MR. CHARLES PATRICK CLARK (NPI# 1588684625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588684625 |
| Entity Type | Individual |
| Full Name | MR. CHARLES PATRICK CLARK |
| Credential | CRNA |
| Practice Address |
120 Riverview St Franklin NC 28744 |
| Mailing Address |
1084 Thompson Rd Franklin NC 28734 |
| Practice Telephone | 8285248411 |
| Mailing Telephone | 8283699187 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2009-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 151205 | NC | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8052336 | 05 | |
| NC | RAILROAD MEDICARE | P00289782 | 01 |
| GA | 986074426A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940753 | Charles Patrick Clark | Physician Assistant | 6621 Fannin St, Houston, Houston, TX 77030 | 2019-03-08 |
| 1013485713 | Charles Nicholson Clark | Nurse Practitioner | 1331 Bandera Hwy Ste 4, Kerrville, TX 78028-9535 | 2018-11-12 |
| 1568971653 | Charles E Clark IIi | Counselor | 255 Main Street, St. Clairsville, OH 43950 | 2017-09-21 |
| 1649680406 | Charles Amos Clark | Internal Medicine | Vanderbilt University Dept of Medicine, D-3100, Medical Center North, Nashville, TN 37232 | 2014-05-02 |
| 1124301106 | Charles Malcolm Clark Jr. | Internal Medicine | 2802 Lafayette Road Suite 13, Eagledale Health Center, Indianapolis, IN 46222-2112 | 2011-09-26 |
| 1811290935 | Charles Warren Clark Jr. | Massage Therapist | 19577 Fm 2854 Rd, Montgomery, TX 77316-3150 | 2010-12-11 |
| 1780913640 | Charles S Clark | Physician Assistant | Bldg. H 2005 Knight Lane Attn: Medical Staff Services, Navy Medicine Support Command, Jacksonville, FL 92055-0140 | 2009-12-23 |
| 1083866222 | Charles Larry Clark Jr. | Dentist | 2415 Gillionville Rd, Albany, GA 31707-3022 | 2008-10-21 |
| 1689826984 | Charles John Clark | Pharmacist | 203 So. Daisy, Salmon, ID 83467 | 2008-10-17 |
| 1164642948 | Charles Robert Clark | Family Medicine | 1725 N Sky Glen Path, Hernando, FL 34442-6187 | 2007-04-26 |
| Street Address |
120 RIVERVIEW ST |
| City | FRANKLIN |
| State | NC |
| Zip Code | 28744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497753651 | Angel Medical Center, Inc. | General Acute Care Hospital | 120 Riverview St, Franklin, NC 28734-2612 | 2005-07-12 |
| 1881162212 | Elise Doyle | Registered Nurse | 120 Riverview St, Franklin, NC 28734-2612 | 2018-11-03 |
| 1720554934 | Mh Angel Medical Center, Lllp | Medicare Defined Swing Bed Unit | 120 Riverview St, Franklin, NC 28734-2612 | 2018-10-16 |
| 1023593746 | Mh Angel Medical Center, Lllp | General Acute Care Hospital | 120 Riverview St, Franklin, NC 28734-2612 | 2018-09-27 |
| 1891279675 | Stacy Parrish Shannon | Pharmacist | 120 Riverview St, Franklin, NC 28734-2612 | 2018-09-18 |
| 1417314014 | Angel Medical Center, Inc | Physician Assistant | 120 Riverview St, Franklin, NC 28734 | 2016-01-27 |
| 1609263995 | Lauren Beck Wingo | Emergency Medicine | 120 Riverview St, Franklin, NC 28734 | 2015-04-24 |
| 1578960381 | Mission Medical Associates Inc. | Internal Medicine | 120 Riverview St, Franklin, NC 28734-2612 | 2014-11-21 |
| 1982018248 | Mission Medical Associates, Inc | Counselor | 120 Riverview St, Franklin, NC 28734-2612 | 2014-06-16 |
| 1467882019 | Trish Kimberly Haley | Nurse Anesthetist, Certified Registered | 120 Riverview St, Franklin, NC 28734-2612 | 2013-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780870600 | Macon Program for Progress, Inc | Local Education Agency (LEA) | 350 Orchard View Drive, Franklin, NC 28744 | 2007-09-25 |
| 1982624052 | Harold Eugene Kirk | Registered Nurse | 2730 Georgia Road, Franklin, NC 28744 | 2006-07-20 |
| 1265655849 | Glenda Elaine Ashlock | Counselor | 827 Wiley Brown Road, Franklin, NC 28744 | 2007-04-11 |
| 1871513010 | Charles Ray Trentham | Anesthesiology | 120 Riverview Street, Franklin, NC 28744 | 2006-07-20 |
| 1962563221 | The Childrens Home | Community/Behavioral Health | 827 Wiley Brown Rd, Franklin, NC 28744-0000 | 2006-12-12 |
| 1093025595 | Pamela A. Baker Lpc | Counselor | 175 Sloan Rd, Franklin, NC 28744-0227 | 2010-10-18 |
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811504921 | Jennifer Rene Collins | Registered Nurse | 4462 Savage Pointe Dr, Franklin, TN 37064-7624 | 2020-09-23 |
| 1891304564 | Whitney Anne Dickerson | Registered Nurse | 1005 S Broadway St, Franklin, KS 66735-9475 | 2020-07-28 |
| 1831715291 | Sarah Milena Mousai | Registered Nurse | 4732 W Woodward Dr, Franklin, WI 53132-7616 | 2020-06-22 |
| 1669096798 | Megan Moyer | Registered Nurse | 3650 Red Fox Run, Franklin, OH 45005-9736 | 2020-06-04 |
| 1306476056 | Melissa Kading | Registered Nurse | 6362 S 35th St Apt 4, Franklin, WI 53132-8713 | 2020-01-22 |
| 1861022097 | Denise Kraklow | Registered Nurse | 8761 W Whispering Oaks Ct, Franklin, WI 53132-8542 | 2020-01-15 |
| 1710520333 | Paul John Coleman | Registered Nurse | 19 Spruce Pond Rd, Franklin, MA 02038-2500 | 2019-10-27 |
| 1073161980 | Cynthia Ann Balzer | Registered Nurse | 3361 Greycliff Trl, Franklin, OH 45005-9410 | 2019-09-04 |
| 1649833765 | Lori A Mansur | Registered Nurse | 6580 S. 46th St., Franklin, WI 53132 | 2019-04-15 |
| 1003385303 | Irina Korolkov | Registered Nurse | 9301 S Cobblestone Way Unit G, Franklin, WI 53132-7510 | 2018-11-15 |
| Find all providers in FRANKLIN | ||||
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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.