MICHAEL P CLOCK (NPI# 1487688909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487688909 |
| Entity Type | Individual |
| Full Name | MICHAEL P CLOCK |
| Credential | RPA-C |
| Practice Address |
600 Mcclellan St Schenectady NY 12304-1009 |
| Practice Telephone | 5183475532 |
| Practice Fax Number | 5183475409 |
| Mailing Telephone | 5183475532 |
| Mailing Fax Number | 5183475409 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
003307-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
600 MCCLELLAN ST |
| City | SCHENECTADY |
| State | NY |
| Zip Code | 12304-1009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720072465 | Vincent J Luvera | Family Medicine | 600 Mcclellan St, St Claires Hospital Wound Care Center, Schenectady, NY 12304-1009 | 2005-09-08 |
| 1376159434 | Megan Ferguson | Physical Therapist | 600 Mcclellan St, Schenectady, NY 12304-1009 | 2020-09-23 |
| 1043828890 | Flor De Maria Arnold | Nurse Practitioner | 600 Mcclellan St, Schenectady, NY 12304-1009 | 2020-07-17 |
| 1932735396 | Joelle Lynne Malinowski | Dietitian, Registered | 600 Mcclellan St, Schenectady, NY 12304-1009 | 2020-03-18 |
| 1104464809 | Alison Miller | Social Worker | 600 Mcclellan St, Schenectady, NY 12304-1009 | 2019-12-13 |
| 1972077386 | Ellis Hospital | Clinic/Center | 600 Mcclellan St, Schenectady, NY 12304-1009 | 2019-01-18 |
| 1013497502 | Ellis Hospital | Clinic/Center | 600 Mcclellan St, Schenectady, NY 12304 | 2018-08-15 |
| 1790299741 | Regina Donofrio | Respiratory Therapist, Registered | 600 Mcclellan St, Schenectady, NY 12304-1009 | 2017-11-29 |
| 1528582509 | Hydee J Yonkers | Respiratory Therapist, Certified | 600 Mcclellan St, Schenectady, NY 12304-1009 | 2017-08-01 |
| 1346761640 | Rahul Kallianpur | Student in an Organized Health Care Education/Training Program | 600 Mcclellan St, Schenectady, NY 12304-1009 | 2017-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780173682 | Aminah Alia Roberts | Registered Nurse | 200 Hillcrestave, Schenectady, NY 12304 | 2018-05-07 |
| 1871046870 | Katie Tonkin | Dentist | 445 Balltown Rd Ste 2, Schenectady, NY 12304 | 2016-07-27 |
| 1508226655 | Karen Verret | Specialist | 230 Oregon Ave, Schenectady, NY 12304 | 2016-03-02 |
| 1104161850 | Northeast Parent and Child Society | Local Education Agency (LEA) | 327 Abbottsford Road, Schenectady, NY 12304 | 2012-12-06 |
| 1316207061 | Amanda C Fennicks | Licensed Practical Nurse | 1743 Hamburg St, Schenectady, NY 12304 | 2012-05-29 |
| 1639445232 | Lisa Marie Langer | Pharmacist | 2037 State Street, Schenectady, NY 12304 | 2012-03-28 |
| 1487922167 | Mary Ellen B Nagel | Registered Nurse | 1821 Hamburg St, Schenectady, NY 12304 | 2011-12-08 |
| 1699084624 | Paula Frances Williams | Speech-Language Pathologist | 2566 Balltown Road, Schenectady, NY 12304 | 2010-09-24 |
| 1558547133 | Fraterrigo Eye Physicians &surgeons, Pllc | Ophthalmology | 700 Mcclellan Street, St. Clare's Medical Arts Building, Schenectady, NY 12304 | 2008-01-14 |
| 1104022730 | William T. Tirone | Dentist | 600 Mcclellan Street, Schenectady, NY 12304 | 2007-06-21 |
| Find all providers in zip 12304 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306973805 | Memorial Hospital | Physician Assistant | 207 Shirlwood Dr, Schenectady, NY 12306-3417 | 2007-02-28 |
| 1487291522 | Daniel Mclaren | Physician Assistant | 530 Liberty St, Schenectady, NY 12305-2014 | 2019-12-09 |
| 1871907840 | Rebecca Grugan | Physician Assistant | 1101 Nott St, Schenectady, NY 12308-2425 | 2014-06-17 |
| 1386988418 | Maria Mooken | Physician Assistant | 1101 Nott St, B2, Schenectady, NY 12308-2425 | 2012-11-15 |
| 1013295484 | Lynn Ann Craft | Physician Assistant | 1101 Nott St, Schenectady, NY 12308 | 2011-08-02 |
| 1508012782 | Tara C Halvax | Physician Assistant | 1101 Nott St, Schenectady, NY 12308-2425 | 2008-08-07 |
| 1518161140 | Patricia Louise Paone | Physician Assistant | 600 Mcclellan St, Schenectady, NY 12304-1009 | 2007-06-14 |
| 1073535498 | Penny L. Mcelheny | Physician Assistant | 1101 Nott St, Schenectady, NY 12308-2425 | 2006-07-24 |
| 1215955075 | Paul M Reo | Physician Assistant | 600 Mcclellan St, Schenectady, NY 12304-1009 | 2006-07-18 |
| 1811915903 | Michael K. Grugan | Physician Assistant | 1101 Nott St, Schenectady, NY 12308-2425 | 2006-07-17 |
| Find all providers in SCHENECTADY | ||||
| City | SCHENECTADY |
| Zip Code | 12304 |
Please comment or provide details below to improve the information on MICHAEL P CLOCK.
| 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.