CHARLES AMOS CLARK (NPI# 1649680406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649680406 |
Entity Type | Individual |
Full Name | CHARLES AMOS CLARK |
Credential | M.D. |
Practice Address |
Vanderbilt University Dept of Medicine D-3100, Medical Center North Nashville TN 37232 |
Mailing Address |
719 Thompson Ln Ste 30330 Nashville TN 37204-4701 |
Practice Telephone | 6153220417 |
Mailing Telephone | 6159362000 |
Mailing Fax Number | 6159360605 |
Enumeration Date | 2014-05-02 |
Last Update Date | 2020-10-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | 56206 | TN | Allopathic & Osteopathic Physicians |
N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
56206 | TN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | Q031277 | 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 |
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 |
1093722902 | Charles Kevin Clark | Physical Therapist | 10214 N Tatum Blvd, Suite B-500, Phoenix, AZ 85028-4224 | 2006-08-02 |
Street Address |
VANDERBILT UNIVERSITY DEPT OF MEDICINE D-3100, MEDICAL CENTER NORTH |
City | NASHVILLE |
State | TN |
Zip Code | 37232 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831717578 | Kathleen Elizabeth Quick | Audiologist | 1215 21st Avenue South, Mce, South Tower, 9th Floor, Nashville, TN 37232 | 2020-07-09 |
1609497700 | Alissar El Chediak | Student in an Organized Health Care Education/Training Program | 1161 21st Ave South, Mcn S3307, Division of Nephrology, Nashville, TN 37232 | 2020-04-29 |
1386209690 | David William John Armstrong | Student in an Organized Health Care Education/Training Program | 1215 21st Ave S 5th Floor, Nashville, TN 37232 | 2019-05-02 |
1063075331 | Margaret Elizabeth Galloway | Student in an Organized Health Care Education/Training Program | Vanderbilt Univ. Medical Center 2301 Vuh, Office of Educational Affairs, Dept. of Anesthesiol, Nashville, TN 37232 | 2019-04-22 |
1457832420 | Jill Murphree | Dietitian, Registered | 1211 21st Avenue, Medical Arts Building Ste 514, Nashville, TN 37232 | 2018-08-27 |
1861980757 | Ryan Chaliff | Student in an Organized Health Care Education/Training Program | Department of Oral & Maxillofacial Surgery, T-4323a Medical Center North 1161 21st Avenue South, Nashville, TN 37232 | 2018-04-25 |
1023505385 | Nelly-ange Kontchou | Student in an Organized Health Care Education/Training Program | 1161 21st Avenue South, Medical Center N, Suite Ccc-4312, Nashville, TN 37232 | 2018-04-21 |
1396232377 | Katie Lee Ford | Student in an Organized Health Care Education/Training Program | 2200 Children's Way, 8161 Dot, Nashville, TN 37232 | 2018-04-16 |
1073015814 | Nicole Sapone Mandrycky | Nurse Practitioner | 1161 21st Ave. S, Mcn D2106, Nashville, TN 37232 | 2018-03-07 |
1992220982 | Alanna Salituro | Physical Therapist | 1215 21st Ave. S., Medical Center East, South Tower, Voi, Nashville, NJ 37232 | 2017-08-10 |
Find all providers in zip 37232 |
Taxonomy Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
---|---|---|---|---|
1881179844 | Mtn Care, Pllc | Internal Medicine | 5543 Edmondson Pike # 231, Nashville, TN 37211-5808 | 2018-09-26 |
1649706789 | Kathleen M Pollard | Internal Medicine | 30601 The Vanderbilt Clinic, Nashville, TN 37232-1447 | 2017-05-11 |
1780129858 | Mark Edwin Frisse | Internal Medicine | 3707 Wimbledon Rd, Nashville, TN 37215-1819 | 2016-12-28 |
1821548280 | Tristar Medical Group - Legacy Health, LLC | Internal Medicine | 2400 Patterson Street, Suite 418, Nashville, TN 37203-1575 | 2016-10-10 |
1346695608 | Jacob Franco | Internal Medicine | 719 Thompson Lane, Suite 30330, Nashville, TN 37204-3150 | 2016-04-25 |
1578917811 | Susanna Awoyode | Internal Medicine | 1005 Dr. D.b. Todd Junior Boulevard., Nashville, TN 37208 | 2016-04-22 |
1215381868 | Angela Chen | Internal Medicine | 719 Thompson Ln Fl 2, Nashville, TN 37204-3609 | 2016-04-20 |
1487008496 | Imran Huda | Internal Medicine | 4230 Harding Pike Ste 201, Nashville, TN 37205-6047 | 2016-04-15 |
1215323357 | Nichelle Irene Winters | Internal Medicine | 2215 Garland Ave, D-3100, Medical Center North, Nashville, TN 37232-2358 | 2015-04-15 |
1790171544 | Gerald Obinna Onuoha II | Internal Medicine | 1037 31st Ave N Apt B, Nashville, TN 37209-2601 | 2015-04-08 |
Find all providers in NASHVILLE |
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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.