MAX A CLARK


Address: 1975 Miamisburg Centerville Rd, Suite A, Centerville, OH 45459-3811
Phone: 9374381340

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
OH 0803367 05

Other Providers MAX CLARK

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

Office Location

Street Address 1975 MIAMISBURG CENTERVILLE RD
SUITE A
City CENTERVILLE
State OH
Zip Code 45459-3811

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207VG0400X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Gynecology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

Search similar providers

City CENTERVILLE
Zip Code 45459

Improve Information

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Dataset Information

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.

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