DR. RICHARD GARY CLARK (NPI# 1962406793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962406793 |
| Entity Type | Individual |
| Full Name | DR. RICHARD GARY CLARK |
| Credential | MD |
| Practice Address |
100 S Duncan St Jamestown TN 38556-3009 |
| Mailing Address |
281 Underpass Dr Oneida TN 37841-5885 |
| Practice Telephone | 9318795864 |
| Practice Fax Number | 9318793903 |
| Mailing Telephone | 4235695454 |
| Mailing Fax Number | 4235695858 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2018-12-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 11080 | TN | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 11080 | TN | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 11080 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 4053283 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 281 Underpass Dr, Oneida, TN 378415885 | 4235695454 | 4235695858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366922684 | Richard Sheldon Clark | Counselor | 311 Penny Dr, Lithopolis, OH 43136-9704 | 2018-08-16 |
| 1871929000 | Richard H Clark | Chiropractor | 462 Warren Rd, Franklin, PA 16323-6544 | 2013-09-19 |
| 1770831901 | Richard Clark | Counselor | 2902 Jack Pine St, Bellevue, NE 68123-5519 | 2012-08-20 |
| 1285866079 | Richard C Clark IIi | Counselor | 800 Pineview Dr, Hattiesburg, MS 39401-7459 | 2009-08-13 |
| 1134318140 | Richard S Clark | Marriage & Family Therapist | 2801 Summit St Apt 307, Oakland, CA 94609-3643 | 2007-10-16 |
| 1023042470 | Richard R. Clark | Family Medicine | 1475 E Belvidere Rd Unit 385, Grayslake, IL 60030-2026 | 2006-07-10 |
| 1942249545 | Richard James Clark IIi | Dentist | 2300 Garrett Rd, Drexel Hill, PA 19026-1102 | 2006-06-06 |
| 1699744011 | Richard C Clark | Physical Therapist | 4909 Nolensville Rd, Nashville, TN 37211-5411 | 2006-03-16 |
| 1528059565 | Richard K Clark | Optometrist | 810 Ne 25th Ave, Ocala, FL 34470-6335 | 2005-10-31 |
| 1053316364 | Richard Don Clark | Family Medicine | 802 Wayne St, Ste 202, Marietta, OH 45750-3300 | 2005-06-15 |
| Street Address |
100 S DUNCAN ST |
| City | JAMESTOWN |
| State | TN |
| Zip Code | 38556-3009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780235564 | Acute Care Clinics of America, LLC | Clinic/Center | 100 S Duncan St, Jamestown, TN 38556-3009 | 2019-09-24 |
| 1245514306 | Cumberland Spine & Sport, LLC | Pain Medicine | 100 S Duncan St, Jamestown, TN 38556-3009 | 2011-10-06 |
| 1609189695 | Alfred Vaughn Derise Jackson Jr. | Emergency Medicine | 100 S Duncan St, Jamestown, TN 38556-3009 | 2010-07-19 |
| 1962641530 | Jennifer P King | Physician Assistant | 100 S Duncan St, Jamestown, TN 38556-3009 | 2009-02-05 |
| 1841462025 | Alisha N Masters | Nurse Practitioner | 100 S Duncan St, Jamestown, TN 38556-3009 | 2008-03-28 |
| 1619016581 | Jamestown Internal Medicine P.C. | Internal Medicine | 100 S Duncan St, Jamestown, TN 38556-3009 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992265805 | Misty Dawn Smith | Speech-Language Pathologist | 342 W Central Avenue, Jamestown, TN 38556 | 2019-03-25 |
| 1871024513 | Mountain People's Health Councils, Inc | Dentist | 104 Reagan Ave, Jamestown, TN 38556 | 2017-03-24 |
| 1417388802 | Ashli Westfelt | Occupational Therapist | 1011 Old Lee Hwy 127 S, Jamestown, TN 38556 | 2013-12-10 |
| 1275963753 | Freds Stores of Tennessee Inc. | Pharmacy | 418 A West Central Avenue, Jamestown, TN 38556 | 2013-11-19 |
| 1689009490 | Lorry Gray | Speech-Language Pathologist | 1011 Old Lee Hwy 127, Jamestown, TN 38556 | 2013-09-11 |
| 1215362025 | Sarah Clapp | Speech-Language Pathologist | 1011 Old Lee Hwy 127 S., Jamestown, TN 38556 | 2013-09-11 |
| 1154763134 | Hometown Family Medical Clinic | Nurse Practitioner | 418 B West Central Avenue, Jamestown, TN 38556 | 2013-07-19 |
| 1699049288 | Linda Conatser | Pharmacist | 418a W Central Avenue, Jamestown, TN 38556 | 2012-02-29 |
| 1215239231 | Connie S. Lee | Nurse Practitioner | 418 B West Central Ave, Jamestown, TN 38556 | 2010-11-23 |
| 1437472248 | Lifecare Family Services | Community/Behavioral Health | 1911 Michigan Avenue, Jamestown, TN 38556 | 2010-03-08 |
| Find all providers in zip 38556 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255549358 | Barbara Merovich | Internal Medicine | 865 E Jamestown Rd, Jamestown, PA 16134-9505 | 2007-05-21 |
| 1407074057 | Umamaheswara Rao Vejendla Physician PC | Internal Medicine | 152 Foote Avenue, Jamestown, NY 14701 | 2007-04-20 |
| 1568593010 | Linda Rose Jordan | Internal Medicine | 15 S Main St Ste 300, Jamestown, NY 14701-6626 | 2007-03-08 |
| 1073536884 | Jonathan D. Allred M.d.p.c. | Internal Medicine | 234 West Central Avenue, Jamestown, TN 38556 | 2006-07-25 |
| 1134185127 | Jonathan D Allred | Internal Medicine | 234 W Central Ave, Jamestown, TN 38556-3405 | 2006-04-26 |
| 1891759270 | William Falcon Hopper IIi | Internal Medicine | 4810 W Wendover Ave, Jamestown, NC 27282-8300 | 2006-04-13 |
| 1063486611 | Mumtaz Karimi | Internal Medicine | 890 E Second Street, Jamestown, NY 14701 | 2006-02-13 |
| 1568449114 | Debra A Geier | Internal Medicine | 904 5th Ave Ne, Jamestown, ND 58401-3437 | 2005-12-26 |
| 1801892708 | Christina M Brown | Internal Medicine | 15 S Main St, Suite 153, Jamestown, NY 14701-6626 | 2005-06-24 |
| 1619423829 | Chad A Conatser Md Pllc | Internal Medicine | 418 B West Central Avenue, Jamestown, TN 38556 | 2016-08-28 |
| Find all providers in JAMESTOWN | ||||
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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.