ROGER DALE CLARK (NPI# 1992976542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992976542 |
Entity Type | Individual |
Full Name | ROGER DALE CLARK |
Practice Address |
4300 W Waco Dr A2 Waco TX 76710-7010 |
Mailing Address |
400 S Henderson St Fort Worth TX 76104-1017 |
Practice Telephone | 2543990405 |
Practice Fax Number | 2543990316 |
Mailing Telephone | 8173352583 |
Mailing Fax Number | 8175463672 |
Enumeration Date | 2008-03-21 |
Last Update Date | 2012-03-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 237700000X | Hearing Instrument Specialist | 80241 | TX | Speech, Language and Hearing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922640721 | Roger Clark | Student in an Organized Health Care Education/Training Program | 160 Convent Ave, Harris Hall H-15, New York, NY 10031-9198 | 2019-10-13 |
1104476225 | Roger Kevin Clark Jr. | Pharmacist | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2019-09-19 |
1225458136 | Roger Clark | Specialist/Technologist | 2200 Bonforte Blvd, Pueblo, CO 81001-4901 | 2014-04-17 |
1205166238 | Roger Clark | Pharmacist | 19003 N R H Johnson Blvd, Sun City West, AZ 85375-4402 | 2010-01-14 |
1821202383 | Roger E Clark | Dentist | 736 Columbus Ave, Lebanon, OH 45036-1608 | 2007-05-10 |
1669501136 | Roger Galen Clark | Psychologist | Blanchfield Army Community Hospital, 650 Joel Dr, Fort Campbell, KY 42223-5349 | 2007-03-02 |
1235181140 | Roger P. Clark | Internal Medicine | 1153 Centre St, Suite 4955, Boston, MA 02130-3446 | 2006-05-17 |
Street Address |
4300 W WACO DR A2 |
City | WACO |
State | TX |
Zip Code | 76710-7010 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245351261 | Dana Lafayette | Counselor | 4300 W Waco Dr, Ste B-2 #220, Waco, TX 76710-7010 | 2007-04-03 |
1285190991 | Matthew S Wiberg | Emergency Medical Technician, Paramedic | 4300 W Waco Dr, Waco, TX 76710-7010 | 2019-02-18 |
1881006930 | Connect Hearing, Inc. | Audiologist | 4300 W Waco Dr, Ste A2, Waco, TX 76710-7010 | 2014-05-23 |
1750661682 | David Jeffery Anderson | Hearing Instrument Specialist | 4300 W Waco Dr, Waco, TX 76710-7010 | 2011-08-23 |
1861771016 | April Victoria Marteney | Hearing Instrument Specialist | 4300 W Waco Dr, Ste A2, Waco, TX 76710-7010 | 2011-08-05 |
1114142817 | Roxanne Van Brown | Hearing Instrument Specialist | 4300 W Waco Dr, A2, Waco, TX 76710-7036 | 2007-04-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740741156 | Jessica Cook-lindsay | Physical Therapist | 2121 W Hwy 6, Waco, Waco, TX 76710 | 2019-03-28 |
1306354824 | Paula A Huffhines | Technician, Other | 115 S 25th, Waco, TX 76710 | 2018-01-18 |
1982154639 | Nha Do | Pharmacist | 1301 Wood Acres, Waco, TX 76710 | 2016-10-06 |
1649662495 | Pediatric Advanced Life Services Home Health LLC | Home Health | 3640 W Waco Dr, Waco, TX 76710 | 2015-03-02 |
1881008795 | Soumava Sen, Dds, P.C. | Dentist | 4215 Franklin Ave, Ste. 300, Waco, TX 76710 | 2014-06-18 |
1053742221 | Dustin Dwain Kelm | Physical Therapist | 5400 Laurel Dr., Waco, TX 76710 | 2013-12-12 |
1881038776 | Penelope Diane Lane | Counselor | 7524 Bosque, Waco, TX 76710 | 2013-04-22 |
1538400627 | Erik Alexander Pernes Caluscusao | Physical Therapist | 415 Owen Ln Apt 911, Waco, TX 76710 | 2013-03-14 |
1447509039 | Sheree L Mach | Occupational Therapist | 5400 Laurel Lake Dr., Waco, TX 76710 | 2012-08-29 |
1568738425 | Ramanathan Anandaraman | Internal Medicine | 2608 Skyline Drive, Waco, TX 76710 | 2012-03-26 |
Find all providers in zip 76710 |
Taxonomy Code | 237700000X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Hearing Instrument Specialist |
Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801183546 | Curtis Martin | Hearing Instrument Specialist | 2026 N Valley Mills Dr, Waco, TX 76710-2561 | 2011-07-01 |
1336109370 | John Scott Westmoreland | Hearing Instrument Specialist | 5301 Bosque Blvd, Ste. 100, Waco, TX 76710-4458 | 2006-03-24 |
1144782350 | Scott Mace | Hearing Instrument Specialist | 204 Woodhew Dr, Waco, TX 76712-6529 | 2019-04-05 |
1609304021 | Nituna Diana Diaz | Hearing Instrument Specialist | 2301 E Waco Dr, Waco, TX 76705-3207 | 2017-05-30 |
1619233491 | Martin Audiology LLC | Hearing Instrument Specialist | 812 Lake Air Dr, Waco, TX 76710-5745 | 2012-04-06 |
1376809152 | Robert G Mills | Hearing Instrument Specialist | 2026 N Valley Mills Dr, Waco, TX 76710-2561 | 2012-04-06 |
1003181256 | Jennifer Barak | Hearing Instrument Specialist | 8416 Old Mcgregor Rd, Waco, TX 76712-6499 | 2012-03-20 |
1598030843 | Robert Godwin | Hearing Instrument Specialist | 8416 Old Mcgregor Rd, Waco, TX 76712-6499 | 2012-03-20 |
1750661682 | David Jeffery Anderson | Hearing Instrument Specialist | 4300 W Waco Dr, Waco, TX 76710-7010 | 2011-08-23 |
1861771016 | April Victoria Marteney | Hearing Instrument Specialist | 4300 W Waco Dr, Ste A2, Waco, TX 76710-7010 | 2011-08-05 |
Find all providers in WACO |
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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.