TYLER CLARK (NPI# 1952866576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952866576 |
| Entity Type | Individual |
| Full Name | TYLER CLARK |
| Credential | PA-C |
| Practice Address |
12650 W 64th Ave Unit E501 Arvada CO 80004-3893 |
| Mailing Address |
4601 S Balsam Way Apt 1238 Littleton CO 80123-5421 |
| Practice Telephone | 6086283300 |
| Mailing Telephone | 6086283300 |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2019-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0005701 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407308018 | Tyler Clark | Student in an Organized Health Care Education/Training Program | 7785 Keswick Pl, Saint Louis, MO 63119 | 2016-10-30 |
| 1730540295 | Tyler Keith Clark | Chiropractor | 819 N Harbor Dr Ste 100, Redondo Beach, CA 90277-2086 | 2016-03-11 |
| 1629685698 | Tyler Todd Clark | Pharmacist | 1130 W Frontage Rd, Owatonna, MN 55060-5662 | 2020-09-24 |
| 1568087039 | Tyler S Clark | Physical Therapist | 11015 Warwick Blvd, Newport News, VA 23601-3225 | 2020-06-10 |
| 1346712767 | Tyler A Clark | Occupational Therapy Assistant | 552 Golf Links Rd, Hot Springs, AR 71901-7917 | 2018-12-24 |
| 1649772120 | Tyler Eugene Clark | Behavior Technician | 8951 Morro Rd, Atascadero, CA 93422-3984 | 2018-03-01 |
| 1831623826 | Tyler Scott Clark | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Dr, Mc 7798, San Antonio, TX 78229-3901 | 2017-04-17 |
| 1124414305 | Tyler Clark | Family Medicine | 307 Saint Johns Way Ste 11, Lewiston, ID 83501-2435 | 2015-04-14 |
| 1467843607 | Tyler E Clark | Student in an Organized Health Care Education/Training Program | 2151 College Ave, Bakersfield, CA 93305-4113 | 2015-02-10 |
| 1649689142 | Tyler Clark | Counselor | 602 N Walton Blvd, Bentonville, AR 72712-4576 | 2014-08-08 |
| Street Address |
12650 W 64TH AVE UNIT E501 |
| City | ARVADA |
| State | CO |
| Zip Code | 80004-3893 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306946728 | Long Term Care and Rehab Consultants | Family Medicine | 12650 W 64th Ave Unit E501, Arvada, CO 80004-3893 | 2006-09-25 |
| 1275159105 | Lisa Dawn Quigley | Nurse Practitioner | 12650 W 64th Ave Unit E501, Arvada, CO 80004-3893 | 2020-06-16 |
| 1982224952 | Ltc Urgent Services, LLC | Family Medicine | 12650 W 64th Ave Unit E501, Arvada, CO 80004-3893 | 2020-04-20 |
| 1124591169 | Colette Crane | Physician Assistant | 12650 W 64th Ave Unit E501, Arvada, CO 80004-3893 | 2019-01-02 |
| 1053896621 | Timothy Richard Shank | Physician Assistant | 12650 W 64th Ave Unit E501, Arvada, CO 80004-3893 | 2018-09-30 |
| 1184104622 | Ashley Martell | Physician Assistant | 12650 W 64th Ave Unit E501, Arvada, CO 80004-3893 | 2018-08-15 |
| 1962900274 | Tu Cam Nguyen | Registered Nurse | 12650 W 64th Ave Unit E501, Arvada, CO 80004 | 2018-02-01 |
| 1255706164 | Laura Halfen | Physician Assistant | 12650 W 64th Ave Unit E501, Arvada, CO 80004-3893 | 2015-12-03 |
| 1649670647 | Morgan Wilson | Specialist/Technologist | 12650 W 64th Ave Unit E501, Arvada, CO 80004-3893 | 2014-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326503194 | Flynn Behavior Associates | Behavioral Analyst | 13185 W 62nd Place, Arvada, CO 80004 | 2019-02-06 |
| 1124543384 | Zoe Denver Nelson | Counselor | 9850 W 59th Pl, Arvada, CO 80004 | 2017-08-09 |
| 1982134573 | Cynthia Jean Keefover | Physical Therapy Assistant | 6625 Union St, Arvada, CO 80004 | 2017-06-15 |
| 1235680257 | Uma Sitaula | Nurse Practitioner | 12650 W 64th Ave Unit E 105, Arvada, CO 80004 | 2016-10-14 |
| 1124494091 | Alan Ross Hofman | Physical Therapist | 5945 Ward Rd Ste 110, Arvada, CO 80004 | 2015-08-14 |
| 1770969917 | Jennifer Lynn Johnson | Day Training/Habilitation Specialist | 6725 Yarrow St., Arvada, CO 80004 | 2015-08-10 |
| 1649680414 | Johanna Meister | Community Health Worker | 7603 Robinson Way, Arvada, CO 80004 | 2014-05-02 |
| 1922346915 | Ashley L Saylor | Chiropractor | 10050 Ralston Rd. Suite E, Arvada, CO 80004 | 2013-01-25 |
| 1225382906 | Alison Schut | Nurse Practitioner | 12650 W 64th Ave Ste E501, Arvada, CO 80004 | 2012-11-02 |
| 1881984102 | Green Leaf Massage Center. LLC | Health Maintenance Organization | 11890 W.64th Avenue, Arvada, CO 80004 | 2011-04-08 |
| Find all providers in zip 80004 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726526 | Kevin Curtis | Physician Assistant | 7742 Zang St, Arvada, CO 80005-2918 | 2020-09-28 |
| 1578174934 | Moriah Mackenzie Kunau | Physician Assistant | 10378 W 81st Ave, Arvada, CO 80005-2076 | 2020-08-11 |
| 1871065706 | Sarah Rose Dathe | Physician Assistant | 6575 Zang St, Arvada, CO 80004-2237 | 2018-12-17 |
| 1760662571 | Erin M. Pirkl | Physician Assistant | 9950 W. 80th Ave., Ste #23, Arvada, CO 80005 | 2007-11-08 |
| 1053896621 | Timothy Richard Shank | Physician Assistant | 12650 W 64th Ave Unit E501, Arvada, CO 80004-3893 | 2018-09-30 |
| 1881178572 | Callie Page | Physician Assistant | 8030 Lee Dr, Arvada, CO 80005-2078 | 2018-09-19 |
| 1184104622 | Ashley Martell | Physician Assistant | 12650 W 64th Ave Unit E501, Arvada, CO 80004-3893 | 2018-08-15 |
| 1174009567 | Scott Pinegar | Physician Assistant | 7950 Kipling St Ste 101, Arvada, CO 80005-3925 | 2018-07-18 |
| 1255706164 | Laura Halfen | Physician Assistant | 12650 W 64th Ave Unit E501, Arvada, CO 80004-3893 | 2015-12-03 |
| 1619390051 | Beth Damstedt | Physician Assistant | 12650 W 64th Ave, Unit E501, Arvada, CO 80004-3893 | 2014-01-21 |
| Find all providers in ARVADA | ||||
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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.