telephone | 7275282808 |
| Mailing Fax Number | 7278248855 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2010-08-18 |
| Authorized Official Name | DR. THOMAS G CLARK (PRESIDENT OWNER) |
| Authorized Official Telephone | 7275282808 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH0003633 | FL | Chiropractic Providers |
| Street Address |
2909 4TH ST N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33704-2103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346303401 | Richard Deneen Shook | Chiropractor | 2909 4th St N, St Petersburg, FL 33704-2103 | 2006-12-19 |
| 1487040671 | Jennifer Gantzer | Chiropractor | 2909 4th St N, St Petersburg, FL 33704-2103 | 2015-04-14 |
| 1255495743 | Thomas G. Clark | Chiropractor | 2909 4th St N, St Petersburg, FL 33704-2103 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588289086 | Megan Burgess | Chiropractor | 1656 Brightwaters Blvd Northeast, Saint Petersburg, FL 33704 | 2020-06-10 |
| 1952932816 | Klement Family Dental P.a. | Dentist | 425 22nd Avenue North, Saint Petersburg, FL 33704 | 2020-01-30 |
| 1972150738 | Alexander Medical Group LLC | Non-Pharmacy Dispensing Site | 2438 Dr. M L King Jr Street N, St. Petersburg, FL 33704 | 2019-08-26 |
| 1720634595 | Taylor Collins | Physical Medicine & Rehabilitation | 2600 Dr. Jlk Jr St N Unity 2008, Stpetersburg, FL 33704 | 2019-08-16 |
| 1417302142 | Carrie Beth Zilbauer | Physical Therapist | 750 24th Ave N, Saint Petersburg, FL 33704 | 2016-05-02 |
| 1710225982 | Jessica Willoughby | Midwife | 1405 Dr Mlk Jr St N, Saint Petersburg, FL 33704 | 2013-01-23 |
| 1649515354 | Surgcenter Northeast LLC | Clinic/Center | 2438 Dr. Martin Luther King Jr Street North Suite C, St Petersburg, FL 33704 | 2012-12-06 |
| 1700144235 | St. Pete Chiropractic and Injury Center LLC | Chiropractor | 2206 4th Street North, St. Petersburg, FL 33704 | 2012-05-03 |
| 1437421963 | Kenneth R. Reinhart D.c. Pa | Chiropractor | 3190 Mlk Street N., St. Petersburg, FL 33704 | 2012-01-30 |
| 1386944064 | Alcove Retirement Center IIi | Assisted Living Facility | 2801 4th St N, St Petersburg, FL 33704 | 2010-10-27 |
| Find all providers in zip 33704 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790390433 | Jessica Schofield | Chiropractor | 3202 9th St N, St Petersburg, FL 33704-1202 | 2020-09-10 |
| 1497386577 | Sarah Elizabeth Brumbaugh | Chiropractor | 790 4th Ave S, St Petersburg, FL 33701-4412 | 2020-01-28 |
| 1114565504 | Debra Jane Roche | Chiropractor | 9100 9th St N Apt 508, St Petersburg, FL 33702-3077 | 2019-12-16 |
| 1841838620 | Ashley Therese Martin | Chiropractor | 556 1st Ave N, St Petersburg, FL 33701-3702 | 2019-12-12 |
| 1982169686 | Danielle Fortner | Chiropractor | 6044 30th Ave N, St Petersburg, FL 33710-3334 | 2019-02-06 |
| 1588150445 | Anas Anis Khalaf | Chiropractor | 6740 Crosswinds Dr N Ste A, St Petersburg, FL 33710-5472 | 2018-07-03 |
| 1316455009 | Welcome Home Family Chiropractic & Wellness Center, Pllc | Chiropractor | 3773 Central Ave, St Petersburg, FL 33713-8338 | 2018-01-16 |
| 1538696901 | Manuel Alvin Valverde | Chiropractor | 5203 Central Ave, St Petersburg, FL 33710-8141 | 2017-05-17 |
| 1043744949 | Jake Lowe | Chiropractor | 2253 Central Ave, 106, St Petersburg, FL 33713-8844 | 2017-04-18 |
| 1598201139 | Vicky Poulakis | Chiropractor | 3157 4th St N, St Petersburg, FL 33704-2124 | 2017-01-06 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33704 |
Please comment or provide details below to improve the information on CLARK CHIROPRACTIC HEALTH CENTER INC.
| 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.