MARK CLARK (NPI# 1710265160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710265160 |
| Entity Type | Individual |
| Full Name | MARK CLARK |
| Practice Address |
6646 Highway 50 Gerald MO 63037-2700 |
| Practice Telephone | 5737645707 |
| Practice Fax Number | 5737645207 |
| Mailing Telephone | 5737645707 |
| Mailing Fax Number | 5737645207 |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2011-08-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912324351 | Mark Clark | Podiatrist | 2300 Coronado Rd, Pueblo, CO 81003-1840 | 2014-03-24 |
| 1215255682 | Mark P Clark | Counselor | 11 Brandywine Dr, Cincinnati, OH 45246-3809 | 2010-05-11 |
| 1609006022 | Mark H. Clark | Pharmacist | 2901 N Dallas Parkway, Suite 420, Plano, TX 75093 | 2009-07-20 |
| 1588856827 | Mark Brian Clark | Registered Nurse | 3420 Box Elder, Evergreen, CO 80439-7841 | 2007-08-10 |
| 1154549061 | Mark W Clark | Nurse Anesthetist, Certified Registered | 1201 First St, Kennett, MO 63857 | 2007-04-23 |
| 1720119167 | Mark Clark | Counselor | 1366 W Indian Hills Dr Unit 69, Saint George, UT 84770-1885 | 2007-03-08 |
| 1205989605 | Mark Daniel Clark | Anesthesiology | 3735 Norton Hills Rd, Norton Shores, MI 49441-4469 | 2007-01-19 |
| 1407903693 | Mark Allen Clark | Nurse Practitioner | 111 Park Hill Dr # A, Fredericksburg, VA 22401-3357 | 2007-01-03 |
| 1447352828 | Mark Wayne Clark | Dentist | G-3550 Flushing Rd, Flint, MI 48504 | 2006-09-05 |
| 1407958291 | Mark Clark | Family Medicine | 7477 S State Rd, Goodrich, MI 48438-8745 | 2006-09-02 |
| Street Address |
6646 HIGHWAY 50 |
| City | GERALD |
| State | MO |
| Zip Code | 63037-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942516141 | Tracy H Boatright | Pharmacist | 733 W. Springfield, Gerald, MO 63037 | 2010-08-25 |
| 1871807982 | Medley Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 733 W Springfield Rd, Gerald, MO 63037 | 2010-07-30 |
| 1932294311 | Gerald Area Ambulance District | Ambulance | 719 West End Street, Gerald, MO 63037 | 2006-10-03 |
| 1104965052 | Gerald Pharmacy Inc | Pharmacy | 205 S Main, Gerald, MO 63037-0049 | 2007-02-06 |
| 1417314097 | Ethan Joers | Physical Therapy Assistant | 5640 Highway Y, Gerald, MO 63037-1204 | 2016-01-27 |
| 1922252634 | Medley Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 733 W Springfield Ave, Gerald, MO 63037-2135 | 2008-11-07 |
| 1225240898 | Janelle Marie Rasmussen | Physical Therapy Assistant | 735 W Springfield Ave, Gerald, MO 63037-2135 | 2007-05-04 |
| 1487621256 | Jennifer Scheer | Family Medicine | 739 W Springfield Ave, Gerald, MO 63037-2135 | 2006-03-01 |
| 1477092062 | Sarah Dobsch | Nurse Practitioner | 739 W Springfield Ave, Gerald, MO 63037-2135 | 2017-02-16 |
| 1780873950 | Patricia Ann Flamion | Nurse Practitioner | 739 W Springfield Ave, Gerald, MO 63037-2135 | 2007-10-23 |
| Find all providers in zip 63037 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457872160 | Jessica Luster | Technician, Other | 1109 Jones St., Kennett, MO 63857 | 2017-07-03 |
| 1639609209 | Lice Busters St. Louis LLC | Technician, Other | 7923 Big Bend Blvd, Saint Louis, MO 63119-2703 | 2017-06-15 |
| 1831628247 | Lice Clinics of America | Technician, Other | 39 Fox Valley, Arnold, MO 63010 | 2017-06-08 |
| 1316470693 | Mjt Enterprises | Technician, Other | 1053 S Callahan Rd, Wentzville, MO 63385-4701 | 2017-04-04 |
| 1790217685 | Twoanda Benton | Technician, Other | 6219 Lenox Ave, Saint Louis, MO 63133-2223 | 2017-03-30 |
| 1700327426 | Heartland Healthy Heads North | Technician, Other | 6 Victory Ln Ste 5, Liberty, MO 64068-3805 | 2017-03-14 |
| 1295284321 | Hannah Egbert | Technician, Other | 701 E Cleveland St, Hayti, MO 63851-1270 | 2016-09-30 |
| 1114378494 | Haley Elizabeth Ford | Technician, Other | 500 Highway J # 61jn, Hayti, MO 63851-1200 | 2016-06-28 |
| 1801259387 | Richard Justin Huber | Technician, Other | 3005 Warrior Ln, Poplar Bluff, MO 63901 | 2016-04-01 |
| 1710375811 | Jeremy Winstead | Technician, Other | 500 Highway J North, Hayti, MO 63851 | 2014-12-26 |
| Find all providers with the same taxonomy | ||||
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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.