DR. MICHAEL S CLARKE (NPI# 1609874569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609874569 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL S CLARKE |
| Credential | M.D. |
| Practice Address |
3150 S National Ave Springfield MO 65807-7301 |
| Practice Telephone | 4178815529 |
| Practice Fax Number | 4178853921 |
| Mailing Telephone | 4178815529 |
| Mailing Fax Number | 4178853921 |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2008-08-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 32388 | MO | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 200505824 | 05 | |
| PALMETTO GBA | 201077503 | 01 | |
| TRICARE WEST | 431552300 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891219267 | Michael Alan Clarke Jr. | Counselor | 2603 Bridgeport Way W Ste D, University Place, WA 98466-4724 | 2017-07-27 |
| 1467901553 | Michael Kevin Clarke | Counselor | 1600 Lena St Ste C16, Santa Fe, NM 87505-4339 | 2016-09-29 |
| 1669838736 | Michael Henry Clarke | Physical Therapist | 17325 Bell North Dr., Suite 2-b, Shertz, TX 78154 | 2016-01-05 |
| 1801134291 | Michael Timothy Clarke | Chiropractor | 6705 W 41st St, Sioux Falls, SD 57106-1290 | 2013-01-21 |
| 1912064569 | Michael J Clarke | Speech-Language Pathologist | 1412 Landon Ave, Winthrop Harbor, IL 60096-1844 | 2007-01-02 |
| 1619065133 | Michael Andrew Clarke | Dentist | 31 E Lanikaula St, Suite B, Hilo, HI 96720-4362 | 2006-10-10 |
| 1316908296 | Michael Ellsworth Clarke | Oral & Maxillofacial Surgery | 24 N Church St, #206, Wailuku, HI 96795 | 2006-03-30 |
| 1871598805 | Michael T Clarke | Orthopaedic Surgery | 5719 Widewaters Pkwy, Syracuse, NY 13214-1880 | 2005-06-16 |
| 1659992923 | Michael J Clarke | Internal Medicine | 5841 S Maryland Ave Ste Mc7082, Chicago, IL 60637-1465 | 2020-04-28 |
| 1720632821 | Michael William Clarke II | Behavior Technician | 6400 Tupelo Dr, Citrus Heights, CA 95621-1741 | 2019-07-26 |
| Street Address |
3150 S NATIONAL AVE |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65807-7301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548381650 | Clarke Surgical Center, L.L.C. | Clinic/Center | 3150 S National Ave, Springfield, MO 65807-7301 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
| 1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
| 1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
| 1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
| 1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
| 1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
| 1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
| 1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
| 1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| Find all providers in zip 65807 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518313287 | Prairie Bleeding and Clotting Center | Specialist | 105 S Amos Ave, Springfield, IL 62704-1528 | 2016-05-11 |
| 1043666894 | Nina Olmeda | Specialist | 35 Braywood Cir, Springfield, MA 01151-1036 | 2016-05-11 |
| 1144681214 | Vickiejean Phillips | Specialist | 1332 35th St, Springfield, OR 97478-5554 | 2016-03-16 |
| 1811354681 | Monica M Jones | Specialist | 118 Victory Rd Apt 315, Springfield, NJ 07081-1342 | 2016-01-25 |
| 1215334941 | Brandon Avenue Pediatrics | Specialist | 6126 Brandon Ave, Springfield, VA 22150-2610 | 2014-11-24 |
| 1558766006 | Ozark Retina & Macula | Specialist | 1230 E Kingsley St Ste A, Springfield, MO 65804-7231 | 2014-10-27 |
| 1396146411 | Colin Bailey | Specialist | 155 S Tuttle Rd, Springfield, OH 45505-1560 | 2014-09-08 |
| 1659771350 | Ronnie L. Jackson Md | Specialist | 496 Northcrest Dr, Springfield, TN 37172-3972 | 2014-08-29 |
| 1659781136 | Ashley Foucha | Specialist | 1342 E Primrose St Ste A, Springfield, MO 65804-4224 | 2014-05-05 |
| 1225452881 | Elizabeth Creps | Specialist | 1623 21st St Ste B, Springfield, OR 97477-3417 | 2014-02-18 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65807 |
Please comment or provide details below to improve the information on DR. MICHAEL S CLARKE.
| 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.