DR. THAYER A CLARK (NPI# 1477052157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477052157 |
| Entity Type | Individual |
| Full Name | DR. THAYER A CLARK |
| Credential | DNP |
| Practice Address |
76 Watertown Rd Ste 2f Thomaston CT 06787-1826 |
| Mailing Address |
20 Essex Ln Woodbury CT 06798-2600 |
| Practice Telephone | 8608808091 |
| Mailing Telephone | 2032322017 |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2019-06-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
7667 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10 N Main St, Bristol, CT 060108122 | 2032322017 |
| Street Address |
76 WATERTOWN RD STE 2F |
| City | THOMASTON |
| State | CT |
| Zip Code | 06787-1826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679703870 | Manpuneet Singh | Dentist | 131 Main St Ste 103, Thomaston, CT 06787 | 2009-07-22 |
| 1669502985 | Thomaston Board of Education | Local Education Agency (LEA) | 1 Thomas Ave, Thomaston Center School, Thomaston, CT 06787 | 2007-03-06 |
| 1154337004 | Kerin B Foley | Social Worker | 344 Watertown Rd, Thomaston, CT 06787 | 2006-07-31 |
| 1649205766 | Christain Counseling Connection Inc | Counselor | 42 Church St, Torrington, CT 06787 | 2006-07-11 |
| 1598242992 | Mgr Wellness Counseling LLC | Clinic/Center | 14 S Main St, Thomaston, CT 06787 | 2018-07-27 |
| 1073630224 | Mark Joseph Cantin | Dentist | 22 Park St, Thomaston, CT 06787 | 2007-03-23 |
| 1548898042 | Heather Eisenberger | Student in an Organized Health Care Education/Training Program | 1164 Old Northfield Rd, Thomaston, CT 06787-1122 | 2020-03-30 |
| 1306111729 | Samuel Johnson | Counselor | 201 Humiston Cir, Thomaston, CT 06787-1223 | 2012-03-19 |
| 1750917381 | Paula Kuklinska-romot | Behavioral Analyst | 10 Ellen Ln, Thomaston, CT 06787-1292 | 2020-03-16 |
| 1750660999 | Thomaston Senior Center | Preferred Provider Organization | 64 Grove St, Thomaston, CT 06787-1419 | 2011-08-05 |
| Find all providers in zip 06787 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407412679 | Lindsay Allen Helms | Nurse Practitioner | 120 Earls Rd, Thomaston, GA 30286-3248 | 2019-05-14 |
| 1124506043 | Siena Giordano | Nurse Practitioner | 76 Watertown Rd, Thomaston, CT 06787-1826 | 2018-08-02 |
| 1386171387 | Eric J Schubert | Nurse Practitioner | 503 W Gordon St, Thomaston, GA 30286-3424 | 2017-05-22 |
| 1336544683 | Susan Leanne Jobe | Nurse Practitioner | 101 Deluxe Cir, Suite B, Thomaston, GA 30286-3030 | 2014-10-29 |
| 1619936895 | Sabrina M. Lancaster | Nurse Practitioner | 503 West Grodon St, Thomaston, GA 30286 | 2006-03-17 |
| 1730162470 | Judy Lynn Hoffman | Nurse Practitioner | 1512 Highway 19 N, Family Medical Center, Thomaston, GA 30286-2258 | 2005-11-28 |
| 1568078483 | Michael W Savelle Jr. | Nurse Practitioner | 1512 Highway 19 N, Thomaston, GA 30286-2258 | 2020-09-16 |
| 1407400336 | Cynthia Renae Beeland | Nurse Practitioner | 101 Deluxe Cir, Thomaston, GA 30286-3030 | 2019-07-29 |
| 1699337527 | Jessica Evans Strickland | Nurse Practitioner | 801 W Gordon St, Thomaston, GA 30286-3426 | 2019-07-01 |
| 1528568706 | Allison Birdsong Livingston | Nurse Practitioner | 206 Cherokee Rd, Thomaston, GA 30286-3402 | 2018-02-14 |
| Find all providers in THOMASTON | ||||
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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.