PAMELA A. CLARK (NPI# 1851364277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851364277 |
| Entity Type | Individual |
| Full Name | PAMELA A. CLARK |
| Credential | MD |
| Practice Address |
910 Blackford St Ste. 420 Chattanooga TN 37403-1405 |
| Mailing Address |
975 E 3rd St Attn: Provider Enrollment Chattanooga TN 37403-2147 |
| Practice Telephone | 4237786405 |
| Practice Fax Number | 4237785522 |
| Mailing Telephone | 4237786405 |
| Mailing Fax Number | 4237785522 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2017-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
54205 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q021551 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487162269 | Pamela Mishay Clark | Behavioral Analyst | 6410 N Flores St, San Antonio, TX 78212-1125 | 2018-01-16 |
| 1609290675 | Pamela Clark | Registered Nurse | 10309 Leicester Dr, Yukon, OK 73099-7811 | 2014-02-12 |
| 1942554910 | Pamela None Clark | Marriage & Family Therapist | 3440 Harrison Blvd., Suite 100, Ogden, UT 84403 | 2012-10-30 |
| 1306967187 | Pamela Dawn Clark | Nurse Practitioner | 540 10th St Ste 140, Floresville, TX 78114-3167 | 2007-04-02 |
| 1306866264 | Pamela Clark | Pathology | Uva Old Medical School, Hospital Drive, Charlottesville, VA 22908-0001 | 2006-07-20 |
| 1730164393 | Pamela Morris Clark | Psychologist | 46 Fletcher Ave, Merrick, NY 11566-2459 | 2005-12-07 |
| 1659374221 | Pamela Clark | Dentist | 2360 County Road 94, Ste 102, Pearland, TX 77584-4884 | 2005-05-27 |
| 1679126791 | Pamela Clark | Home Health | 2519 N Holland Sylvania Rd, Toledo, OH 43615-2720 | 2019-07-17 |
| 1306256920 | Pamela Clark | Pharmacist | 2980 Wilder Rd, Bay City, MI 48706-9213 | 2014-05-05 |
| 1003230681 | Pamela Clark | Registered Nurse | 6400 Uptown Blvd Ne, Ste 360w, Albuquerque, NM 87110-4204 | 2014-02-18 |
| Street Address |
910 BLACKFORD ST STE. 420 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37403-1405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629070651 | David M Suhrbier | Psychiatry & Neurology | 910 Blackford St, Chattanooga, TN 37403-1405 | 2005-08-10 |
| 1528667037 | Ian Andrews | Registered Nurse | 910 Blackford St, Chattanooga, TN 37403-1405 | 2020-10-26 |
| 1407476518 | Tanner Douglas Cabbage | Student in an Organized Health Care Education/Training Program | 910 Blackford St, Chattanooga, TN 37403-1405 | 2020-04-18 |
| 1093334302 | Nikita Patil | Student in an Organized Health Care Education/Training Program | 910 Blackford St, Chattanooga, TN 37403-1405 | 2020-04-16 |
| 1851910269 | Daniel Mathis | Student in an Organized Health Care Education/Training Program | 910 Blackford St, Chattanooga, TN 37403-1405 | 2020-04-15 |
| 1295354538 | David Anthony Sheron II | Student in an Organized Health Care Education/Training Program | 910 Blackford St, Chattanooga, TN 37403-1405 | 2020-04-15 |
| 1821627076 | Merla Johanna Hubler | Student in an Organized Health Care Education/Training Program | 910 Blackford St, Chattanooga, TN 37403-1405 | 2020-04-08 |
| 1174142327 | Jenna Mae Dedeker Shoemaker | Student in an Organized Health Care Education/Training Program | 910 Blackford St, Chattanooga, TN 37403-1405 | 2020-04-08 |
| 1417586694 | Kathleen Richey Demars | Student in an Organized Health Care Education/Training Program | 910 Blackford St, Chattanooga, TN 37403-1405 | 2020-04-08 |
