JOHN D CLARK (NPI# 1841228889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841228889 |
| Entity Type | Individual |
| Full Name | JOHN D CLARK |
| Credential | PA-C |
| Practice Address |
39 Miles St. Damariscotta ME 04543-0000 |
| Mailing Address |
4 Glen Cove Dr Ste 206 Rockport ME 04856-4239 |
| Practice Telephone | 2075631040 |
| Practice Fax Number | 2075631039 |
| Mailing Telephone | 2079215454 |
| Mailing Fax Number | 2079215353 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2018-11-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA-319 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245890672 | John Douglas Clark Jr. | Family Medicine | 54 Meadowbrook Cir, Brevard, NC 28712-8543 | 2019-06-18 |
| 1063072973 | John Riley Clark | Physician Assistant | 2700 Light Rd Apt 102, Oswego, IL 60543-9231 | 2019-06-13 |
| 1871909986 | John Clark | Internal Medicine | 740 Bethlehem Pike, Flourtown, PA 19031-1318 | 2014-07-09 |
| 1831444017 | John Arnot Clark | Dermatology | 1849 Mission Ridge Road, Santa Barbara, CA 93103-1857 | 2012-07-13 |
| 1427327428 | John Jacob Clark | Pharmacist | 1312 Northland Drive, Mendota Heights, MN 55120 | 2011-12-20 |
| 1841580586 | John Alan Clark | Pharmacist | 1900 Argillite Rd, Flatwoods, KY 41139-1616 | 2011-04-14 |
| 1740586932 | John Casey Clark | Occupational Therapist | 448 Lewis Hargett Cir, Suite 100, Lexington, KY 40503-3594 | 2011-02-04 |
| 1023327921 | John M Clark | Social Worker | 3528 Manchester Rd, Wantagh, NY 11793-3010 | 2010-09-27 |
| 1831417922 | John Russell Clark | Speech-Language Pathologist | 7811 Cobden Rd, Laverock, PA 19038-7257 | 2010-05-13 |
| 1518151513 | John M Clark | Physical Therapist | 1202 Se 6th St, Wagoner, OK 74467-6316 | 2007-09-02 |
| Street Address |
39 MILES ST. |
| City | DAMARISCOTTA |
| State | ME |
| Zip Code | 04543-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497379416 | Misti Day | Registered Nurse | 35 Miles Center Way, Damariscotta, ME 04543 | 2020-06-05 |
| 1962967356 | Olivia Kay York | Specialist/Technologist | 20 Marshview Lane, Damariscotta, ME 04543 | 2019-02-10 |
| 1649764036 | Lisa Marie Dayringer | Audiologist | 468 Main Street Centre, Damariscotta, ME 04543 | 2018-06-19 |
| 1184174088 | Central Lincoln County Young Men's Christian Association, Inc. | Health Educator | 525 Main Street, Damariscotta, ME 04543 | 2016-10-04 |
| 1336494715 | Megan Mary Bain | Social Worker | 24 Miles Way, Damariscotta, ME 04543 | 2012-07-20 |
| 1245501253 | Diane Charpentier | Hearing Instrument Specialist | 468 Main Street, Damariscotta, ME 04543 | 2012-01-23 |
| 1134358823 | Marsha O. May | Occupational Therapist | 466 Main Street Centre, Damariscotta, ME 04543 | 2009-07-02 |
| 1992933378 | Lydia Ann Atkins | Speech-Language Pathologist | 464 Main St. Centre, Damariscotta, ME 04543 | 2009-06-24 |
| 1659509016 | Joan Cameron | Occupational Therapy Assistant | 466 Main St. Centre, Damariscotta, ME 04543 | 2009-06-24 |
| 1245474683 | Child Development Services - Lincoln | Speech-Language Pathologist | 114 Church Street, Damariscotta, ME 04543 | 2009-04-29 |
| Find all providers in zip 04543 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548769524 | Kevin Ryan | Physician Assistant | 12 High Street Suite 102, Lewiston, ME 04240 | 2018-02-06 |
| 1881090033 | Sanja Bukarac | Physician Assistant | 20 Buca Run, Portland, ME 04103-1427 | 2014-11-17 |
| 1194130716 | Nicole Lessard | Physician Assistant | 27 Bramhall St, Portland, ME 04102 | 2014-06-23 |
| 1568550341 | Laura M. Glaser | Physician Assistant | 15 Gracelawn Rd Ste 101, Auburn, ME 04210 | 2006-10-10 |
| 1679595433 | John Nowak | Physician Assistant | 489 State Street, Eastern Maine Medical Center, Bangor, ME 04401 | 2006-07-24 |
| 1093730350 | Melissa Becker | Physician Assistant | 925 Union St, Suite 3, Bangor, ME 04401-3051 | 2006-07-13 |
| 1003867086 | Callie Orae Mcmahon | Physician Assistant | 262 Church Rd, Brunswick, ME 04011-7302 | 2006-05-13 |
| 1154379345 | Marybess Skaletsky | Physician Assistant | 301 Us Route 1, Building C, Scarborough, ME 04074-9701 | 2006-05-04 |
| 1053383547 | Leonard V Sherwood | Physician Assistant | 818 Congress St, Portland, ME 04102-3112 | 2006-02-07 |
| 1609877828 | Wayne D Westland | Physician Assistant | 100 Brickhill Ave, South Portland, ME 04106-1999 | 2005-08-10 |
| Find all providers with the same taxonomy | ||||
| City | DAMARISCOTTA |
| Zip Code | 04543 |
Please comment or provide details below to improve the information on JOHN D 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.