SHELBY CLARK (NPI# 1982257507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982257507 |
| Entity Type | Individual |
| Full Name | SHELBY CLARK |
| Practice Address |
225 Crosslake Dr Evansville IN 47715-8198 |
| Practice Telephone | 8124771558 |
| Mailing Telephone | 8124771558 |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2019-07-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043863400 | Shelby Clark | Specialist/Technologist | 4310 Appleby Sand Rd, Nacogdoches, TX 75965-2232 | 2019-07-24 |
| 1598179897 | Shelby Leigh Clark | Social Worker | 1211 N 8th St, Kansas City, KS 66101-2129 | 2014-06-13 |
| 1013540210 | Shelby Lynne Clark | Behavior Technician | 5402 Holly Rd Ste 2102, Corpus Christi, TX 78411-4673 | 2020-02-15 |
| 1215578539 | Shelby Clark | Behavior Technician | 5900 W Chester Rd Ste C, West Chester, OH 45069-2951 | 2019-10-08 |
| 1942788815 | Shelby Linnette Clark | Massage Therapist | 1307 Violet St Se, Lacey, WA 98503-5710 | 2018-08-02 |
| 1023511409 | Shelby Lee Clark | Occupational Therapist | 205 Nolan Pkwy, Archbold, OH 43502-8404 | 2018-03-13 |
| 1013436518 | Shelby Clark | Technician | 400 N Pennsylvania Ave, Mangum, OK 73554-3034 | 2017-09-15 |
| Street Address |
225 CROSSLAKE DR |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47715-8198 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104822279 | Jacob M O'neill | Orthopaedic Surgery | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2005-06-23 |
| 1952918419 | Mallory Leeann Baker | Physical Therapist | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2020-09-29 |
| 1558975045 | Kurtis D Anthony | Nurse Practitioner | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2020-09-02 |
| 1487270104 | Madison Jo Mundy | Occupational Therapist | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2020-06-18 |
| 1336774900 | Brandi L Fields | Nurse Practitioner | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2020-03-04 |
| 1043872013 | Jonathan Bernard Kirsch | Physical Therapist | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2019-07-01 |
| 1346800398 | Justin David Isiah King | Physical Therapist | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2019-06-20 |
| 1831656313 | Tri-state Orthopaedic Surgeons, Inc | Occupational Therapist | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2019-02-21 |
| 1093295768 | Rebecca L Thomas | Nurse Practitioner | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2018-08-21 |
| 1740776731 | Andrew Joseph Hermann | Physical Therapist | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2018-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528585 | Shannon Allcron | Pharmacist | 6770 E. Virginia St., Evansville, IN 47715 | 2020-11-03 |
| 1609339910 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1201 Cross Pointe Place, Evansville, IN 47715 | 2019-04-12 |
| 1497229223 | Hubert Family Dentistry LLP | Dentist | 6225 E Columbia St., Evansville, IN 47715 | 2019-01-15 |
| 1083110373 | Fyi Healthcare, LLC | Registered Nurse | 12000 Highway 41 North, Evansville, IN 47715 | 2018-04-04 |
| 1962862755 | New Journeys Counseling Services, LLC | Community/Behavioral Health | 4929 River Wind Pointe Drive, Evansville, IN 47715 | 2016-03-07 |
| 1558702456 | Jennifer Hoelter | Pharmacist | 5000 E Virginia St, Walgreens District Office, Evansville, IN 47715 | 2013-07-09 |
| 1952649402 | Courtney Ingold | Music Therapist | 621 E Cullen Ave, Suite 118, Evansville, IN 47715 | 2013-01-17 |
| 1922378041 | Sherry A. Fisher | Counselor | 4929 Riverwind Pointe Dr Ste 102, Evansville, IN 47715 | 2012-01-05 |
| 1710275912 | Tonja Leana Winekauf | Nurse Practitioner | 6211 E Waterford Blvd, Evansville Health Care Center, Evansville, IN 47715 | 2011-07-21 |
| 1003083437 | Allcare Dental & Dentures of In PC | Dentist | 1031 N. Green River Rd., Suite 104, Evansville, IN 47715 | 2008-05-14 |
| Find all providers in zip 47715 | ||||
| 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 |
|---|---|---|---|---|
| 1619502457 | Lauren Juric | Physician Assistant | 125 Chestnut St Apt C, Evansville, IN 47713-1047 | 2020-03-11 |
| 1861961138 | Deaconess Clinic, Inc | Physician Assistant | 350 W Columbia St Ste 440, Evansville, IN 47710-1782 | 2018-11-16 |
| 1316312069 | Hilary Lorraine Eickhoff | Physician Assistant | 10248 Kristopher Ct., Evansville, IN 47712-5830 | 2015-12-07 |
| 1114969813 | Stephanie L Natyshok | Physician Assistant | 1212 Professional Blvd, Suite B, Evansville, IN 47714-8002 | 2006-06-10 |
| 1174573497 | Glenn J Kruser | Physician Assistant | 10 N Water St, Evansville, WI 53536-1152 | 2006-05-10 |
| 1750387387 | Amber D Lutz | Physician Assistant | 1202 W Buena Vista Rd., Suite #100, Evansville, IN 47710-5185 | 2005-06-28 |
| 1255334884 | Deena Marie Beck | Physician Assistant | 520 Mary St, Suite 340, Evansville, IN 47710-1677 | 2005-05-27 |
| 1255942934 | Michael R. Zerby | Physician Assistant | 100 E Walnut St, Evansville, IN 47713-1960 | 2020-08-14 |
| 1285245167 | Meagan A Finch | Physician Assistant | 4506 1st Ave, Evansville, IN 47710-3624 | 2020-08-13 |
| 1609487065 | Marressa Ruth Henderson | Physician Assistant | 1101 Professional Blvd, Evansville, IN 47714-8016 | 2020-08-10 |
| Find all providers in EVANSVILLE | ||||
| City | EVANSVILLE |
| Zip Code | 47715 |
Please comment or provide details below to improve the information on SHELBY CLARK.
| 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.