DR. ANDREW JEFFREY CLARK (NPI# 1588156509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588156509 |
| Entity Type | Individual |
| Full Name | DR. ANDREW JEFFREY CLARK |
| Credential | DC |
| Practice Address |
6304 College Blvd Overland Park KS 66211-1506 |
| Practice Telephone | 6202532595 |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2020-01-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1971 | NE | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4951 Center St, Omaha, NE 681063251 | 4025021819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194288563 | Andrew Byler Clark | Student in an Organized Health Care Education/Training Program | 200 Jeanette Lancaster Way, Charlottesville, VA 22903-3388 | 2019-04-11 |
| 1518373257 | Andrew Clark | Case Manager/Care Coordinator | 100 Barberry Dr, Knoxville, TN 37912 | 2014-07-02 |
| 1316215528 | Andrew J Clark | Counselor | 1219 Oak Knoll Rd, Santa Maria, CA 93455-4303 | 2011-12-02 |
| 1992017164 | Andrew Edward Clark | Dentist | 1036-42 Dunn Ave, Jacksonville, FL 32218-6359 | 2010-07-05 |
| 1760683635 | Andrew Clark | Student in an Organized Health Care Education/Training Program | 109 Pine Knoll Dr, 347, Ridgeland, MS 39157-1350 | 2007-05-30 |
| 1912988635 | Andrew Robert Clark | Family Medicine | 5123 4th Avenue Cir E, Bradenton, FL 34208-5620 | 2005-11-09 |
| 1093374936 | Andrew Elton Clark | Spec/Tech, Pathology | 6201 Harry Hines Blvd, Dallas, TX 75390-0001 | 2019-06-12 |
| 1679034508 | Andrew Jeffrey Clark | Student in an Organized Health Care Education/Training Program | 530 S Jackson St, Louisville, KY 40202-1675 | 2019-03-25 |
| 1447745336 | Andrew Clark | Student in an Organized Health Care Education/Training Program | 1450 San Pablo St Fl 4, Los Angeles, CA 90033-5331 | 2018-06-25 |
| 1609365352 | Andrew Thomas Clark | Registered Nurse | 54 New Hyde Park Rd, Garden City, NY 11530 | 2018-05-08 |
| Street Address |
6304 COLLEGE BLVD |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66211-1506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336611821 | Baillie Rose Woydziak | Social Worker | 5805 W 110th Street, Overland Park, KS 66211 | 2018-12-20 |
| 1467920389 | Ku Medwest Ambulatory Surgery Center, LLC | Clinic/Center | 10720 Nall Avenue, Overland Park, KS 66211 | 2018-11-08 |
| 1235615931 | Janice Carollo | Physical Therapy Assistant | 11611 Granada Lane, Leawood, KS 66211 | 2018-07-16 |
| 1720572555 | Trevor Lee Elmer | Physical Therapist | 10777 Nall, 320 - Corporate Medical Plaza Building II, Overland Park, KS 66211 | 2018-06-15 |
| 1043746555 | Overland Park Surgical Suites, LLC | Clinic/Center | 6650 W 110th St Ste 300, Overland Park, KS 66211 | 2017-05-03 |
| 1619313665 | Vcphcs Xiv, LLC | Clinic/Center | 6331 W. 110th Street, Overland Park, KS 66211 | 2013-05-17 |
| 1528334950 | Scott Anthony Hardouin | Surgery | 5100 W 110th St Unit 300, Overland Park, KS 66211 | 2012-03-29 |
| 1386917003 | Children's Physical Therapy Associates | Physical Therapist | 6600 College Boulevard, Suite 307, Overland Park, KS 66211 | 2012-02-10 |
| 1871876250 | Amber Diane Dalzell | Social Worker | 10965 Granada Ln Ste 102, Overland Park, KS 66211 | 2011-09-22 |
| 1912298001 | Stephen Vincent Hiatt | Orthopaedic Surgery | 10701 Nall Avenue, Suite 200, Overland Park, KS 66211 | 2011-04-25 |
| Find all providers in zip 66211 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689359 | Andrew L Todd | Chiropractor | 6800 W 91st St, Overland Park, KS 66212-1453 | 2020-11-02 |
| 1336752591 | Johnathan Chase Carlin | Chiropractor | 10985 Cody St Ste 100, Overland Park, KS 66210-1219 | 2020-08-27 |
| 1538780465 | Joshua Whitmore | Chiropractor | 12101 W 110th St Ste 200, Overland Park, KS 66210-3935 | 2020-05-01 |
| 1871127985 | Katie Marie Muller | Chiropractor | 9621 W 87th St, Overland Park, KS 66212-4570 | 2020-02-27 |
| 1932748282 | Jessica Langel | Chiropractor | 7418 W 121st St, Overland Park, KS 66213-1203 | 2020-01-04 |
| 1750936290 | Roling Chiropractic and Wellness LLC | Chiropractor | 11818 W 135th St, Overland Park, KS 66221 | 2019-08-01 |
| 1083267637 | Virtue Chiropractic LLC | Chiropractor | 6511 W 119th St, Overland Park, KS 66209-2001 | 2019-07-23 |
| 1003469529 | Back On Track Chiropractic & Acupuncture LLC | Chiropractor | 9904 College Blvd, Overland Park, KS 66210-1756 | 2019-07-23 |
| 1447803630 | Nicholas James Swickard | Chiropractor | 15050 Antioch Rd Ste 102, Overland Park, KS 66221-8503 | 2019-07-17 |
| 1518519339 | Joshua Dale Roling | Chiropractor | 11818 West 135th Street, Overland Park, KS 66221 | 2019-07-11 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66211 |
Please comment or provide details below to improve the information on DR. ANDREW JEFFREY CLARK.
| 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.