WALTER D CLARK (NPI# 1700864238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700864238 |
| Entity Type | Individual |
| Full Name | WALTER D CLARK |
| Credential | DPM |
| Practice Address |
805 St. Vincent's Drive Suite 420 Birmingham AL 35205-2704 |
| Practice Telephone | 2053248511 |
| Practice Fax Number | 2053148551 |
| Mailing Telephone | 2053248511 |
| Mailing Fax Number | 2053148551 |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2013-11-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 0048 | AL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | CL000070338 | 05 | |
| AL | BLUE CROSS | 051070338 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043875511 | Walter Leland Clark | Counselor | 793 Old Route 119 Hwy North, Indiana, PA 15701 | 2019-05-09 |
| 1811230980 | Walter Otha Clark IIi | Counselor | 3525 Presley Ave, Riverside, CA 92507-4453 | 2013-03-27 |
| 1730301318 | Walter Leighton Clark | Social Worker | 1845 E Rand Rd, Suite 106, Arlington Heights, IL 60004-4356 | 2007-05-03 |
| 1396856605 | Walter J. Clark Jr. | Internal Medicine | University Drive C, Va Pittsburgh Healthcare System, Pittsburgh, PA 15240 | 2006-08-31 |
| 1417933037 | Walter Ken Clark | Social Worker | 126 Missouri Ave, Glwach Attn Mcxp-ccs-cr, Fort Leonard Wood, MO 65473-8952 | 2005-12-15 |
| Street Address |
805 ST. VINCENT'S DRIVE SUITE 420 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35205-2704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154303105 | John L Roberson Jr. | Podiatrist | 805 St. Vincent's Drive, Suite 420, Birmingham, AL 35205-2704 | 2005-11-16 |
| 1477695013 | Birmingham Podiatry PC | Podiatrist | 805 St. Vincent's Drive, Suite 420, Birmingham, AL 35205-2704 | 2007-02-12 |
| 1518944933 | Thomas S Godfryd | Podiatrist | 805 St. Vincent's Drive, Suite 420, Birmingham, AL 35205-2704 | 2005-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124547674 | Serve Home Health Care Agency, LLC | In Home Supportive Care | 2230 Green Springs Hwy S, Birmingham, AL 35205 | 2017-09-15 |
| 1457870487 | Marilyn Bennett Pinson | Pharmacist | Walgreens Store #15144, 3020 Clairmont Ave S, Birmingham, AL 35205 | 2017-09-11 |
| 1639522238 | Dana Rives | Speech-Language Pathologist | St. Vincent's, Building 3, Suite 402, Birmingham, AL 35205 | 2016-07-19 |
| 1760854236 | Raymond Herring | Chiropractor | 1226 29th St S, Apt 18, Birmingham, AL 35205 | 2015-10-23 |
| 1083005813 | Absolutely Amazing Salon | Prosthetic/Orthotic Supplier | 2227 Arlington Avenue, Birmingham, AL 35205 | 2015-02-16 |
| 1396141651 | Alexandria Hutchison | Occupational Therapist | 833 Saint Vincent's Drive, Building 3, Suite 200, Birmingham, AL 35205 | 2014-11-14 |
| 1790028199 | Patrick Ross Owens | Otolaryngology | 833 Saint Vincents Dr Ste 402, Birmingham, AL 35205 | 2013-04-03 |
| 1053657452 | David Mitchell Comfort | Urology | 2716 Hanover Circle, Unit 801, Birmingham, AL 35205 | 2012-12-13 |
| 1598023632 | Kathryn Ashley Bentley | Orthopaedic Surgery | 833 St. Vincent's Drive, Bldg 3, Ste 403, Birmingham, AL 35205 | 2012-04-26 |
| 1114298510 | Natalie Elizabeth George | Physician Assistant | 2100 16th Avenue South, 202, Birmingham, AL 35205 | 2012-01-18 |
| Find all providers in zip 35205 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467804401 | Kevin Garfield | Podiatrist | 1775 E 14 Mile Rd Ste 100, Birmingham, MI 48009-7204 | 2016-07-01 |
| 1528346145 | Kristen Nicole Murray | Podiatrist | 2116 Chapel Hill Road, Birmingham, AL 35216 | 2011-07-31 |
| 1447483961 | Narrows Podiatry LLC | Podiatrist | 153 Narrows Parkway, Suite 102, Birmingham, AL 35242 | 2009-09-01 |
| 1043456254 | Trussville Foot Care Center PC | Podiatrist | 1930 Edwards Lake Rd, Suite 138, Birmingham, AL 35235-3718 | 2008-12-18 |
| 1861516429 | Donald J Garfield Dpm PC | Podiatrist | 1775 E 14 Mile, Birmingham, MI 48009 | 2007-03-19 |
| 1104976679 | Mark L Riley Dpm PC | Podiatrist | 1327 Pierce St, Birmingham, MI 48009 | 2007-01-10 |
| 1356490932 | Mark L Riley | Podiatrist | 1327 Pierce Street, Birmingham, MI 48009 | 2007-01-10 |
| 1780795781 | Mark A Gotfryd | Podiatrist | 1703 Center Point Pkwy, Birmingham, AL 35215-5505 | 2006-08-31 |
| 1861438210 | Kevin L Waldrop | Podiatrist | 1960 Gadsden Hwy, Suite 120, Birmingham, AL 35235-4200 | 2006-06-22 |
| 1093754566 | Donald W Hayes | Podiatrist | 2116 Chapel Hill Rd, Birmingham, AL 35216-5106 | 2006-06-06 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35205 |
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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.