MAX A CLARK (NPI# 1538152749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538152749 |
Entity Type | Individual |
Full Name | MAX A CLARK |
Credential | D.O. |
Practice Address |
1975 Miamisburg Centerville Rd Suite A Centerville OH 45459-3811 |
Practice Telephone | 9374381340 |
Practice Fax Number | 9374384802 |
Mailing Telephone | 9374381340 |
Mailing Fax Number | 9374384802 |
Enumeration Date | 2005-08-24 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
34003865 | OH | Allopathic & Osteopathic Physicians |
X | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
34003865 | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0803367 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013337112 | Max Clark | Hearing Instrument Specialist | 11919 Ne Glisan St, Portland, OR 97220-2144 | 2014-04-16 |
1538130851 | Max Arnold Clark II | General Practice | 2563 Old Quarry Rd, #825, San Diego, CA 92108-2732 | 2006-01-27 |
Street Address |
1975 MIAMISBURG CENTERVILLE RD SUITE A |
City | CENTERVILLE |
State | OH |
Zip Code | 45459-3811 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528060399 | Kenneth Brian Pugar | Psychiatry & Neurology | 1975 Miamisburg Centerville Rd, Centerville, OH 45459-3811 | 2005-08-11 |
1225643604 | Emily Schelhorn | Registered Nurse | 1975 Miamisburg Centerville Rd, Centerville, OH 45459-3811 | 2020-09-11 |
1619521028 | Maria Annette Horn | Nurse Practitioner | 1975 Miamisburg Centerville Rd, Centerville, OH 45459-3811 | 2019-07-25 |
1740832807 | Cathy Sue Ernst | Nurse Practitioner | 1975 Miamisburg Centerville Rd, Centerville, OH 45459-3811 | 2019-07-09 |
1083171300 | Martha Elizabeth Girolamo | Nurse Practitioner | 1975 Miamisburg Centerville Rd, Centerville, OH 45459-3811 | 2019-02-22 |
1104364884 | Megan Miller | Nurse Practitioner | 1975 Miamisburg Centerville Rd, Centerville, OH 45459-3811 | 2017-02-02 |
1083156459 | Kirsten M Ulrich | Physician Assistant | 1975 Miamisburg Centerville Rd, Centerville, OH 45459-3811 | 2016-11-16 |
1750833760 | Dayton Center for Neurological Disorders,inc | Nurse Practitioner | 1975 Miamisburg Centerville Rd, Centerville, OH 45459-3811 | 2016-10-26 |
1891243150 | Tari L Walker | Nurse Practitioner | 1975 Miamisburg Centerville Rd, Centerville, OH 45459-3811 | 2016-09-15 |
1699137364 | Derek J Menkedick | Internal Medicine | 1975 Miamisburg Centerville Rd, Centerville, OH 45459-3811 | 2016-03-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659917466 | Sarai Burke Robinson | Occupational Therapist | 2200 Miami Valley Rd, Dayton, OH 45459 | 2019-11-27 |
1689179855 | Paragon Infusion Therapy, LLC | Durable Medical Equipment & Medical Supplies | 1746 Thomas Paine Pkwy, Centerville, OH 45459 | 2018-03-28 |
1922555473 | Hannah Gualtieri | Specialist/Technologist | Miami Valley Drive, Suite 320, Centerville, OH 45459 | 2016-09-01 |
1326410028 | Kathleen E Dorsten | Counselor | 37 Irongate Park Dr, Centerville, OH 45459 | 2015-10-21 |
1184000846 | Valeriya Falkenshtern | Specialist/Technologist | 2400 Miami Valley Drive, Newborn Hearing Screens, Dayton, OH 45459 | 2015-08-05 |
1700169331 | Monica Lynn Carrico | Registered Nurse | 7625 Paragon Road Suite C, Dayton, OH 45459 | 2011-09-20 |
1427360080 | Tonia S Campbell | Physical Therapist | 1235 E. Alex Bell Road, Centerville, OH 45459 | 2010-07-11 |
1265768956 | Health At Home, LLC | Home Health | 6443 Bethany Village Drive, Dayton, OH 45459 | 2009-10-30 |
1881826337 | Annetta Jean Davis | Social Worker | 7950 Clyo Road, Centerville, OH 45459 | 2009-08-18 |
1740459783 | Ryan A Long | Dentist | 2591 Miamisburg-centerville Rd, Suite 200, Dayton, OH 45459 | 2008-02-25 |
Find all providers in zip 45459 |
Taxonomy Code | 207VG0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073776787 | John Clark Nelson | Obstetrics & Gynecology | 330 Paradiso Ln, Centerville, UT 84014-2826 | 2008-07-03 |
1285829101 | Arlan Marcus Gustilo-ashby | Obstetrics & Gynecology | 7700 Washngton Vlg Dr Ste 160, Centerville, OH 45459-4094 | 2007-09-13 |
1972569218 | William A Nahhas | Obstetrics & Gynecology | 2300 Miami Valley Dr, Suite 260, Centerville, OH 45459-4779 | 2006-04-25 |
1831184274 | James Ruehle | Obstetrics & Gynecology | 330 N Main St, Centerville, OH 45459-4465 | 2005-09-12 |
1649257395 | William Roscoe Dorsey | Obstetrics & Gynecology | 2591 Miamisburg Centerville Rd, Ste 201, Centerville, OH 45459-3711 | 2005-12-23 |
1972599561 | Dayton Ob-gyn Inc | Obstetrics & Gynecology | 330 N Main St, Dayton Ob-gyn Inc, Centerville, OH 45459-4465 | 2005-09-20 |
1528054111 | Ahmad Moezzi | Obstetrics & Gynecology | 330 N Main St, Dayton Ob-gyn Inc, Centerville, OH 45459-4465 | 2005-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245897578 | Diane Cheryl Brown | Obstetrics & Gynecology | 1100 S Sunbury Rd, Westerville, OH 43081-9347 | 2019-05-22 |
1588125942 | Kelsey C Kennedy | Obstetrics & Gynecology | A Building 2049 E 100th St, Cleveland, OH 44195-0001 | 2019-03-28 |
1114408119 | Manohar Lal | Obstetrics & Gynecology | 1101 Kingswood Dr, Akron, OH 44313-5922 | 2018-08-27 |
1285015982 | Obstetrics and Gynecological Associates of Akron Inc | Obstetrics & Gynecology | 605 N Cleveland Massillon Rd Ste A, Akron, OH 44333-2200 | 2015-06-18 |
1053758631 | Licking Memorial Professional Corporation | Obstetrics & Gynecology | 270 Goosepond Road, Ste 102, Newark, OH 43055 | 2013-05-23 |
1437420668 | Urmil Arora | Obstetrics & Gynecology | 776 Woodmere Dr., Wooster, OH 44691 | 2012-01-19 |
1942579677 | Stanley Post | Obstetrics & Gynecology | 26371 Shaker Blvd, Cleveland, OH 44122-7113 | 2011-12-27 |
1093002586 | Joseph Franzese | Obstetrics & Gynecology | 4631 Ridge Ave Ste A, Cincinnati, OH 45209 | 2011-07-05 |
1265751366 | University Hospitals Medical Group, Inc. | Obstetrics & Gynecology | 2061 Cornell Rd, Cleveland, OH 44106-3808 | 2010-05-28 |
1073842910 | George Walter Loesch | Obstetrics & Gynecology | 625 Russell Road, Mansfield, OH 44903-1930 | 2009-12-23 |
Find all providers with the same taxonomy |
City | CENTERVILLE |
Zip Code | 45459 |
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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.