CHRISTINA MAE CLARK (NPI# 1013565498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013565498 |
| Entity Type | Individual |
| Full Name | CHRISTINA MAE CLARK |
| Practice Address |
25a June Street Sanford ME 04073 |
| Mailing Address |
57 James St Wells ME 04090-6151 |
| Practice Telephone | 2073241488 |
| Mailing Telephone | 2076518072 |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2020-01-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PAN374 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154894988 | Christina Clark | Community Health Worker | 7028 Cobblestone Dr, Memphis, TN 38125-2612 | 2019-01-04 |
| 1427390350 | Christina D Clark | Technician, Other | 119 Lowenstein Ln, Cardington, OH 43315-9627 | 2013-03-18 |
| 1467762922 | Christina Michelle Clark | Dentist | 15310 Dawn Meadows Dr, Houston, TX 77068-3816 | 2010-10-18 |
| 1376710236 | Christina S Clark | Pharmacist | 2820 Keith Bridge Rd, Cumming, GA 30041-3935 | 2008-05-09 |
| 1003817081 | Christina Clark | Psychologist | 666 High St, Suite 200-d, Worthington, OH 43085-4135 | 2005-08-02 |
| 1386262830 | Christina Clark | Student in an Organized Health Care Education/Training Program | 4311 11th Ave Ne Ste 200, Seattle, WA 98105-6367 | 2020-07-10 |
| 1386206571 | Christina Clark | Nurse Practitioner | 715 Mall Ring Cir Ste 202, Henderson, NV 89014-6667 | 2019-07-08 |
| 1235798497 | Christina Cheryl Clark | Chore Provider | 343 Fairview Dr Ste 101, Carson City, NV 89701-5389 | 2019-06-11 |
| 1639682081 | Christina M Clark | Behavior Technician | 1176 Pelican Bay Dr, Daytona Beach, FL 32119-1381 | 2017-11-08 |
| 1578013769 | Christina Clark | Technician, Other | 8591 Lakeside Dr, Englewood, FL 34224-7695 | 2016-10-11 |
| Street Address |
25A JUNE STREET |
| City | SANFORD |
| State | ME |
| Zip Code | 04073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891755260 | Chris Duncan | Orthopaedic Surgery | 25a June Street, Sanford, ME 04073 | 2006-03-28 |
| 1508920562 | Julie D Grosvenor | Orthopaedic Surgery | 25a June Street, Sanford, ME 04073 | 2006-12-21 |
| 1356363220 | Bronna L Eckelman | Physician Assistant | 25a June Street, Sanford, ME 04073 | 2006-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326551888 | Casey Hope Lapierre | Chiropractor | 21 Daigle Lane, Sanford, ME 04073 | 2017-11-07 |
| 1619404860 | Matthew Jason Holt | Counselor | 469 Main Street, Suite 201, Sanford, ME 04073 | 2017-05-18 |
| 1023556776 | Grace Street Services, LLC | Substance Abuse Rehabilitation Facility | 69 Eagle Drive, Sanford, ME 04073 | 2017-02-02 |
| 1730639311 | Kathleen Ann Coward | Denturist | 1200 Main Street, Sanford, ME 04073 | 2016-10-07 |
| 1437522174 | We Care Home Care | Home Health | 38 Brook St Apt A, Sanford, ME 04073 | 2015-11-03 |
| 1619231602 | Paul E. Beaudoin | Dentist | 2 Stilson Street, Sanford, ME 04073 | 2012-06-25 |
| 1730332685 | York County Community Action Corps | Case Management | 35 Island Ave., Sanford, ME 04073 | 2008-10-23 |
| 1205031788 | Douglas W. Rainforth | Specialist | Goodall Occupational Health Clinic, 13july St., Sanford, ME 04073 | 2007-06-15 |
| 1275742645 | Janet S Steffens | Speech-Language Pathologist | Center for Communication, 1280 Main Street, Sanford, ME 04073 | 2007-05-22 |
| 1003033358 | Lauren M Torch | Social Worker | 890 Main Street, Suite 118 Lower Midtown Mall, Sanford, ME 04073 | 2007-04-19 |
| Find all providers in zip 04073 | ||||
| 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 |
|---|---|---|---|---|
| 1922611565 | Kiarash Peter Rahmanian | Physician Assistant | Central Carolina Hospital - Emergency Medicine, 1135 Carthage Street, Sanford, NC 27330-4162 | 2020-08-24 |
| 1679045835 | Daniel Burleson | Physician Assistant | 1212 Central Dr Ste 103, Sanford, NC 27330-4170 | 2018-12-27 |
| 1588147458 | Tyler Harrell | Physician Assistant | 96 Mountain View Dr, Sanford, NC 27332-1361 | 2018-09-07 |
| 1538675806 | Karli Ann Plunkett | Physician Assistant | 141 Bellagio Cir, Sanford, FL 32771-5000 | 2017-12-21 |
| 1972050458 | Brent Layne | Physician Assistant | 724 South Horner Blvd, Sanford, NC 27330 | 2016-09-01 |
| 1174977185 | Jennifer Lynn Beard | Physician Assistant | 2412 Wilkins Drive, Sanford, NC 27330 | 2016-04-15 |
| 1992111488 | Innovative Healthcare Solutions of Florida LLC | Physician Assistant | 1561 Travertine Ter, Sanford, FL 32771-7731 | 2014-07-07 |
| 1902228786 | Samantha Gordon | Physician Assistant | 1811 Phillips Dr, Sanford, NC 27330 | 2014-01-13 |
| 1629329727 | Leah Marie Gruber | Physician Assistant | 2412 Wilkins Dr., Sanford, NC 27330 | 2012-09-28 |
| 1134442338 | Jennifer Rahn Bridger | Physician Assistant | 717 N Horner Blvd, Sanford, NC 27330-3517 | 2010-03-03 |
| Find all providers in SANFORD | ||||
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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.