MR. DENNIS JAY CLARK JR. (NPI# 1750364188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750364188 |
| Entity Type | Individual |
| Full Name | MR. DENNIS JAY CLARK JR. |
| Credential | PA C |
| Practice Address |
110 Magee Groveton TX 75845-4185 |
| Mailing Address |
Po Box 459 110 Magee Street Groveton TX 75845-0459 |
| Practice Telephone | 9366420841 |
| Practice Fax Number | 9366420849 |
| Mailing Telephone | 9366420841 |
| Mailing Fax Number | 9366420849 |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2010-07-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA 02393 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LICENSE | PA 02393 | 01 |
| TX | 203876201 | 05 | |
| TX | 203876202 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851629422 | Dennis Erin Clark | Registered Nurse | 112 W Mcdonald St, Edgerton, KS 66021-2430 | 2009-11-19 |
| 1780778050 | Dennis Eugene Clark | Dentist | 2121 Leeds Rd, Merced, CA 95340-9651 | 2006-10-03 |
| 1871515643 | Dennis Howard Clark | Dentist | 375 N Stephanie St, Suite #611, Henderson, NV 89014-8771 | 2006-07-24 |
| 1356313969 | Dennis Dewayne Clark | Specialist | 111 Town Center Dr, Anniston, AL 36205-4101 | 2006-02-07 |
| 1750629267 | Dennis Ray Clark | Pharmacist | 162 Ne Beacon Dr, Suite #109, Grants Pass, OR 97526-4260 | 2013-01-18 |
| 1689863805 | Dennis J Clark | Physician Assistant | 1850 E Park Ave, Suite 112, State College, PA 16803-6705 | 2007-10-24 |
| 1386868370 | Dennis P Clark | Dentist | 9430 Sw Coral St, Suite 200, Tigard, OR 97223-6691 | 2007-04-12 |
| 1730220518 | Dennis Clark | Physical Therapist | 4210 Southtown Dr, Eau Claire, WI 54701-2635 | 2007-02-12 |
| 1508964313 | Dennis P Clark | Psychologist | 100 Caldwell Drive, Dubois, PA 15801 | 2006-09-20 |
| 1699700849 | Dennis L Clark | Internal Medicine | 3816 Woodruff Ave, Suite 401, Long Beach, CA 90808-2147 | 2006-07-12 |
| Street Address |
110 MAGEE |
| City | GROVETON |
| State | TX |
| Zip Code | 75845-4185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952869760 | Melanie L Parker | Nurse Practitioner | 110 Magee, Groveton, TX 75845-4185 | 2019-03-11 |
| 1609241157 | D&f Med,llc | Physician Assistant | 110 Magee, Groveton, TX 75845-4185 | 2015-12-09 |
| 1114149671 | D & F Med, LLC | Physician Assistant | 110 Magee, Groveton, TX 75845-4185 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093216343 | Berta Ruth Henderson | Licensed Practical Nurse | 434 Lakeview, Groveton, TX 75845 | 2018-02-22 |
| 1245571355 | Groveton Independent School District | Local Education Agency (LEA) | 207 N Main Street, Groveton, TX 75845 | 2013-03-14 |
| 1174759385 | Lone Star Expeditions, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1728 Forest Road 5101, Groveton, TX 75845 | 2009-06-02 |
| 1568612299 | Groveton I Enterprises, LLC | Assisted Living Facility | 1020 W 1st Street, Groveton, TX 75845 | 2008-09-30 |
| 1811178031 | Keith Edward Jones | Physician Assistant | 110 Magee Street, Groveton, TX 75845 | 2007-11-15 |
| 1376602607 | Groveton Texas Hospital Authority | Nursing Facility/Intermediate Care Facility | 1020 W 1st St, Groveton, TX 75845 | 2006-12-06 |
| 1528041951 | Ira Richard Gillum | Physician Assistant | 104 S Devine, Groveton, TX 75845-0104 | 2005-11-21 |
| 1154304467 | James Michael Cochran | Family Medicine | 104 S Devine, Groveton, TX 75845-0104 | 2005-11-22 |
| 1780710681 | Groveton Texas Hospital Authority | Nursing Facility/Intermediate Care Facility | Box 890 Hwy 287 N, Groveton, TX 75845-0890 | 2007-02-26 |
| 1578063418 | Lori Loving Archambeau | Licensed Vocational Nurse | 8442 N State Highway 94, Groveton, TX 75845-2362 | 2018-02-16 |
| Find all providers in zip 75845 | ||||
| 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 |
|---|---|---|---|---|
| 1528041951 | Ira Richard Gillum | Physician Assistant | 104 S Devine, Groveton, TX 75845-0104 | 2005-11-21 |
| 1104061431 | Lindsey Catherine Foss | Physician Assistant | 47 Church St, Groveton, NH 03582-4061 | 2008-12-16 |
| 1780867994 | Sonya Gilbert | Physician Assistant | 47 Church St, Groveton, NH 03582-4061 | 2007-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700440 | Heather Weir | Physician Assistant | 7331 Gaston Ave Ste 180, Dallas, TX 75214-4131 | 2020-11-03 |
| 1366042335 | Mary Elizabeth Arnold | Physician Assistant | 12455 Longmire Lakeview, Conroe, TX 77304-1087 | 2020-10-29 |
| 1396345443 | Avery Rhodes Schwartz | Physician Assistant | 2206 Latexo Dr, Houston, TX 77018-1717 | 2020-10-28 |
| 1174123111 | Stephanie Rae Moench | Physician Assistant | 1704 Enfield Rd Apt 102, Austin, TX 78703-3348 | 2020-10-28 |
| 1811596927 | Emily Lau | Physician Assistant | 3848 N Tarrant Pkwy Ste 120, Fort Worth, TX 76244-5422 | 2020-10-20 |
| 1720686116 | Richard Magana | Physician Assistant | 1651 Ridgemar Dr, Grand Prairie, TX 75051-3340 | 2020-10-16 |
| 1295333532 | Victoria Jane Campbell | Physician Assistant | 4412 Young Dr, Carrollton, TX 75010-1144 | 2020-10-09 |
| 1134726763 | Barbara Elizabeth Montoya | Physician Assistant | 3309 Nottingham Dr, Laredo, TX 78043-1202 | 2020-10-06 |
| 1376140400 | April L Thepsoumane | Physician Assistant | 4808 Hale Dr, Austin, TX 78749-3711 | 2020-10-01 |
| 1881291938 | Christine Nicole Nott | Physician Assistant | 13325 Hargrave Rd # 240, Houston, TX 77070-4539 | 2020-10-01 |
| 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.