MISS NICOLE TM CLARK


Address: 267 Ocean Ave, Portland, ME 04103-5707
Phone: 2075428233

MISS NICOLE TM CLARK (NPI# 1841609484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841609484
Entity Type Individual
Full Name MISS NICOLE TM CLARK
Credential ATC-L
Practice Address 267 Ocean Ave
Portland
ME 04103-5707
Practice Telephone 2075428233
Mailing Telephone 2075428233
Enumeration Date 2014-08-07
Last Update Date 2014-08-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207PS0010X Emergency Medicine
Specialization: Sports Medicine
AT511 ME Allopathic & Osteopathic Physicians

Other Providers NICOLE CLARK

NPI Name Taxonomy Address Enumeration
1396344826 Nicole Clark Home Health Aide 1024 E 26th Ave, Columbus, OH 43211-2127 2020-10-26
1386106375 Nicole Clark Prosthetist 100 N Burke Ave, Long Beach, MS 39560-4605 2019-04-01
1023513637 Nicole Elizabeth Clark Counselor 3650 Ne Mallory Ave Apt 309, Portland, OR 97212-3086 2018-03-26
1619486834 Nicole Clark Registered Nurse N4093 Keehn Rd, Winter, WI 54896-7312 2017-09-20
1285182022 Nicole Michelle Clark Social Worker 1349 East Stroop Road, Dayton, OH 45429-4925 2016-09-21
1871968768 Nicole Clark Specialist/Technologist 332 Wilson Dr, Bloomfield, IN 47424-1054 2015-12-03
1598165144 Nicole Janine Clark Behavioral Analyst 1787 Village Ln N, Wantagh, NY 11793-3228 2014-09-02
1851445670 Nicole Ann Clark Social Worker 2051 S State St, Ann Arbor, MI 48104-4607 2007-01-22
1982767604 Nicole Christine Clark Licensed Practical Nurse 241 Lorraine Ave, Syracuse, NY 13210-3229 2006-12-18
1760598411 Nicole Anne Clark Family Medicine 475 W 940 N, Provo, UT 84604-3301 2006-08-22

Office Location

Street Address 267 OCEAN AVE
City PORTLAND
State ME
Zip Code 04103-5707

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649714726 Patrick Green Specialist 267 Ocean Ave, Portland, ME 04103-5707 2016-12-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790302677 Hope for All Community Services LLC Community/Behavioral Health 68 Bishop St, Building 1, Unit 1, Portland, ME 04103 2020-06-26
1982251435 Hope Home Healthcare, LLC Home Health 68 Bishop St Unit 3 #2, Portland, ME 04103 2019-08-20
1992367023 Care for Everyone In Home Supportive Care 68 Bishop Street, Unit 1, Room 5, Portland, ME 04103 2019-06-28
1093373458 Emanuel Nistrian Student in an Organized Health Care Education/Training Program Une, 716 Stevens Ave., Portland, ME 04103 2019-05-31
1023676483 Robert Montague Student in an Organized Health Care Education/Training Program University of New England, 716 Stevens Ave, Portland, ME 04103 2019-05-31
1154838027 Kimberly Therriault Behavior Technician 527 Ocean Ave Ste 19, Portland, ME 04103 2018-01-02
1285147918 Teresa Maalouf Community Health Worker 23 Cambridge St., Portland, ME 04103 2017-11-16
1578082244 Darcelle Kay Stillman Occupational Therapist 90 Dorothy St, Portland, ME 04103 2017-09-14
1821524943 Engility Enterprises LLC Case Management 1 Coast Lane, Portland, ME 04103 2017-05-10
1720524283 Hannah Rose Kazilionis Counselor 257 Deering Ave # 204, Portland, ME 04103 2017-01-09
Find all providers in zip 04103

Taxonomy Information

Taxonomy Code 207PS0010X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Sports Medicine

Taxonomy Definition

An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine.
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 Emergency Medicine, 2007. http://www.abem.org/public/. American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447209028 Carol S Federiuk Emergency Medicine 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2006-05-09

Competitor

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City PORTLAND
Zip Code 04103

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Dataset Information

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.

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