BISHOD Q CLARK


Address: 10080 Hillview Dr Apt 153-d, Pensacola, FL 32514-5499
Phone: 8505015002

BISHOD Q CLARK (NPI# 1659903110) 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) 1659903110
Entity Type Individual
Full Name BISHOD Q CLARK
Practice Address 10080 Hillview Dr Apt 153-d
Pensacola
FL 32514-5499
Practice Telephone 8505015002
Mailing Telephone 8505015002
Enumeration Date 2020-02-12
Last Update Date 2020-02-12
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 10080 HILLVIEW DR APT 153-D
City PENSACOLA
State FL
Zip Code 32514-5499

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568920643 Cameron Rae Mackey Student in an Organized Health Care Education/Training Program 9091 Aiway Dr, Apt 622, Pensacola, FL 32514 2019-03-07
1083182612 B & B of Pensacola LLC Home Health 2024 E Olive Rd, Pensacola, FL 32514 2018-11-13
1902398423 Chana Levy Developmental Therapist 10080 Hillview Dr # 387b, Pensacola, FL 32514 2018-05-31
1629407663 James Daniel Langston Registered Nurse 8383 North Davie Highway, Pensacola, FL 32514 2013-11-08
1174956197 Valerie Kuloba Pharmacist 9251 University Parkway, Pensacola, FL 32514 2013-08-13
1548550924 Pamela Lynn Trammel Nurse Practitioner 8383 North Davis Hywy, West Florida Hospital, Pensacola, FL 32514 2011-04-19
1659609378 Michael Smith Physical Therapy Assistant 10100 Hillveiw Dr., Pensacola, FL 32514 2009-11-19
1154582906 Karen Buchanan Bailey Dentist 2322 Copter Road, Pensacola, FL 32514 2008-06-24
1811181985 Sandra Paquingan Kloman Registered Nurse 9400 University Parkway #10c, Medical Professional Agency, Pensacola, FL 32514 2007-08-31
1083826523 Renfroe Spinal Center LLC Chiropractor 1421 East Nine Mile Rd, Pensacola, FL 32514 2007-05-04
Find all providers in zip 32514

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841801453 Madeline Wingard Student in an Organized Health Care Education/Training Program 4835 Randee Cir, Pensacola, FL 32526-2050 2020-08-17
1588275192 Brittany Stretch Student in an Organized Health Care Education/Training Program 1801 E Maxwell St, Pensacola, FL 32503-5464 2020-08-17
1285245894 Farrukh Shahzad Student in an Organized Health Care Education/Training Program 5001 Grande Dr Apt 821, Pensacola, FL 32504-8955 2020-08-17
1588280770 Adam Lavan Student in an Organized Health Care Education/Training Program 15 Billingsley Dr, Pensacola, FL 32508-1029 2020-06-23
1043847353 Darcy Suzanne Robbins Student in an Organized Health Care Education/Training Program 2132 Oakstream Ave, Pensacola, FL 32526-8894 2020-03-25
1427680396 Sam Oliver Borowski Student in an Organized Health Care Education/Training Program 2240 Dupont Dr, Pensacola, FL 32503-4212 2020-02-10
1972164598 Yabin Chen Student in an Organized Health Care Education/Training Program Fairfield Pediatrics, 1295 W. Fairfield Drive, Pensacola, FL 32501 2019-06-25
1336700038 Michael Enriquez Student in an Organized Health Care Education/Training Program Fairfield Pediatrics- Community Health Nw Fl, 1295 W Fairfield Drive, Pensacola, FL 32501 2019-06-24
1396309092 Elanor Peterson Student in an Organized Health Care Education/Training Program 1800 E Jordan St, Pensacola, FL 32503-5455 2019-04-28
1568920643 Cameron Rae Mackey Student in an Organized Health Care Education/Training Program 9091 Aiway Dr, Apt 622, Pensacola, FL 32514 2019-03-07
Find all providers in PENSACOLA

Competitor

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City PENSACOLA
Zip Code 32514

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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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