BRENT CLARK (NPI# 1902874456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902874456 |
Entity Type | Individual |
Full Name | BRENT CLARK |
Credential | M.D. |
Practice Address |
9816 Frankstown Rd Pittsburgh PA 15235-1643 |
Practice Telephone | 4122434525 |
Practice Fax Number | 4122433784 |
Mailing Telephone | 4122434525 |
Mailing Fax Number | 4122433784 |
Enumeration Date | 2006-03-10 |
Last Update Date | 2012-08-01 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | MD042270L | PA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | GATEWAY HEALTH PLAN | 1010600 | 01 |
ELDER HEALTH | 12627 | 01 | |
PA | UPMC | 250326 | 01 |
UNITEDMINEWORKERAMERICA | 64166 | 01 | |
PA | ADVANTRA | 251661326 | 01 |
PA | UNISON ADVANTAGE | 60049 | 01 |
PA | 0012387920005 | 05 | |
PA | AETNA | 47630 | 01 |
PA | 0012387920006 | 05 | |
FIRST HEALTH | 1203799 | 01 | |
PA | HEALTHAMERICA | 251661326 | 01 |
PA | HIGHMARK | 617289 | 01 |
PA | 0012387920002 | 05 | |
USDEPTOLABOR WORKERSCOMP | 120315400 | 01 | |
HEALTHAMERICA | 3767 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508906751 | Brent Gilford Clark | Dentist | Us 23 Hayes Complex, Betsy Layne, KY 41605-0001 | 2007-02-07 |
1174636419 | Brent Wayne Clark | Dentist | 103 Superior Dr, Spring Lake, NC 28390-3193 | 2006-08-17 |
1952830226 | Brent Clark | Nurse Practitioner | 631 Main Street, Bethel, AK 99559-1908 | 2017-06-08 |
1407820418 | Brent A Clark | Podiatrist | 526 N Mullan Rd, Spokane Valley, WA 99206-2408 | 2006-02-15 |
Street Address |
9816 FRANKSTOWN RD |
City | PITTSBURGH |
State | PA |
Zip Code | 15235-1643 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861000358 | Shirley Ann Campbell | Physical Therapy Assistant | 204 Pheasant Drive, Pittsburgh, PA 15235 | 2020-07-21 |
1932740537 | Janelle Doris Waller | Technician | 204 Kingston Dr., Pittsburgh, PA 15235 | 2019-10-04 |
1518477546 | Dana Abrah Dimatteo | Pharmacist | 12238 Frankstown Road, Pittsburgh, PA 15235 | 2017-10-04 |
1700309556 | Wesley David Cox | Optometrist | 645 Rodi Rd Ste 100, Pittsburgh, PA 15235 | 2017-07-24 |
1194257980 | Continuum Pediatric Nursing | Nursing Care | 645 Rodi Road, Building 3 Suite 201, Pittsburgh, PA 15235 | 2017-03-30 |
1518407717 | Akita Marie Donald | Counselor | 201 Penn Center Blvd Ste 555, Pittsburgh, PA 15235 | 2017-03-07 |
1902250780 | Girma Gutema Hundie | Physician Assistant | 431 Wilson Drive, Pittsburgh, PA 15235 | 2016-04-19 |
1073988093 | Kyoko Henson | Counselor | 412 Guylyn Drive, Pittsburgh, PA 15235 | 2015-12-02 |
1790027647 | Walter Lee Shaffer | Family Medicine | 309 Surrey Pl, Pittsburgh, PA 15235 | 2013-03-19 |
1730450925 | Kate Nicole Pompa | Counselor | 121 Erhardt Drive, Pittsburgh, PA 15235 | 2012-01-19 |
Find all providers in zip 15235 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184241499 | Joely Ann Heidinger | Family Medicine | 500 Deer Brooke Ln, Pittsburgh, PA 15238-2347 | 2020-07-02 |
1417518036 | Heritage Valley Medical Group, Inc. | Family Medicine | 100 Foster Ave Ste B, Pittsburgh, PA 15205-2317 | 2019-06-25 |
1316438781 | Upmc Community Medicine, Inc. | Family Medicine | 300 Halket St Ste 1700, Pittsburgh, PA 15213-3108 | 2018-05-22 |
1619489283 | Private Physicians Medical Practice, LLC | Family Medicine | 5700 Corporate Dr Ste 265, Pittsburgh, PA 15237-5861 | 2017-11-03 |
1255861399 | Tamera Means | Family Medicine | 5215 Centre Ave Fl 2, Pittsburgh, PA 15232-1303 | 2017-06-12 |
1811423163 | Emily Scott | Family Medicine | Upmc St. Margaret Family Medicine Reseidency, 815 Freeport Road, Pittsburgh, PA 15215-3301 | 2017-05-05 |
1134652878 | Andrew Egan | Family Medicine | 300 Fleet St Ste 100, Pittsburgh, PA 15220-2921 | 2017-04-10 |
1811449689 | Donald Grant Jansen | Family Medicine | 4259 Andover Terrrace, Pittsburgh, PA 15213 | 2016-10-27 |
1588044283 | Jonathan Yadlosky | Family Medicine | 5608 Wilkins Ave Ste 100, Pittsburgh, PA 15217 | 2015-06-08 |
1487060141 | Natalie Gentile | Family Medicine | 5655 Bryant St Ste 108, Pittsburgh, PA 15206-1511 | 2014-07-02 |
Find all providers in PITTSBURGH |
City | PITTSBURGH |
Zip Code | 15235 |
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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.