| 1417586629 | Joshua Bland | Student in an Organized Health Care Education/Training Program | 910 Blackford St, Chattanooga, TN 37403-1405 | 2020-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033771332 | Jaimie Mills | Specialist/Technologist | 103 Metropolitan Building, Chattanooga, TN 37403 | 2019-07-08 |
| 1972092849 | Joshua Dale Gebhardt | Marriage & Family Therapist | 1024 East M L King Blvd, Chattanooga, TN 37403 | 2018-05-07 |
| 1528580750 | Klifford Hawkins | Physical Therapist | 1100 E 3rd St Ste G103, Chattanooga, TN 37403 | 2017-07-10 |
| 1861921470 | Jonathan Everett Burden | Student in an Organized Health Care Education/Training Program | 960 E 3rd St Ste 104, Chattanooga, TN 37403 | 2017-06-07 |
| 1992167092 | Majel Victoria Purvis Miles | Student in an Organized Health Care Education/Training Program | 979 E 3rd St Ste 401, Chattanooga, TN 37403 | 2016-03-28 |
| 1972942902 | Danielle Nessly | Nurse Practitioner | 730 East 11th Street, Chattanooga, TN 37403 | 2013-06-24 |
| 1023453271 | Nathan Claydon | Internal Medicine | 960 East 3rd St, Suite 104, Chattanooga, TN 37403 | 2013-05-01 |
| 1336482603 | Veronica Patterson Zachry | Student in an Organized Health Care Education/Training Program | 975 E. 3rd Street, Chattanooga, TN 37403 | 2013-04-04 |
| 1639420417 | Ctr. for Individual & Family Effectiveness | Community/Behavioral Health | 310 E. 8th St., Ste. C, Chattanooga, TN 37403 | 2012-09-20 |
| 1063773521 | Shelley L Murphy | Emergency Medicine | 1018 Blackford Street, Chattanooga, TN 37403 | 2012-05-31 |
| Find all providers in zip 37403 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891728754 | Robert Nelson Marshall Jr. | Pediatrics | 910 Blackford St, Chattanooga, TN 37403-1405 | 2006-07-07 |
| 1386608404 | Melissa A. Carlucci | Pediatrics | 910 Blackford Street, Chattanooga, TN 37403-1405 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508025032 | Hiba Naser Al-zubeidi | Pediatrics | 51 N. Dunlap St., 3rd Floor, Memphis, TN 38105-4625 | 2008-06-09 |
| 1679730212 | Justin Michael Gregory | Pediatrics | 11136 Doctors Office Tower, 2200 Children's Way, Nashville, TN 37232-9170 | 2008-05-21 |
| 1144495482 | Yaa A Kumah-crystal | Pediatrics | 2200 Children's Way Dot, Room 11142, Nashville, TN 37232 | 2008-04-28 |
| 1043482276 | Sunil Kumar Sinha | Pediatrics | 50 N Dunlap St # 506r, Memphis, TN 38103-2800 | 2008-03-27 |
| 1730387440 | Joan Christine Han | Pediatrics | 848 Adams Ave # L201, Memphis, TN 38103-2816 | 2007-07-03 |
| 1639190952 | Marielisa Rincon-subtirelu | Pediatrics | 2018 W Clinch Ave Fl Tower2, Knoxville, TN 37916-2301 | 2006-07-21 |
| 1811971997 | James Richard Kerrigan | Pediatrics | 2018 Clinch Ave, South Tower, 2nd Floor, Knoxville, TN 37916 | 2005-12-02 |
| 1053721050 | Grace Bazan Nelson | Pediatrics | 51 N Dunlap St Fl 3, Memphis, TN 38105-4625 | 2014-04-30 |
| 1639513955 | Ahlee Kim | Pediatrics | 51 N Dunlap St., 4th Floor, Memphis, TN 38105-3810 | 2013-04-18 |
| 1932488095 | Amit Lahoti | Pediatrics | 51 N Dunlap St, Memphis, TN 38105-4625 | 2011-08-08 |
| Find all providers with the same taxonomy | ||||
| City | CHATTANOOGA |
| Zip Code | 37403 |
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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.