DR. MATTHEW THOMAS CLARK (NPI# 1467872044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467872044 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW THOMAS CLARK |
| Credential | M.D. |
| Practice Address |
2200 Childrens Way Suite 2404 Nashville TN 37232-0005 |
| Practice Telephone | 6159361000 |
| Mailing Telephone | 6159361000 |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2020-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 55984 | TN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033578653 | Matthew Mitchell Clark | Student in an Organized Health Care Education/Training Program | 2644 Crystal Falls Rd, Lexington, KY 40509-4208 | 2016-02-11 |
| 1154787844 | Matthew Clark | Chiropractor | 5250 S Commerce Dr Ste 155, Murray, UT 84107-5379 | 2016-01-11 |
| 1811001126 | Matthew David Ayers Clark | Psychologist | 7150 Kalamazoo Ave Se, Ste C, Caledonia, MI 49316-9126 | 2006-08-17 |
| 1215993308 | Matthew Alexander Clark | Internal Medicine | Ute Mountain Ute Health Center, Complex B Rustling Willow Street, Towaoc, CO 81334-0049 | 2006-04-26 |
| 1407341134 | Matthew Howard Clark | Nurse Practitioner | 200 1st St Sw, Rochester, MN 55905 | 2018-06-25 |
| 1639674591 | Matthew Anthony Clark | Student in an Organized Health Care Education/Training Program | 22 Bramhall St, Portland, ME 04102-3134 | 2018-03-24 |
| 1588104913 | Matthew Louis Clark | Pharmacist | 4747 Sawmill Rd, Columbus, OH 43220-2490 | 2017-03-04 |
| 1679949184 | Matthew Clark | Optometrist | 2792 E 146th St, Carmel, IN 46033-7718 | 2015-08-19 |
| 1902288806 | Matthew Lewis Clark | Dermatology | 8245 Holly Rd Ste 101, Grand Blanc, MI 48439-2443 | 2015-06-26 |
| 1417353996 | Matthew Clark | Counselor | 360 Bloomfield Ave, Ste 301, Windsor, CT 06095-2700 | 2014-11-12 |
| Street Address |
2200 CHILDRENS WAY SUITE 2404 |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37232-0005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275522534 | Barbara J Solomon | Pediatrics | 2200 Childrens Way, Suite 1014, Nashville, TN 37232-9001 | 2005-10-19 |
| 1003417486 | Kayln Wolfe | Nurse Practitioner | 2200 Childrens Way, Nashville, TN 37232-0005 | 2020-11-03 |
| 1699375550 | Shelbi F James | Registered Nurse | 2200 Childrens Way, Nashville, TN 37232-0005 | 2020-10-29 |
| 1184223695 | Danielle Rourke Ogg | Nurse Practitioner | 2200 Childrens Way, Nashville, TN 37232-0005 | 2020-10-26 |
| 1346856788 | Julia Roberson | Registered Nurse | 2200 Childrens Way, Nashville, TN 37232-0005 | 2020-09-21 |
| 1558976795 | Courtney King | Registered Nurse | 2200 Childrens Way, Nashville, TN 37232-0005 | 2020-09-14 |
| 1790393734 | Meredith Martin | Pediatrics | 2200 Childrens Way, Nashville, TN 37232-0005 | 2020-07-15 |
| 1336761857 | Kaitlyn Anne Henderson | Registered Nurse | 2200 Childrens Way, Nashville, TN 37232-0005 | 2020-05-07 |
| 1679193544 | Anthony Bledsoe | Respiratory Therapist, Registered | 2200 Childrens Way, Nashville, TN 37232-0005 | 2020-04-21 |
| 1700405339 | Naomi Heidi Seliktar | Student in an Organized Health Care Education/Training Program | 2200 Childrens Way, Nashville, TN 37232-0005 | 2020-04-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831717578 | Kathleen Elizabeth Quick | Audiologist | 1215 21st Avenue South, Mce, South Tower, 9th Floor, Nashville, TN 37232 | 2020-07-09 |
| 1609497700 | Alissar El Chediak | Student in an Organized Health Care Education/Training Program | 1161 21st Ave South, Mcn S3307, Division of Nephrology, Nashville, TN 37232 | 2020-04-29 |
| 1386209690 | David William John Armstrong | Student in an Organized Health Care Education/Training Program | 1215 21st Ave S 5th Floor, Nashville, TN 37232 | 2019-05-02 |
| 1063075331 | Margaret Elizabeth Galloway | Student in an Organized Health Care Education/Training Program | Vanderbilt Univ. Medical Center 2301 Vuh, Office of Educational Affairs, Dept. of Anesthesiol, Nashville, TN 37232 | 2019-04-22 |
| 1457832420 | Jill Murphree | Dietitian, Registered | 1211 21st Avenue, Medical Arts Building Ste 514, Nashville, TN 37232 | 2018-08-27 |
| 1861980757 | Ryan Chaliff | Student in an Organized Health Care Education/Training Program | Department of Oral & Maxillofacial Surgery, T-4323a Medical Center North 1161 21st Avenue South, Nashville, TN 37232 | 2018-04-25 |
| 1023505385 | Nelly-ange Kontchou | Student in an Organized Health Care Education/Training Program | 1161 21st Avenue South, Medical Center N, Suite Ccc-4312, Nashville, TN 37232 | 2018-04-21 |
| 1396232377 | Katie Lee Ford | Student in an Organized Health Care Education/Training Program | 2200 Children's Way, 8161 Dot, Nashville, TN 37232 | 2018-04-16 |
| 1073015814 | Nicole Sapone Mandrycky | Nurse Practitioner | 1161 21st Ave. S, Mcn D2106, Nashville, TN 37232 | 2018-03-07 |
| 1992220982 | Alanna Salituro | Physical Therapist | 1215 21st Ave. S., Medical Center East, South Tower, Voi, Nashville, NJ 37232 | 2017-08-10 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366040131 | Mebe Tennessee | Pediatrics | 6339 Charlotte Pike # 1035, Nashville, TN 37209-2926 | 2020-10-14 |
| 1568817658 | Elizabeth Shawn Keiner | Pediatrics | 2200 Childrens Way # B319, Nashville, TN 37232-9760 | 2016-04-26 |
| 1669834784 | Sara Beth Bluestein | Pediatrics | Vasap, 2611 West End Ave, Nashville, TN 37203 | 2016-03-28 |
| 1881056646 | Katherine Black | Pediatrics | 10233 Doctors Office Tower 2200 Children's Way, Nashville, TN 37232 | 2016-03-22 |
| 1144649542 | Allysa Kehring | Pediatrics | 2200 Children's Way Rm, Doctor's Office Tower 11108b, Nashville, TN 37232-9000 | 2014-04-14 |
| 1073944351 | Deidre Earlene Lanier | Pediatrics | 404 Dr. D.b. Todd Blvd Jr., Nashville, TN 37203 | 2013-12-11 |
| 1013278043 | Paige Dudley | Pediatrics | 11101 Doctor's Office Tower 2200 Children's Way, Nashville, TN 37232-9544 | 2012-06-06 |
| 1184915662 | Vita June Cooper Lamberson | Pediatrics | Pediatric Residency Program 2200 Childrens Way, 8161 Dot, Nashville, TN 37232-0001 | 2011-05-02 |
| 1548551104 | Michael Dole | Pediatrics | 2200 Childrens Way Fl Way10, Nashville, TN 37232 | 2011-04-29 |
| 1902195845 | Frank Joseph Raucci | Pediatrics | 2200 Childrens Way Ste 5230, Nashville, TN 37232-0005 | 2011-03-31 |
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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.