PETER CLARK (NPI# 1821106709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821106709 |
| Entity Type | Individual |
| Full Name | PETER CLARK |
| Credential | M.D. |
| Practice Address |
670 Sierra Rose Dr Reno NV 89511-2072 |
| Practice Telephone | 7753224550 |
| Practice Fax Number | 7753224776 |
| Mailing Telephone | 7753224550 |
| Mailing Fax Number | 7753224776 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2013-01-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
7445 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 002016889 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548616485 | Peter Clark | Ophthalmology | 3601 4th St Rm 2a100, Lubbock, TX 79430-1931 | 2016-05-10 |
| 1154660314 | Peter Edward Clark | Physical Therapy Assistant | 630 Linda Ct, Palm Harbor, FL 34684-4624 | 2013-02-07 |
| 1407174998 | Peter A Clark | Social Worker | 10 Water St Ste 306, Waterville, ME 04901-6566 | 2010-05-10 |
| 1447310289 | Peter Clark | Psychologist | 203 W 21st Ave, Covington, LA 70433-3151 | 2006-12-11 |
| 1891789087 | Peter Michael Clark | Specialist/Technologist | 23 Bridgton Rd, Westbrook, ME 04092-3653 | 2005-09-02 |
| 1679575385 | Peter Clark | Contractor | 785 Central Rd, Rye Beach, NH 03871-9005 | 2005-08-12 |
| 1346511094 | Peter James Clark | Specialist/Technologist | 502 E Boone Ave, Ad Box 66, Spokane, WA 99258-1774 | 2012-01-25 |
| 1710294434 | Peter Clark | Counselor | 519 17th St, Suite 210, Oakland, CA 94612-1527 | 2010-09-01 |
| 1164664967 | Peter J Clark | Psychiatry & Neurology | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2009-03-25 |
| 1528113628 | Peter Clark | Family Medicine | 85 Sierra Park Rd, Mammoth Lakes, CA 93546-0660 | 2007-01-25 |
| Street Address |
670 SIERRA ROSE DR |
| City | RENO |
| State | NV |
| Zip Code | 89511-2072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508407594 | Lindsay Lee Gray | Nurse Practitioner | 670 Sierra Rose Dr, Reno, NV 89511-2072 | 2019-10-01 |
| 1033622253 | Jana Marlene Ailes | Dietitian, Registered | 670 Sierra Rose Dr, Reno, NV 89511-2072 | 2017-11-09 |
| 1841720778 | Lindsey Comeau | Nurse Practitioner | 670 Sierra Rose Dr, Reno, NV 89511 | 2017-06-13 |
| 1841744745 | Jenny Sanchez | Nurse Practitioner | 670 Sierra Rose Dr, Reno, NV 89511 | 2016-08-08 |
| 1790168441 | Iryna Patel | Internal Medicine | 670 Sierra Rose Dr, Reno, NV 89511-2072 | 2015-06-30 |
| 1528445210 | Joseph Doan | Internal Medicine | 670 Sierra Rose Dr, Reno, NV 89511-2072 | 2015-05-01 |
| 1891126512 | Sarah Quinn | Nurse Practitioner | 670 Sierra Rose Dr, Reno, NV 89511 | 2013-12-05 |
| 1720321912 | Mark Christopher Sievert | Internal Medicine | 670 Sierra Rose Dr, Reno, NV 89511 | 2013-04-05 |
| 1144517517 | Lindsay D. Sanders | Internal Medicine | 670 Sierra Rose Dr, Reno, NV 89511-2072 | 2011-07-06 |
| 1518259647 | Jusmin R Patel | Internal Medicine | 670 Sierra Rose Dr, Reno, NV 89511-2072 | 2011-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407474695 | Katherine Lynn Mauldin | Physician Assistant | Redfield Campus Nell J. Redfield Bldg. A Suite 104, 18600 Wedge Parkway, Reno, NV 89511 | 2020-07-14 |
| 1902428915 | Roxann Jeanette Richardson | Student in an Organized Health Care Education/Training Program | Unr Redfield Campus Nell J. Redfield Bldg. A, Suite 104 18600 Wedge Parkway, Reno, NV 89511 | 2020-05-13 |
| 1487286654 | Noelle Marie Davis-marinaccio | Nurse Practitioner | 5570 Longley Lane, Reno, NV 89511 | 2020-02-06 |
| 1265092662 | Elysia Jones | Student in an Organized Health Care Education/Training Program | 18600 Wedge Parkway, Nell J. Redfield Building A, Suite 104, Reno, NV 89511 | 2019-06-18 |
| 1023583622 | Vera Whole Health, Wa PC | Clinic/Center | 699 Sierra Rose Drive, Reno, NV 89511 | 2018-10-10 |
| 1841786027 | Christina Willett | Speech-Language Pathologist | 14680 S. Quiet Meadow Drive, Reno, NV 89511 | 2018-07-10 |
| 1235630864 | High Sierra Psychiatry, LLC | Clinic/Center | Reno Behavioral Healthcare Hospital, 6940 Sierra Center Parkway, Reno, NV 89511 | 2018-02-28 |
| 1154839637 | Jacob Blake, Md Ltd. | Anesthesiology | 5590 Kietzke Lane, Reno, NV 89511 | 2018-01-18 |
| 1548776024 | Jennifer L. Shane O.d., Ltd | Optometrist | 5385 Reno Corporate Drive #100, Reno, NV 89511 | 2017-12-20 |
| 1619488525 | Reno Behavioral Healthcare Hospital, LLC | Psychiatric Hospital | 6940 Sierra Center Parkway, Reno, NV 89511 | 2017-10-18 |
| Find all providers in zip 89511 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1588632285 | Fadi Najjar | Internal Medicine | 1500 E 2nd St Ste 201, Reno, NV 89502-1196 | 2006-03-09 |
| 1467452524 | Daniel Joseph Ahearn | Internal Medicine | 1325 Tarleton Way, Reno, NV 89523-3904 | 2005-07-29 |
| 1841761384 | Community Care Services LLC | Internal Medicine | 1500 E 2nd St Ste 201, Reno, NV 89502-1196 | 2018-12-10 |
| 1790168441 | Iryna Patel | Internal Medicine | 670 Sierra Rose Dr, Reno, NV 89511-2072 | 2015-06-30 |
| 1528445210 | Joseph Doan | Internal Medicine | 670 Sierra Rose Dr, Reno, NV 89511-2072 | 2015-05-01 |
| 1720321912 | Mark Christopher Sievert | Internal Medicine | 670 Sierra Rose Dr, Reno, NV 89511 | 2013-04-05 |
| 1144517517 | Lindsay D. Sanders | Internal Medicine | 670 Sierra Rose Dr, Reno, NV 89511-2072 | 2011-07-06 |
| 1518259647 | Jusmin R Patel | Internal Medicine | 670 Sierra Rose Dr, Reno, NV 89511-2072 | 2011-05-08 |
| 1568764132 | Idagem Services Inc | Internal Medicine | 200 S Virginia St, Reno, NV 89501-2405 | 2010-12-02 |
| 1225264484 | Kidney Care Associates | Internal Medicine | 1500 E 2nd St, Suite 201, Reno, NV 89502-1262 | 2009-06-02 |
| Find all providers in RENO | ||||
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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.