KAREN ELIZABETH TEAGUE CLARK (NPI# 1811196801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811196801 |
| Entity Type | Individual |
| Full Name | KAREN ELIZABETH TEAGUE CLARK |
| Credential | PA-C |
| Practice Address |
1414 Yanceyville Street Greensboro NC 27405 |
| Practice Telephone | 3365748000 |
| Practice Fax Number | 3365748008 |
| Mailing Telephone | 3365748000 |
| Mailing Fax Number | 3365748008 |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2007-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1414 YANCEYVILLE STREET |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649236845 | Headache Wellness Center PC | Specialist | 1414 Yanceyville Street, First Floor, Greensboro, NC 27405-6930 | 2006-04-25 |
| 1811086242 | Headache Wellness Center PC | Specialist | 1414 Yanceyville Street, First Floor, Greensboro, NC 27405-6930 | 2006-10-12 |
| 1710944756 | Marshall Craig Freeman | Specialist | 1414 Yanceyville Street, First Floor, Greensboro, NC 27405-6930 | 2006-04-26 |
| 1629035548 | James U Adelman | Specialist | 1414 Yanceyville Street, First Floor, Greensboro, NC 27405-6930 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477038727 | Miya Jackson | Behavior Technician | 2308 Golden Gate Dr, Apt G, Greensboro, NC 27405 | 2018-10-02 |
| 1821576299 | Woodrow Eric Bradley | Day Training/Habilitation Specialist | 1403 Woocbriar Ave, Greensboro, NC 27405 | 2018-07-30 |
| 1922593094 | Constance Foushee | Nurse Practitioner | 1100 E. Wendover, Greensboro, NC 27405 | 2018-06-29 |
| 1760972434 | Ayana Linette Holland | Home Health Aide | 1417 Old Hickory Dr, Greensboro, NC 27405 | 2018-05-17 |
| 1790294700 | G. Antoine Gray | Specialist | 2100 Phillips Avenue, Suite B, Greensboro, NC 27405 | 2017-09-21 |
| 1306375910 | Wendy Carisa Boger | Registered Nurse | 1100 East Wendover Avenue, Greensboro, NC 27405 | 2017-06-07 |
| 1659827715 | Changing Paths Counseling Center Pllc | Community/Behavioral Health | 1600 E Wendoer Ave., Suite C, Greensboro, NC 27405 | 2016-08-29 |
| 1295187896 | Amanda Kirby Counseling, PC | Counselor | 1175 Revolution Mill Drive, Suite 29-2, Greensboro, NC 27405 | 2016-07-07 |
| 1780049429 | Pta | Residential Treatment Facility, Physical Disabilities | 1900 Sheldon Road, Greensboro, NC 27405 | 2015-12-23 |
| 1841655644 | Amaya Nicole Hardy | Counselor | 1600r E Wendover Ave Ste R, Greensboro, NC 27405 | 2015-12-21 |
| Find all providers in zip 27405 | ||||
| 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 |
|---|---|---|---|---|
| 1548873433 | Olivia Mustin Clelland | Physician Assistant | 301 E Wendover Ave Ste 200, Greensboro, NC 27401-1232 | 2020-08-28 |
| 1316574718 | Garrett Green | Physician Assistant | 1121 N Church St., Greensboro, NC 27401 | 2020-03-25 |
| 1336790278 | Kaitlyn Albrizze | Physician Assistant | 1921 New Garden Rd Apt E304, Greensboro, NC 27410-2387 | 2019-09-23 |
| 1902462146 | Alix Rothbart | Physician Assistant | 310 Waverly Way, Greensboro, NC 27403-1658 | 2019-05-14 |
| 1013482033 | Taylor Mackenzie Dale | Physician Assistant | 1313 Carolina St Ste 101, Greensboro, NC 27401-6002 | 2018-10-05 |
| 1598148900 | Jonathan Lichtenstein | Physician Assistant | 4012 Battleground Ave Ste B, Ste 1020, Greensboro, NC 27410-8592 | 2015-07-02 |
| 1346637964 | Anne Mack Herion | Physician Assistant | 301 Ridgeway Dr, Greensboro, NC 27403-1528 | 2015-04-21 |
| 1639583552 | Joy Mauney Peterson | Physician Assistant | 516 Lausanne Dr, Greensboro, NC 27410-5243 | 2014-06-18 |
| 1508288168 | Hao Meng | Physician Assistant | 1126 N Church St Ste 300, Greensboro, NC 27401-1037 | 2014-01-15 |
| 1679903819 | Kelly Humes | Physician Assistant | 1200 N. Elm Street, Greensboro, NC 27404-0467 | 2013-11-26 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27405 |
Please comment or provide details below to improve the information on KAREN ELIZABETH TEAGUE CLARK.
| 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.