DR. KRISTIN L CLARK (NPI# 1770617102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770617102 |
| Entity Type | Individual |
| Full Name | DR. KRISTIN L CLARK |
| Credential | MD |
| Practice Address |
3495 Bailey Ave Buffalo NY 14215-1129 |
| Mailing Address |
109 Shellridge Dr East Amherst NY 14051-1372 |
| Practice Telephone | 7168628787 |
| Mailing Telephone | 7166891015 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 226270-1 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619391059 | Kristin Clark | Registered Nurse | 1229 S. Wheeling Way, Aurora, CO 80012 | 2014-02-05 |
| 1336466283 | Kristin Dumboski Clark | Dentist | 5401 John F Kennedy Blvd, Suite H, North Little Rock, AR 72116-6756 | 2010-04-30 |
| 1164745980 | Kristin Clark | Acupuncturist | 424 Wayne Road, Rochelle, IL 61068-9063 | 2010-03-08 |
| 1932177508 | Kristin Clark | Family Medicine | 5018 Dorsey Hall Dr, Suite 104, Ellicott City, MD 21042-7855 | 2006-03-09 |
| 1982255790 | Kristin Ann Clark | Behavior Technician | 2730 Shadelands Dr Bldg 10, Walnut Creek, CA 94598-2538 | 2019-09-23 |
| 1982252011 | Kristin Michelle Clark | Licensed Practical Nurse | 997 Saint Paul St, Rochester, NY 14605-1051 | 2019-09-02 |
| 1285103762 | Kristin C Clark | Radiology Practitioner Assistant | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2018-11-14 |
| 1275993339 | Kristin Tai Clark | Marriage & Family Therapist | 5150 E Pacific Coast Hwy, Suite 100, Long Beach, CA 90804 | 2016-03-02 |
| 1174918213 | Kristin Clark | Behavioral Analyst | 6 Strathmore Rd, Natick, MA 01760-2419 | 2015-04-06 |
| 1164764585 | Kristin Elise Clark | Anesthesiology | 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | 2013-03-24 |
| Street Address |
3495 BAILEY AVE |
| City | BUFFALO |
| State | NY |
| Zip Code | 14215-1129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659377968 | Deborah Lynn Farolino | Internal Medicine | 3495 Bailey Ave, Buffalo, NY 14215-1129 | 2005-06-22 |
| 1932727799 | Kaitlyn Starr | Pharmacist | 3495 Bailey Ave, Buffalo, NY 14215-1129 | 2020-07-08 |
| 1992322622 | Michael Thomas Carter | Pharmacist | 3495 Bailey Ave, Buffalo, NY 14215-1129 | 2020-06-29 |
| 1194348912 | Shyamashree Sinha | Student in an Organized Health Care Education/Training Program | 3495 Bailey Ave, Buffalo, NY 14215-1129 | 2020-05-27 |
| 1497378095 | Peter Thomas Hibl | Chiropractor | 3495 Bailey Ave, Buffalo, NY 14215-1129 | 2020-05-19 |
| 1811529076 | Esther Lee | Student in an Organized Health Care Education/Training Program | 3495 Bailey Ave, Buffalo, NY 14215-1129 | 2020-02-06 |
| 1982236139 | Andrew Dobmeier | Student in an Organized Health Care Education/Training Program | 3495 Bailey Ave, Buffalo, NY 14215-1129 | 2020-02-06 |
| 1174163299 | Rachel Atkinson | Social Worker | 3495 Bailey Ave, Buffalo, NY 14215-1129 | 2020-01-07 |
| 1568008308 | Kristen Tilson | Dietitian, Registered | 3495 Bailey Ave, Buffalo, NY 14215-1129 | 2019-11-26 |
| 1942842315 | Richard Justin Moore | Pharmacist | 3495 Bailey Ave, Buffalo, NY 14215-1129 | 2019-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497366413 | Krista Lea Marita Koskinen | Student in an Organized Health Care Education/Training Program | 462 Grider Street, 11th Floor, Erie County Medical Cent, Buffalo, NY 14215 | 2020-08-13 |
