JOSEPH P CLARK (NPI# 1730263922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730263922 |
| Entity Type | Individual |
| Full Name | JOSEPH P CLARK |
| Credential | PA |
| Practice Address |
407 S Clairborne Rd Ste 104 Olathe KS 66062-1744 |
| Mailing Address |
1025 Stone Creek Dr Lawrence KS 66049-4777 |
| Practice Telephone | 9136482226 |
| Mailing Telephone | 7853835827 |
| Mailing Fax Number | 7853545475 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2019-03-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 15-00990 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200305420A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417319161 | Joseph Martin Clark | Radiology | 16 E High St, Lebanon, PA 17042-5454 | 2016-03-22 |
| 1285936005 | Joseph R Clark | Dentist | 42 Georgia Ave, Commerce, GA 30529-2320 | 2010-11-30 |
| 1467776484 | Joseph Lefiever Clark Iv | Nurse Practitioner | 618 Oak St, Graham, TX 76450-3040 | 2010-03-19 |
| 1437354842 | Joseph Patterson Clark | Audiologist | 510 Fleming St Ste D, Hendersonville, NC 28739-4250 | 2007-06-15 |
| 1821217738 | Joseph Allen Clark | Massage Therapist | 3270 Fir Ridge Rd, Lake Oswego, OR 97035-2643 | 2007-04-25 |
| 1194795856 | Joseph D Clark | Psychiatry & Neurology | 81 Hillcrest Dr Ste 1300, Punxsutawney, PA 15767-2605 | 2006-01-25 |
| 1053308288 | Joseph M Clark | Otolaryngology | 1248 Huffman Mill Rd, Ste 201, Burlington, NC 27215-8700 | 2005-10-03 |
| 1164021093 | Joseph Brady Clark | Physical Therapy Assistant | 1030 Scott Dr, Prescott, AZ 86301-4737 | 2020-10-21 |
| 1740814656 | Joseph D Clark | Case Manager/Care Coordinator | 3100 E 45th St Ste 408, Cleveland, OH 44127-1095 | 2020-02-29 |
| 1235626110 | Joseph Louis Clark II | Physical Medicine & Rehabilitation | 11565 Harts Rd, Jacksonville, FL 32218-3777 | 2018-04-17 |
| Street Address |
407 S CLAIRBORNE RD STE 104 |
| City | OLATHE |
| State | KS |
| Zip Code | 66062-1744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063487387 | Emily C. Day | Dentist | 407 S Clairborne Rd Ste 104, Olathe, KS 66062-1744 | 2006-02-21 |
| 1881238392 | Christina Lynne Menager | Psychologist | 407 S Clairborne Rd Ste 104, Olathe, KS 66062-1744 | 2019-10-29 |
| 1669966412 | Anthony A Garcia | Dentist | 407 S Clairborne Rd Ste 104, Olathe, KS 66062-1744 | 2018-06-15 |
| 1154846467 | Amy C Gray | Social Worker | 407 S Clairborne Rd Ste 104, Olathe, KS 66062-1744 | 2017-08-08 |
| 1568992816 | Charlene Elisa Graham | Dental Hygienist | 407 S Clairborne Rd Ste 104, Olathe, KS 66062-1744 | 2017-06-19 |
| 1598204034 | Erika Elizabeth Ortiz | Nurse Practitioner | 407 S Clairborne Rd Ste 104, Olathe, KS 66062-1744 | 2017-02-16 |
| 1770936619 | Tristen Winston | Psychologist | 407 S Clairborne Rd Ste 104, Olathe, KS 66062-1744 | 2016-07-15 |
| 1457705212 | Health Partnership Clinic Inc | Pharmacy | 407 S Clairborne Rd Ste 104, Olathe, KS 66062-1744 | 2016-04-19 |
| 1669858288 | Nader Rastgoftar | Dentist | 407 S Clairborne Rd Ste 104, Olathe, KS 66062-1744 | 2015-08-05 |
| 1124410659 | Haley Jo Kendall | Nurse Practitioner | 407 S Clairborne Rd Ste 104, Olathe, KS 66062 | 2015-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326672353 | Skylar Moore | Behavioral Analyst | 620 S. Rodgers Rd, Olathe, KS 66062 | 2020-02-28 |
| 1013554179 | Maureen Nicole Hernandez | Counselor | 14201 S Mur-len Rd, Suite 106, Olathe, KS 66062 | 2019-12-06 |
| 1326505256 | Gateway of Hope Minisitries Inc | Counselor | 801 N. Murlen Suite 111, Olathe, KS 66062 | 2019-02-27 |
| 1235607698 | Eric Kilii Malombe | Driver | 17525 S Roundtree Drive, Olathe, KS 66062 | 2018-11-04 |
| 1013482504 | Jacqueline Maria Loconsolo | Counselor | 14201 S Mur Len Rd Ste 106, Olathe, KS 66062 | 2018-10-10 |
| 1245710193 | Olathe South Dentistry, Pa | Dentist | 16587 W 151st St, Olathe, KS 66062 | 2018-08-20 |
| 1801389671 | Karen Sue Tennyson | Behavior Technician | 14136 East 135th St., Olathe, KS 66062 | 2018-06-07 |
| 1861901639 | Phye Family Dentistry, P.a. | Dentist | 401 S. Clairborne, Suite A, Olathe, KS 66062 | 2017-09-25 |
| 1689192619 | Briana Purkapile | Occupational Therapy Assistant | 17336 West 158th St., Olathe, KS 66062 | 2017-08-30 |
| 1629591342 | Sbl Enterprises, LLC | Occupational Therapist | 14154 W 156th Lane, Olathe, KS 66062 | 2017-07-25 |
| Find all providers in zip 66062 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093230682 | Salakchit Lyfoung | Physician Assistant | 225 S Normandy St, Olathe, KS 66061 | 2017-08-04 |
| 1447487780 | Veronica M Gavula | Physician Assistant | 20375 W 151st Street, Suite 205, Olathe, KS 66061 | 2009-06-13 |
| 1881850659 | Kerry M Daniels | Physician Assistant | 801 N Mur Len Rd Ste 112, Olathe, KS 66062-1794 | 2008-07-31 |
| 1487868923 | Kristin Kathleen Sands | Physician Assistant | 151 W 151st St, Olathe, KS 66061-5305 | 2007-05-10 |
| 1306973052 | Vicki Lynn Webber | Physician Assistant | 16538 W 159th Ter, Olathe, KS 66062-3924 | 2007-02-28 |
| 1770637209 | Eugene Joseph Lucero | Physician Assistant | 308 Main St., Olathe, CO 81425 | 2007-01-22 |
| 1306917273 | Katerina Ogden | Physician Assistant | 15435 W 134th Place, Suite 101, Olathe, KS 66062 | 2006-11-13 |
| 1396827267 | Cecil A Vandenabeele | Physician Assistant | 20805 W 151st St Ste 224, Olathe, KS 66061-7249 | 2006-10-20 |
| 1932217296 | Michelle S Eaton | Physician Assistant | 16575 W 119th St, Olathe, KS 66061-7770 | 2006-08-28 |
| 1972555985 | Terri Jo Hinton | Physician Assistant | 15435 West 134th Place, Ste 103, Olathe, KS 66062 | 2006-05-17 |
| Find all providers in OLATHE | ||||
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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.