DR. CHARLES H CLARK JR. (NPI# 1881833697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881833697 |
| Entity Type | Individual |
| Full Name | DR. CHARLES H CLARK JR. |
| Credential | M.D. |
| Practice Address |
910 Bladensburg Rd Ne Washington DC 20002-3930 |
| Practice Telephone | 2023969480 |
| Practice Fax Number | 2023966506 |
| Mailing Telephone | 2023969480 |
| Mailing Fax Number | 2023966506 |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2009-02-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | MD15603 | DC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940753 | Charles Patrick Clark | Physician Assistant | 6621 Fannin St, Houston, Houston, TX 77030 | 2019-03-08 |
| 1013485713 | Charles Nicholson Clark | Nurse Practitioner | 1331 Bandera Hwy Ste 4, Kerrville, TX 78028-9535 | 2018-11-12 |
| 1568971653 | Charles E Clark IIi | Counselor | 255 Main Street, St. Clairsville, OH 43950 | 2017-09-21 |
| 1649680406 | Charles Amos Clark | Internal Medicine | Vanderbilt University Dept of Medicine, D-3100, Medical Center North, Nashville, TN 37232 | 2014-05-02 |
| 1124301106 | Charles Malcolm Clark Jr. | Internal Medicine | 2802 Lafayette Road Suite 13, Eagledale Health Center, Indianapolis, IN 46222-2112 | 2011-09-26 |
| 1811290935 | Charles Warren Clark Jr. | Massage Therapist | 19577 Fm 2854 Rd, Montgomery, TX 77316-3150 | 2010-12-11 |
| 1780913640 | Charles S Clark | Physician Assistant | Bldg. H 2005 Knight Lane Attn: Medical Staff Services, Navy Medicine Support Command, Jacksonville, FL 92055-0140 | 2009-12-23 |
| 1083866222 | Charles Larry Clark Jr. | Dentist | 2415 Gillionville Rd, Albany, GA 31707-3022 | 2008-10-21 |
| 1689826984 | Charles John Clark | Pharmacist | 203 So. Daisy, Salmon, ID 83467 | 2008-10-17 |
| 1164642948 | Charles Robert Clark | Family Medicine | 1725 N Sky Glen Path, Hernando, FL 34442-6187 | 2007-04-26 |
| Street Address |
910 BLADENSBURG RD NE |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20002-3930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558509554 | Sally Satel | Psychiatry & Neurology | 910 Bladensburg Rd Ne, Washington, DC 20002-3930 | 2009-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484569 | Curative Labs Inc. | Clinical Medical Laboratory | 3330 New York Ave Ne, Washington, DC 20002 | 2020-07-07 |
| 1477174415 | Chuquita Alma Berry | Technician | 11 R Street Ne, Apt 204, Washington, DC 20002 | 2020-04-30 |
| 1891326104 | For Us Therapeutics Counseling & Consulting Services, LLC | Community/Behavioral Health | 1425 Hst, Ne, Washington, DC 20002 | 2020-01-27 |
| 1215574975 | Chanea Paige | Technician | 1753 A St Ne, Washington, DC 20002 | 2019-12-02 |
| 1861038952 | Yasmen Britt | Emergency Medical Technician, Paramedic | 1711 Benning Rd, Washington, DC 20002 | 2019-11-23 |
| 1871053165 | Alyse Marie Knuth | Dentist | Pentagon, Corridor 8, Washington, DC 20002 | 2019-03-22 |
| 1043776586 | Courtney Moore-mercado | Social Worker | 429 P Street Nw, Washington, DC 20002 | 2019-02-20 |
| 1578034096 | Triple Alliance Pharmacy, Inc | Pharmacy | 1819 West Virgnia Avenue Ne, Washington Dc, DC 20002 | 2018-12-10 |
| 1477023000 | Tekisha Cecelia Blake | Technician | 16 R Street Ne, Washington, DC 20002 | 2018-11-27 |
| 1801366497 | Tionna Paulette Harrison | Technician | 150 Q Street Ne 1427, Washington, DC 20002 | 2018-11-27 |
| Find all providers in zip 20002 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932526407 | Dingchao He | Surgery | 6323 Georgia Ave Nw Ste 101, Washington, DC 20011 | 2014-03-24 |
| 1467893446 | Adeel Ahmed Shamim | Surgery | Howard University Hospital Dept of Surgery, 2041 Georgia Avenue Nw, Washington, DC 20060-0001 | 2013-07-08 |
| 1720423486 | Pejman Radkani | Surgery | 3800 Reservoir Rd Nw Fl 2, Washington, DC 20007 | 2013-05-07 |
| 1700220258 | Hanh Tam Thi Tran | Surgery | 5255 Loughboro Rd Nw Bldg 4th, Washington, DC 20016-2633 | 2013-04-25 |
| 1679916092 | Desmond Uwadiale Ohiowele | Surgery | 2041 Georgia Ave Nw Washington Dc 20059, Washington, DC 20059-6410 | 2013-04-16 |
| 1558623744 | Joseph V Rizzo | Surgery | 58520 Cory Lake Dr, Washington, MI 48094-4206 | 2012-06-13 |
| 1437411998 | Sara Elizabeth Berkey | Surgery | 106 Irving St Nw Ste 2100n, Washington, DC 20010-2927 | 2012-06-11 |
| 1376804732 | Valentine Nofong | Surgery | 2041 Georgia Avenue Nw Howard University Hospital, Washington, DC 20060-1000 | 2012-06-01 |
| 1639455637 | Amy Elizabeth Dubois | Surgery | 1212 E Capitol St Ne, Washington, DC 20002-6244 | 2011-10-23 |
| 1639495799 | Taryn Elise Travis | Surgery | 110 Irving St Nw Rm 3b-55, Washington, DC 20010-3017 | 2010-04-14 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20002 |
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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.