SHAUN M CLARKE (NPI# 1639187230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639187230 |
| Entity Type | Individual |
| Full Name | SHAUN M CLARKE |
| Credential | PA-C |
| Practice Address |
177 N. Barlow Rd. Lincoln MI 48742 |
| Mailing Address |
Po Box 279 Lincoln MI 48742-0279 |
| Practice Telephone | 9897368157 |
| Mailing Telephone | 9897368157 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601004561 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 640 Court St, West Branch, MI 486619390 | 9893458130 | 9893458129 |
| Street Address |
177 N. BARLOW RD. |
| City | LINCOLN |
| State | MI |
| Zip Code | 48742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891085486 | Alcona Citizens for Health, Inc. | Pharmacy | 177 N Barlow, Lincoln, MI 48742 | 2011-04-15 |
| 1619193687 | David Leigh Snyder | Pharmacist | 301 Second St., Lincoln, MI 48742 | 2007-04-18 |
| 1821045733 | Steven Rolland Hensel | Dentist | 324 N Barlow Rd, Lincoln, MI 48742 | 2006-05-27 |
| 1881649986 | Snyders Lincoln Pharmacy Inc | Pharmacy | 301 Second Street, Lincoln, MI 48742 | 2006-05-24 |
| 1194212480 | Marcie Storey | Social Worker | 181 N Barlow Rd, Lincoln, MI 48742 | 2018-04-23 |
| 1326327271 | Xiao Cheng | Pharmacist | 177 N Barlow Rd, Lincoln, MI 48742 | 2011-08-10 |
| 1750770475 | Anne G. Milewski | Massage Therapist | 1260 N Hubbard Lake Rd, Lincoln, MI 48742-9231 | 2015-01-19 |
| 1386804920 | Andrew J Krapohl | Obstetrics & Gynecology | 4319 N Weasel Trl, Lincoln, MI 48742-9657 | 2008-06-16 |
| 1073511168 | Atrium Lincoln Haven Inc. | Skilled Nursing Facility | 950 N Barlow Rd, Lincoln, MI 48742-9707 | 2005-07-12 |
| 1386830313 | Bridget Edana Forbes | Registered Nurse | 2794 N Barlow Rd, Lincoln, MI 48742-9738 | 2007-09-24 |
| Find all providers in zip 48742 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619580156 | Alana M Oster | Physician Assistant | 129 Chapel St, Lincoln, RI 02865-2119 | 2020-08-25 |
| 1871143891 | Ashley Moreau | Physician Assistant | 4 Lauretta Ln, Lincoln, RI 02865-1338 | 2019-09-12 |
| 1013574862 | Erin Grace Dragoo | Physician Assistant | 2310 Wesley Dr, Lincoln, NE 68512-3704 | 2019-05-28 |
| 1629535521 | Jason Theodore | Physician Assistant | 4615 Meredeth St Apt 6, Lincoln, NE 68506-4973 | 2019-02-27 |
| 1144674276 | Austin Bryce Henslee | Physician Assistant | 575 S 70th St Ste 310, Lincoln, NE 68510 | 2016-04-14 |
| 1790163814 | Mary Elizabeth Tucker | Physician Assistant | 1500 S 48th St., Suite 800, Lincoln, NE 68506-1200 | 2015-05-08 |
| 1942542790 | Linda Denise Corr | Physician Assistant | 4451 N 26th St Ste 1000, Lincoln, NE 68521-4144 | 2013-03-20 |
| 1669734794 | Kimberly Kathryn Piening | Physician Assistant | 1101 S 70th St Ste 100, Lincoln, NE 68510-4293 | 2012-06-14 |
| 1548521933 | Terumi Degraw | Physician Assistant | 1715 S 26th St, Lincoln, NE 68502-3061 | 2012-06-02 |
| 1609103415 | Kristen Alyce Bruening | Physician Assistant | 8550 Cuthills Cir, Lincoln, NE 68526-9474 | 2009-11-16 |
| Find all providers in LINCOLN | ||||
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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.