EDWARD DEALLEN CLARK (NPI# 1730294232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730294232 |
| Entity Type | Individual |
| Full Name | EDWARD DEALLEN CLARK |
| Credential | M.D. |
| Practice Address |
1600 W College St Ste Ll10 Grapevine TX 76051-3598 |
| Practice Telephone | 8174107982 |
| Practice Fax Number | 8174107986 |
| Mailing Telephone | 8174107982 |
| Mailing Fax Number | 8174107986 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | K3564 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043570732 | Edward Clark | Counselor | 4015 Nine Mcfarland Dr, Suite #175, Alpharetta, GA 30004-8493 | 2012-05-29 |
| 1093028870 | Edward Derby Clark I | Counselor | 1355 Pebblewood Dr, Sacramento, CA 95833-1612 | 2010-07-21 |
| 1053474080 | Edward Joseph Clark IIi | Radiology | 1705 S. Tarboro St, Wilson, NC 27893 | 2006-12-19 |
| 1205843604 | Edward Mark Clark | Dentist | 5211 Yellowstone Rd, Ste # 1, Cheyenne, WY 82009-4761 | 2006-08-01 |
| 1528074523 | Edward Lee Clark | Dentist | 2727 Sw 17th Pl, Redmond, OR 97756-1297 | 2006-07-31 |
| 1124028311 | Edward C Clark | Ophthalmology | 11355 Pembrooke Sq, Suite 107, Waldorf, MD 20603-4805 | 2005-07-28 |
| 1013917814 | Edward C Clark | Internal Medicine | 311 W 24th St, Suite 402, Erie, PA 16502-2665 | 2005-07-22 |
| 1063072429 | Edward Clark | Technician | 1310 6th St Nw, Washington, DC 20001-3495 | 2019-06-18 |
| 1710490800 | Edward E Clark Jr. | Registered Nurse | 10 Penfield Ave, Akron, OH 44310-2912 | 2017-11-10 |
| 1033638424 | Edward Clark | Licensed Practical Nurse | 6600 E Ben White Blvd, Austin, TX 78741-7537 | 2017-09-17 |
| Street Address |
1600 W COLLEGE ST STE LL10 |
| City | GRAPEVINE |
| State | TX |
| Zip Code | 76051-3598 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881227346 | Jeffrey Joseph Cervenka | Physical Therapist | 2421 Ira E Woods Ave #101, Grapevine, TX 76051 | 2020-02-12 |
| 1871137562 | Karen Lorince | Counselor | 2409 N. Support Road, Grapevine, TX 76051 | 2019-11-05 |
| 1548733785 | Jessica Thorman Johnson | Dietitian, Registered | 1056 Texan Trail (fortis Bmi), Grapevine, TX 76051 | 2019-01-10 |
| 1164928958 | Kristen Diou | Counselor | 913 S Church St Ste 103, Grapevine, TX 76051 | 2018-04-02 |
| 1356860597 | Anissa Singratanakul D.m.d, Pllc | Dentist | 1231 William D Tate Suite 400, Grapevine, TX 76051 | 2017-09-19 |
| 1033637665 | James Abraham Thomas | Pharmacy | 1601 W. State Hwy 114, Grapevine, TX 76051 | 2017-09-04 |
| 1437606563 | D'anna Sims | Counselor | 2451 Stone Myers Parkway, #100, Grapevine, TX 76051 | 2016-09-07 |
| 1477006369 | Melinda Jeanne Mashburn | Nurse Practitioner | 1600 West College St., Suite 60, Grapevine, TX 76051 | 2016-07-27 |
| 1437506623 | Allcare Physicians Group | Registered Nurse | 1111 S Main St Ste 119, Grapevine, TX 76051 | 2016-05-18 |
| 1790141745 | Colwick Counseling | Clinic/Center | 1400 W. Northwest Highway Suite 260, Grapevine, TX 76051 | 2016-01-06 |
| Find all providers in zip 76051 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790171460 | Georgia Leigh Blair | Obstetrics & Gynecology | 1600 W College St Ste 540, Grapevine, TX 76051 | 2015-04-09 |
| 1215166954 | Carrie P. Morris, Md, Pa | Obstetrics & Gynecology | 1600 W College #540, Grapevine, TX 76051 | 2009-07-02 |
| 1417073701 | Kerry D Neal | Obstetrics & Gynecology | 1054 Texan Trl, Ste 100, Grapevine, TX 76051-3784 | 2007-03-21 |
| 1689715252 | Parkhill Physician Group, Pllc | Obstetrics & Gynecology | 1900 Enchanted Way, Suite 100, Grapevine, TX 76051-0965 | 2007-02-08 |
| 1467528711 | Miriam M. Torres | Obstetrics & Gynecology | 220 N Park Blvd Ste 100, Grapevine, TX 76051-6900 | 2006-11-28 |
| 1912935768 | Joseph Richard Kilianski Jr. | Obstetrics & Gynecology | 1600 Lancaster Dr Ste 101, Grapevine, TX 76051-3579 | 2006-06-29 |
| 1194760249 | Comprehensive Womens Healthcare Pa | Obstetrics & Gynecology | 1600 W College Street, Ste 1101, Grapevine, TX 76051 | 2006-06-20 |
| 1659319424 | Rebecca Maring Robert | Obstetrics & Gynecology | 1631 Lancaster Drive, Suite #220, Grapevine, TX 76051-2113 | 2006-06-03 |
| 1962451484 | Scott D Lauer | Obstetrics & Gynecology | 210 N Park Blvd, Ste 105, Grapevine, TX 76051-6985 | 2006-05-10 |
| 1669433140 | Julia C Flowers | Obstetrics & Gynecology | 1600 W College, 540, Grapevine, TX 76051 | 2006-04-01 |
| Find all providers in GRAPEVINE | ||||
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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.