DR. ROBERT E CLARK (NPI# 1518944198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518944198 |
| Entity Type | Individual |
| Full Name | DR. ROBERT E CLARK |
| Credential | M.D. |
| Practice Address |
1600 22nd Ave Medical Towers IIi Meridian MS 39301-3223 |
| Practice Telephone | 6014835322 |
| Practice Fax Number | 6016938081 |
| Mailing Telephone | 6014835322 |
| Mailing Fax Number | 6016938081 |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2011-06-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
07973 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00116455 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457989048 | Robert William Clark | Registered Nurse | 1511 Se 16th Ave, Ocala, FL 34471-4627 | 2020-03-30 |
| 1578012225 | Robert Clark | Technician, Other | 5075 Belmere Dr, Manitou Beach, MI 49253-9626 | 2016-09-22 |
| 1447535620 | Robert Leal Clark | Ophthalmology | 901 Forest Ave., Johnson City, TN 37601 | 2011-10-19 |
| 1619287216 | Robert Earl Clark | Occupational Therapist | 6623 N Main St, Davenport, IA 52806 | 2010-10-15 |
| 1376778746 | Robert T Clark Sr. | Chiropractor | 2411 Us Highway 27 S, Sebring, FL 33870-4943 | 2009-05-28 |
| 1538358924 | Robert Coleman Clark | Massage Therapist | 1501b Grape St, Tallahassee, FL 32303-5637 | 2007-10-22 |
| 1376765925 | Robert Clark | Nurse Practitioner | Employee and Occupational Health, Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2007-05-03 |
| 1396963666 | Robert Clark | Licensed Practical Nurse | 26347 Lake Lindsey Rd, Brooksville, FL 34601-4304 | 2007-04-23 |
| 1770708349 | Robert Douglas Clark | Physical Therapist | 3580 Discovery Dr, Grove City, OH 43123-9329 | 2007-04-17 |
| 1053432633 | Robert Joseph Clark | Dentist | 5323 Brainerd Rd Ste 105, Chattanooga, TN 37411-5305 | 2007-04-02 |
| Street Address |
1600 22ND AVE MEDICAL TOWERS III |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39301-3223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609867209 | Joel Charles Reynolds | Internal Medicine | 1600 22nd Ave, Meridian, MS 39301-3223 | 2005-11-02 |
| 1730671538 | Erin Cooley | Nurse Practitioner | 1600 22nd Ave, Meridian, MS 39301-3223 | 2018-06-06 |
| 1043662851 | Sarah Neely Ivey | Nurse Practitioner | 1600 22nd Ave, Meridian, MS 39301-3223 | 2016-07-05 |
| 1114399375 | Brandi L Robinson | Nurse Practitioner | 1600 22nd Ave, Meridian, MS 39301-3223 | 2015-10-28 |
| 1710227905 | Casey Tillery | Nurse Practitioner | 1600 22nd Ave, Medical Towers IIi, Meridian, MS 39301-3223 | 2013-02-25 |
| 1760627111 | Jessica T Meyer | Nurse Practitioner | 1600 22nd Ave, Medical Towers IIi, Meridian, MS 39301-3223 | 2008-12-12 |
| 1396980116 | Valerie Nicole Evans | Family Medicine | 1600 22nd Ave, Meridian, MS 39301-3223 | 2008-12-08 |
| 1396927448 | Attila Roka | Internal Medicine | 1600 22nd Ave, Meridian, MS 39301-3223 | 2007-11-30 |
| 1225232895 | Larry Shea Shea Hailey | Internal Medicine | 1600 22nd Ave, Medical Towers IIi, Meridian, MS 39301-3223 | 2007-06-14 |
| 1346466596 | Eric Vincent Plott | Internal Medicine | 1600 22nd Ave, Meridian, MS 39301-3223 | 2007-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
| 1306478359 | K&r Optical Solutions Corporation | Eyewear Supplier (Equipment, not the service) | 3126 8th St., Suite A, Meridian, MS 39301 | 2020-02-07 |
| 1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
| 1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
| 1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
| 1154869303 | Lindsay Nemanich | Physical Therapist | 3716 Ms-39, Meridian, MS 39301 | 2017-02-08 |
| 1700323599 | Wal-mart Stores East Lp | Pharmacy | 3310-a Highway 39 North, Meridian, MS 39301 | 2017-01-31 |
| 1972977460 | Southeast Pharmacy LLC | Pharmacy | 2402 Long Creek Road, Meridian, MS 39301 | 2015-11-20 |
| 1235508342 | East Mississippi Oral & Facial Surgery, LLC | Clinic/Center | 1212 24th Avenue, Meridian, MS 39301 | 2015-09-18 |
| 1831580778 | Clarkdale Pharmacy and Gifts LLC | Pharmacy | 6935c Hwy 145, Meridian, MS 39301 | 2015-02-13 |
| Find all providers in zip 39301 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932586294 | University of Utah Adult Services | Internal Medicine | 250 South Eagle Road, Meridian, ID 83642 | 2015-05-06 |
| 1154406437 | Robert C Dobrowolski | Internal Medicine | 2131 S. Bonito Way, Meridian, ID 83642 | 2006-10-26 |
| 1609867209 | Joel Charles Reynolds | Internal Medicine | 1600 22nd Ave, Meridian, MS 39301-3223 | 2005-11-02 |
| 1578915898 | Rc Dobrowolski PC | Internal Medicine | 2131 S Bonito Way, Meridian, ID 83642-1659 | 2016-07-11 |
| 1124357645 | Robert L. Davidson, M.d. Pllc | Internal Medicine | 520 S Eagle Rd, Suite 1245, Meridian, ID 83642-6351 | 2009-12-11 |
| 1952543118 | Aaron Fearday | Internal Medicine | 3525 E Louise Dr Ste 195, Meridian, ID 83642 | 2009-04-01 |
| 1902963101 | Boise Kidney & Hypertension Pllc | Internal Medicine | 3525 E Louise Dr Ste 195, Meridian, ID 83642 | 2007-01-03 |
| 1437194552 | Mary O'kief Dittrich | Internal Medicine | 3525 E Louise Dr, Ste 100, Meridian, ID 83642-6302 | 2006-06-20 |
| 1336126911 | John C Andy | Internal Medicine | 1600 22nd Ave, Medical Towers IIi, Meridian, MS 39301-3223 | 2005-12-27 |
| 1427035070 | A Gary Boone | Internal Medicine | 1600 22nd Ave, Medical Towers IIi, Meridian, MS 39301-3223 | 2005-12-26 |
| Find all providers in MERIDIAN | ||||
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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.