| 1851919112 | Temitope Oluwaseun Ajayi | Student in an Organized Health Care Education/Training Program | 132 Affinity Lane, Buffalo, NY 14215 | 2020-07-13 |
| 1134741986 | Alexandra Lucia Tibil | Student in an Organized Health Care Education/Training Program | 462 Grider Street, Erie County Medical Center David K., Buffalo, NY 14215 | 2020-05-15 |
| 1093336646 | Sanjeevani Tomar | Student in an Organized Health Care Education/Training Program | University At Buffalo-suny, Department of Medicine, 462 Grider Street, Buffalo, NY 14215 | 2020-05-05 |
| 1982225926 | Rohan Pandey | Student in an Organized Health Care Education/Training Program | 462 Grider St. Erie County Medical Center, Buffalo, NY 14215 | 2020-04-30 |
| 1235759911 | Michael William O'donnell | Student in an Organized Health Care Education/Training Program | Erie County Medical Center Dk Miller Building, 462 Grider Street, Buffalo, NY 14215 | 2020-04-22 |
| 1780204883 | Ishwor Sharma | Student in an Organized Health Care Education/Training Program | Ecmc 462, Grider Street, Dk Miller Bldg, First Floor, Room C100-b, Buffalo, NY 14215 | 2020-04-20 |
| 1174142632 | Salman Masood | Student in an Organized Health Care Education/Training Program | 462 Grider Street Buffalo, Ny 14215, Buffalo, NY 14215 | 2020-04-14 |
| 1730718354 | Charles Feng Hua Zhang | Student in an Organized Health Care Education/Training Program | Erie County Medical Center, 462 Grider Street, Buffalo, NY 14215 | 2020-04-06 |
| 1700415650 | Joseph Charles L'huillier | Student in an Organized Health Care Education/Training Program | General Surgery Residency Program, Ecmc, Dk Miller Bdg, 462 Grider Street, Buffalo, NY 14215 | 2020-04-03 |
| Find all providers in zip 14215 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366076663 | Wny Community Health Centers, Inc | Internal Medicine | 135 Grant Street, Buffalo, NY 14213 | 2020-02-25 |
| 1992216907 | Providence Therapeutics, LLC | Internal Medicine | 141 Elm St Apt 3c, Buffalo, NY 14203-2083 | 2017-10-17 |
| 1598291866 | Muhammad Umar Bilal | Internal Medicine | 2157 Main Street, 5th Floor, University At Buffalo Chs Internal Medicine Training Pr, Buffalo, NY 14214 | 2017-05-05 |
| 1487180105 | Sandeep Kumar | Internal Medicine | 100 High Street - Buffalo General Medical Center, Buffalo, NY 14203 | 2017-05-02 |
| 1194072405 | Shameem Ahmad Beigh | Internal Medicine | 2157 Main Street, Sisters of Charity Hospital, Internal Medicine Residency Program, Buffalo, NY 14214-2080 | 2012-08-07 |
| 1598086902 | Lionel A. Sifontes, M.d, P.C. | Internal Medicine | 2772 Main St, Buffalo, NY 14214-1704 | 2010-06-21 |
| 1023338118 | Jeremiah O Sullivan Md PC | Internal Medicine | 2218 Main St, Buffalo, NY 14214-2635 | 2010-06-11 |
| 1518198993 | Marija Radovic | Internal Medicine | General Internal Medicine-e2 Buffalo General Hospital, 100 High Street, Buffalo, NY 14203 | 2009-08-03 |
| 1104075308 | Jiyeon Jung | Internal Medicine | 1500 Broadway Ave, Buffalo, NY 14212-1845 | 2008-09-11 |
| 1770778045 | Manoj Jacob Mammen | Internal Medicine | 100 High St # B-8, Department of Medicine, Buffalo, NY 14203-1126 | 2007-09-10 |
| Find all providers in BUFFALO | ||||
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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.