MR. JAMES HOWARD CLARK JR. (NPI# 1972712834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972712834 |
| Entity Type | Individual |
| Full Name | MR. JAMES HOWARD CLARK JR. |
| Credential | C.M.T. |
| Practice Address |
13629 Baltimore Ave Laurel MD 20707-5095 |
| Mailing Address |
5107 Martin Dr Oxon Hill MD 20745-3755 |
| Practice Telephone | 3016170163 |
| Practice Fax Number | 3016170165 |
| Mailing Telephone | 3016301397 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | M01789 | MD | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285240036 | James Daniel Clark | Clinical Nurse Specialist | 1325 Sanders Dr, Laramie, WY 82070-8204 | 2020-09-17 |
| 1376154435 | James Lindsay Clark | Pharmacist | 201 S 1300 E Ste 101, Salt Lake City, UT 84102-2608 | 2020-08-12 |
| 1154954758 | James Clark | Internal Medicine | 1409 Satilla Blvd, Waycross, GA 31501-4322 | 2020-02-21 |
| 1861051542 | James Bernard Clark | Counselor | 5739 Almaden Rd Apt 4, San Jose, CA 95118-3623 | 2019-06-06 |
| 1225595614 | James Colbert Clark IIi | Specialist/Technologist | 11 Aventura Ct, Randallstown, MD 21133-4330 | 2019-02-21 |
| 1609389832 | James Thomas Clark | Contractor | 11460 Old Mill Rd, Spencer, OH 44275-9582 | 2017-11-09 |
| 1124427067 | James William Clark | Dentist | 2825 Se 45th St, Ocala, FL 34480-7225 | 2014-08-16 |
| 1306267406 | James Clark | Pharmacist | 11307 Roszell St, San Antonio, TX 78217-2511 | 2013-12-17 |
| 1720322795 | James Timothy Clark | Hearing Instrument Specialist | 724 Perry Ave, Big Rapids, MI 49307-2200 | 2012-11-15 |
| 1457625782 | James Clark | Pharmacist | 16130 Parker St, Omaha, NE 68118 | 2012-03-05 |
| Street Address |
13629 BALTIMORE AVE |
| City | LAUREL |
| State | MD |
| Zip Code | 20707-5095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679791073 | Progressive Habilitative Services, Inc. | Day Training, Developmentally Disabled Services | 13629 Baltimore Ave, Laurel, MD 20707-5095 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157156 | Mini'imah Wilson | Social Worker | 15041 Cherrywood Dr, Laurel, MD 20707 | 2020-08-31 |
| 1548893985 | Ernest Freeman | Clinic/Center | 367 Main St., Laurel, Laurel, MD 20707 | 2020-02-13 |
| 1538701859 | Family Health and Wellness Clinic LLC | Clinic/Center | 324 Main St. #523, Laurel, MD 20707 | 2019-10-09 |
| 1467018226 | Leena Daniel | Nurse Practitioner | 13 C Street, Suite D, Laurel, MD 20707 | 2019-05-16 |
| 1538723143 | Florence Okojie | Nurse Practitioner | 13 C St Ste G, Laurel, MD 20707 | 2019-04-29 |
| 1487148631 | Munsha Sidhu Chadha | Dentist | 595 Main St Ste 237, Laurel, MD 20707 | 2018-06-20 |
| 1568953370 | Carleen Graham Schwimmer | Clinical Neuropsychologist | Veterans Affairs War Related Illness & Injury (wriisc), 50 Irving Street Nw, Washington, MD 20707 | 2018-05-29 |
| 1043709637 | Bk Behavioral Health Center | Behavior Technician | 14300 Cherry Lane Ct Ste 202-203, Laurel, MD 20707 | 2018-05-09 |
| 1053800839 | Bk Behaviorial Health Center | Substance Abuse Rehabilitation Facility | 14300 Cherry Lane Court, Suite 202-203, Laurel, MD 20707 | 2018-05-07 |
| 1316435795 | Laurel Pharmacy II LLC | Pharmacy | 14402 Baltimore Ave, Laurel, MD 20707 | 2018-05-01 |
| Find all providers in zip 20707 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861949596 | Jacqueline Clarke-martin | Contractor | 13120 Brooktree Ln, Laurel, MD 20707-9492 | 2016-09-11 |
| 1780038182 | Donald E Ellingson Sr. | Contractor | 1706 1st Ave, Laurel, MT 59044-9427 | 2016-04-21 |
| 1932506706 | Pamela Llewellyn | Contractor | 8601 Briarwood Ct, Laurel, MD 20708-1320 | 2014-11-22 |
| 1215270996 | Paul J. Williams | Contractor | 8610 Chestnut Ridge Dr, Laurel, MD 20707-4927 | 2013-04-01 |
| 1336491117 | Susana Ngamtii Timoh | Contractor | 9738 Country Meadows Ln Apt 3d, Laurel, MD 20723-6308 | 2012-10-04 |
| 1316484421 | Sheena Jalloh | Contractor | 7614 E Arbory Ct, Laurel, MD 20707-5523 | 2017-01-26 |
| 1376969287 | Rhonda Holmes | Contractor | 8641 Cherry Ln, A, Laurel, MD 20707-6200 | 2014-03-16 |
| 1649518598 | Memuna Bangura | Contractor | 442 Henryton S, Laurel, MD 20724-2222 | 2013-01-28 |
| 1194054072 | Moni Sanusi | Contractor | 10121 Ancient Sea Path, Laurel, MD 20723 | 2009-12-23 |
| 1427293364 | Ayja Richardson | Contractor | 14502 Greenview Dr, Laurel, MD 20708-3287 | 2008-12-05 |
| Find all providers in LAUREL | ||||
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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.