STANLEY EVERETT CLARK (NPI# 1629016951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629016951 |
| Entity Type | Individual |
| Full Name | STANLEY EVERETT CLARK |
| Credential | MD |
| Practice Address |
801 S Washington St 4th Floor Naperville IL 60540-7430 |
| Mailing Address |
1919 S Highland Ave Suite B202 Attn Jan Lewis Lombard IL 60148-6153 |
| Practice Telephone | 6305272730 |
| Mailing Telephone | 6302681102 |
| Mailing Fax Number | 6302681125 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2018-01-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
036-076796 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036076796 | 05 | |
| RAILROAD MEDICARE | 060058114 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376978239 | Stanley D. Clark | Pharmacist | 2501 Poppy Dr, Burlingame, CA 94010-5533 | 2013-09-11 |
| 1639225501 | Stanley Clark | Orthopaedic Surgery | 3291 Loma Vista Rd, Ventura, CA 93003-3099 | 2007-01-25 |
| 1356418966 | Stanley D Clark Jr. | Psychologist | 2106 Treasure Hills Blvd, Harlingen, TX 78550-8736 | 2006-11-29 |
| 1770591620 | Stanley Corbin Clark | Urology | 9690 S 1300 E, 100, Sandy, UT 84094-3721 | 2006-08-04 |
| Street Address |
801 S WASHINGTON ST 4TH FLOOR |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60540-7430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790772457 | Stephen P Baldwin | Internal Medicine | 801 S Washington St, 3rd Floor, Naperville, IL 60540-7430 | 2005-09-28 |
| 1528680360 | Jennifer Lynne Hemmer | Nurse Practitioner | 801 S Washington St, Naperville, IL 60540-7430 | 2020-05-14 |
| 1174006290 | Mary Lyons | Clinical Nurse Specialist | 801 S Washington St, Naperville, IL 60540-7430 | 2018-09-13 |
| 1164902318 | Clayton Shelton | Physician Assistant | 801 S Washington St, Naperville, IL 60540-7430 | 2018-08-17 |
| 1891287926 | Ashley Katherine Pinckney | Nurse Practitioner | 801 S Washington St, Naperville, IL 60540-7430 | 2018-06-04 |
| 1174029615 | Heather Mcleland | Nurse Practitioner | 801 S Washington St, Naperville, IL 60540-7499 | 2018-04-03 |
| 1225540305 | Mary E Gardner | Dietitian, Registered | 801 S Washington St, Naperville, IL 60540-7430 | 2017-10-30 |
| 1457877839 | Kaitlyn Rose Rosales | Registered Nurse | 801 S Washington St, Naperville, IL 60540-7430 | 2017-08-17 |
| 1124559117 | Maulik Patel | Internal Medicine | 801 S Washington St, Naperville, IL 60540-7499 | 2017-03-22 |
| 1568903565 | Associated Pathologists and Laboratory Physicians, LLC | Pathology | 801 S Washington St, Edward Hospital Pathology, Naperville, IL 60540-7430 | 2017-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760007678 | Mandalai Oral and Maxillofacial Surgery PC | Oral & Maxillofacial Surgery | 720 S. Brom Drive Suite 103, Naperville, IL 60540 | 2020-06-16 |
| 1316418957 | James Edward Frank | Counselor | 600 South Washington Street, Suite 302, Naperville, IL 60540 | 2018-12-07 |
| 1093208332 | Ingrid Johnson | Developmental Therapist | Right Start Pediatric Therapies, 50 S Main St Suite 200, Naperville, IL 60540 | 2018-06-12 |
| 1225528524 | Tara Rada Nieberding | Contractor | 1701 Quincy Ave Ste 12, Naperville, IL 60540 | 2018-05-14 |
| 1588182190 | Debra Xiangjun Hayes | Acupuncturist | 226 N Washington St # 2, Naperville, IL 60540 | 2017-09-03 |
| 1487197166 | Health Improvement and Preventive Services LLC | Family Medicine | 1979 Mcdowell Rd., Suite 103, Naperville, IL 60540 | 2016-11-29 |
| 1588013775 | Matthew Jacob Imber | Chiropractor | 1220 Hobson Rd Ste 220, Naperville, IL 60540 | 2016-06-08 |
| 1457711418 | Elite Pain Medical Group Inc | Physical Medicine & Rehabilitation | 720 South Brom Drive, Suite 201, Naperville, IL 60540 | 2016-03-03 |
| 1265814800 | Jenifer Lynn Mersman | Chiropractor | 475 River Bend Rd. Suite 104, Naperville, IL 60540 | 2015-06-19 |
| 1386038016 | Jonathon Martin Ruiz | Specialist/Technologist | 440 N Brainard Street, Naperville, IL 60540 | 2015-03-19 |
| Find all providers in zip 60540 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326337130 | Owais M Malick | Internal Medicine | 801 S Washington St Fl 4, Naperville, IL 60540-7430 | 2011-04-01 |
| 1649386400 | Edward Cardiovascular Institute | Internal Medicine | 801 South Washington, Naperville, IL 60540 | 2006-08-22 |
| 1932542578 | Devin Kirit Patel | Internal Medicine | 100 Spalding Dr Ste 400, Naperville, IL 60540-6554 | 2013-04-13 |
| 1679753164 | Aman Ali | Internal Medicine | 801 S Washington St, 4th Floor, Naperville, IL 60566-7226 | 2007-11-13 |
| 1275650632 | Sujith Jeejy Kalathiveetil | Internal Medicine | 100 Spalding Dr, Suite 212, Naperville, IL 60540-6550 | 2007-03-23 |
| 1972665990 | Cardiovascular Consultants of Naperville, Ltd. | Internal Medicine | 100 Spalding Dr, Suite 212, Naperville, IL 60540-6550 | 2006-12-15 |
| 1588750327 | Sharon L. Cline | Internal Medicine | 100 Spalding Dr, Suite 212, Naperville, IL 60540-6550 | 2006-10-05 |
| 1801983648 | James P. Ostrenga | Internal Medicine | 100 Spalding Drive, Suite 212, Naperville, IL 60540 | 2006-10-05 |
| 1265525729 | Mark R. Ottolin | Internal Medicine | 100 Spalding Drive, Suite 212, Naperville, IL 60504-6552 | 2006-10-02 |
| 1568473502 | Edward Hospital | Internal Medicine | 801 S Washington St, Naperville, IL 60540-7430 | 2006-08-11 |
| Find all providers in NAPERVILLE | ||||
| City | NAPERVILLE |
| Zip Code | 60540 |
Please comment or provide details below to improve the information on STANLEY EVERETT 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.