CRAIG Y CLARK (NPI# 1598163453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598163453 |
| Entity Type | Individual |
| Full Name | CRAIG Y CLARK |
| Credential | RN |
| Practice Address |
149 Spurwink Rd Scarborough ME 04074-8607 |
| Practice Telephone | 2077762023 |
| Mailing Telephone | 2077762023 |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2014-12-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
RN49820 | ME | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821227547 | Craig Clark | Specialist/Technologist | Furman University Sports Med, 3300 Poinsett Highway, Greenville, SC 29613-0001 | 2009-07-02 |
| 1427222843 | Craig Alan Clark | Dietitian, Registered | 9301 Sw 92nd Ave, Apt. #a312, Miami, FL 33176-2142 | 2008-04-16 |
| 1538262498 | Craig G Clark | Psychologist | 1800 Fair Oaks Ave Ste A, South Pasadena, CA 91030-4775 | 2006-09-06 |
| 1780165696 | Craig Steven Clark | Counselor | 4027 County Road 25, St Louis Park, MN 55416 | 2018-08-28 |
| 1386971984 | Craig G. Clark | Pharmacist | 4949 W Ray Rd, Chandler, AZ 85226-2064 | 2009-11-03 |
| 1245453034 | Craig William Clark | Marriage & Family Therapist | 100 N Winchester Blvd, Suite 264, Santa Clara, CA 95050-6520 | 2007-04-10 |
| 1497830186 | Craig Raymond Clark | Chiropractor | 3140 Red Hill Ave, #120, Costa Mesa, CA 92626-3400 | 2006-10-25 |
| 1164529186 | Craig Anthony Clark | Psychiatry & Neurology | 30 Burton Hills Blvd, Suite 375, Nashville, TN 37215-6140 | 2006-09-20 |
| 1326057852 | Craig D Clark | Orthopaedic Surgery | 825 Nw Highway 101 Ste A, Lincoln City, OR 97367-3241 | 2006-08-05 |
| 1487609111 | Craig Leo Clark | Pharmacist | 1946 42nd St Ne, Cedar Rapids, IA 52402 | 2006-05-23 |
| Street Address |
149 SPURWINK RD |
| City | SCARBOROUGH |
| State | ME |
| Zip Code | 04074-8607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023412459 | Skilled Care Solutions | Home Health | 149 Spurwink Rd, Scarborough, ME 04074-8607 | 2014-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407462443 | Jennifer Marlowe | Counselor | Crossroads Maine 71-us-1, Scarborough, ME 04074 | 2020-09-16 |
| 1508475724 | Whole Medicine LLC | Family Medicine | 2o Mussey Road, Suite 2, Scarborough, ME 04074 | 2020-07-23 |
| 1154957793 | Maria Robin Libby | Occupational Therapist | 144 Us-1 #4, Scarborough, ME 04074 | 2020-03-16 |
| 1558902932 | Daphne Berta Counseling P.C. | Counselor | 636 Route 1, Scarborough, ME 04074 | 2019-10-07 |
| 1619450574 | Louise Valati | Physical Therapist | Piper Shores, 15 Piper Road, Scarborough, ME 04074 | 2018-09-07 |
| 1770001315 | Emily Dunuwila | Massage Therapist | 51 Us Route One Suite R2, Scarborough, ME 04074 | 2017-09-04 |
| 1750808788 | Jill Daicey Hutchison | Physical Therapy Assistant | 67 Pine Point Road, Scarborough, ME 04074 | 2017-08-30 |
| 1457887580 | Rebecca Shaw | Social Worker | 119 Ash Swamp Road, Scarborough, ME 04074 | 2017-05-10 |
| 1184168767 | Jessica Ann Kaake | Occupational Therapist | 308 Us Route 1 Ste E1, Scarborough, ME 04074 | 2016-12-15 |
| 1356895056 | Nancy Gaudet | Counselor | 6 Catherine Drive, Scarborough, ME 04074 | 2016-08-10 |
| Find all providers in zip 04074 | ||||
| Taxonomy Code | 163WP0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033754643 | Dayna E Lincoln | Registered Nurse | 59 Bangor St, Houlton, ME 04730-1740 | 2019-11-07 |
| 1386994903 | Emily M Davis | Registered Nurse | 1068 Union St, Bangor, ME 04401-3016 | 2012-09-11 |
| 1083843023 | Jessica L Rubashkin | Registered Nurse | 159 Silver St, Waterville, ME 04901-5813 | 2009-07-13 |
| City | SCARBOROUGH |
| Zip Code | 04074 |
Please comment or provide details below to improve the information on CRAIG Y 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.