CHARLES AMOS CLARK


Address: Vanderbilt University Dept of Medicine, D-3100, Medical Center North, Nashville, TN 37232
Phone: 6153220417

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
TN Q031277 05

Other Providers CHARLES CLARK

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

Office Location

Street Address VANDERBILT UNIVERSITY DEPT OF MEDICINE
D-3100, MEDICAL CENTER NORTH
City NASHVILLE
State TN
Zip Code 37232

Providers in the same zip code

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 Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City NASHVILLE
Zip Code 37232

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Dataset Information

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.

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