DR. GARY WAYNE CLARK (NPI# 1013987759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013987759 |
| Entity Type | Individual |
| Full Name | DR. GARY WAYNE CLARK |
| Credential | D.O. |
| Practice Address |
125 Canton Rd Nw Carrollton OH 44615-1009 |
| Mailing Address |
82 5th St Ne Carrollton OH 44615-1214 |
| Practice Telephone | 3306277641 |
| Practice Fax Number | 3306275796 |
| Mailing Telephone | 3306273494 |
| Mailing Fax Number | 3306273494 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2015-04-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 011418 | OH | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | DO785 | TN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548876048 | Gary Lee Clark | In Home Supportive Care | 71312 Woods Ave, Martins Ferry, OH 43935-3104 | 2020-09-20 |
| 1588085302 | Gary Marvin Clark | Pharmacist | 15227 Aurora Cir, Urbandale, IA 50323-2472 | 2013-12-20 |
| 1487855961 | Gary K. Clark | Dentist | 9730 S 700 E Ste 106, Sandy, UT 84070-4503 | 2007-05-30 |
| 1174649172 | Gary Clark | Social Worker | 502 W 143rd St, Suite 3a, New York, NY 10031-6507 | 2007-03-21 |
| 1912022484 | Gary Mike Clark | Marriage & Family Therapist | 8911 3rd Street Rd, Louisville, KY 40272-2501 | 2007-03-20 |
| 1609861152 | Gary W Clark | Podiatrist | 166 W 1325 N, Suite 300, Cedar City, UT 84721-7792 | 2005-09-12 |
| 1972140713 | Gary Clark | Behavior Technician | 100 Spenryn Dr, Madison, AL 35758-1890 | 2019-11-27 |
| 1043514540 | Gary D Clark | Pharmacist | 2701 S Nc 127 Hwy, Hickory, NC 28602-9130 | 2010-12-27 |
| 1902962939 | Gary Bruce Clark | General Practice | 1790 30th St, Suite 230, Boulder, CO 80301-1022 | 2006-12-27 |
| 1518042274 | Gary C. Clark | Surgery | 7901 Frost St, Sharp Memorial Hospital, San Diego, CA 92123-2701 | 2006-10-25 |
| Street Address |
125 CANTON RD NW |
| City | CARROLLTON |
| State | OH |
| Zip Code | 44615-1009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952851388 | Ankle and Foot Centers of Ohio LLC | Podiatrist | 125 Canton Rd Nw, Carrollton, OH 44615-1009 | 2016-10-10 |
| 1790174704 | Connie Stanik | Speech-Language Pathologist | 125 Canton Rd Nw, Carrollton, OH 44615-1009 | 2015-01-14 |
| 1871991786 | Theresa Brooks | Physical Therapist | 125 Canton Rd Nw, Carrollton, OH 44615-1009 | 2014-12-09 |
| 1912304429 | Christine Doria Miller | Speech-Language Pathologist | 125 Canton Rd Nw, Carrollton, OH 44615-1009 | 2014-11-26 |
| 1073916466 | Karen Shellenbarger | Physical Therapy Assistant | 125 Canton Rd Nw, Carrollton, OH 44615-1009 | 2014-09-30 |
| 1548661366 | Mercy Medical Center | Rehabilitation Hospital | 125 Canton Rd Nw, Carrollton, OH 44615-1009 | 2014-09-11 |
| 1760671499 | Inman Family Health & Wellness Center LLC | Family Medicine | 125 Canton Rd Nw, Suite A, Carrollton, OH 44615-1009 | 2007-10-18 |
| 1548477110 | Annette Marie Demos | Physical Therapist | 125 Canton Rd Nw, Carrollton, OH 44615-1009 | 2007-05-16 |
| 1689680191 | Matthew D Inman | Family Medicine | 125 Canton Rd Nw, Suite A, Carrollton, OH 44615-1009 | 2006-08-01 |
| 1205878790 | Pratheep Pawa | Neuromusculoskeletal Medicine & OMM | 125 Canton Rd Nw, Carrollton, OH 44615-1009 | 2006-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745878 | Carroll Hills Industries, Inc. | Non-emergency Medical Transport (VAN) | 1182 Roswell Rd. Nw, Carrollton, OH 44615 | 2020-09-18 |
| 1982267704 | Amanda V Burdette | Case Manager/Care Coordinator | 620 Roswell Road Nw, Carrollton, OH 44615 | 2019-04-17 |
| 1740688118 | Cynthia Olivito | Psychologist | 252 Third St. Se, Carrollton, OH 44615 | 2014-12-16 |
| 1346459419 | Bruce Eldon Barker | Dentist | 256 N Lisbon St, Carrollton, OH 44615 | 2007-05-22 |
| 1477684470 | Carroll County Auditor | Public Health or Welfare | 301 Moody Ave Sw, Carrollton, OH 44615 | 2007-03-08 |
| 1437213964 | East Carroll Nursing Home Inc | Intermediate Care Facility, Mentally Retarded | 2193 Commerce Drive, Countryview Manor, Carrollton, OH 44615 | 2006-12-20 |
| 1912083122 | Carl Warren Winters | Dentist | 25 Third St Ne, Carrollton, OH 44615 | 2006-10-31 |
| 1811002637 | Douglas James Burik | Chiropractor | 1244 Canton Road Nw, Carrollton, OH 44615 | 2006-08-20 |
| 1588676068 | Berg & Birong Dds LLC | Dentist | 1040 Trump Rd, St A, Carrollton, OH 44615 | 2006-08-12 |
| 1619989100 | James P Birong | Dentist | 1040 Trump Road, St A, Carrollton, OH 44615 | 2006-08-12 |
| Find all providers in zip 44615 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417428772 | Bowdon-mt Zion Primary Health Center Inc. | Family Medicine | 4248 Mount Zion Rd, Carrollton, GA 30117-7602 | 2018-12-16 |
| 1841761533 | Sewell Family Medicine and Urgent Care, P.C. | Family Medicine | 928 S Park St Ste H, Carrollton, GA 30117-4501 | 2018-12-06 |
| 1922515048 | Carrollton Primary Care Medicine Pllc | Family Medicine | 1809 Golden Trail Ct Ste 240, Carrollton, TX 75010-4667 | 2018-01-10 |
| 1598276610 | Healthpros Medical Center, Pllc | Family Medicine | 2548 Tarpley Rd, Carrollton, TX 75006-2328 | 2017-10-16 |
| 1912417858 | Akenjem Ebong Mba | Family Medicine | 1902 Country Club Dr Ste 160, Carrollton, TX 75006-5823 | 2017-10-05 |
| 1265783815 | Nirav A Patel | Family Medicine | 2761 E Trinity Mills Rd Ste 100, Carrollton, TX 75006-3507 | 2012-09-23 |
| 1275880163 | Lezlie Miller | Family Medicine | 3032 E Hebron Pkwy Ste 101, Carrollton, TX 75010-4465 | 2012-08-09 |
| 1265796049 | Carl R Fry | Family Medicine | 1020 Trump Rd Nw Ste 4, Carrollton, OH 44615-8423 | 2012-06-27 |
| 1679869317 | Harveer Singh Parmar | Family Medicine | 1212 N Josey Ln Ste 110, Carrollton, TX 75006-6103 | 2011-06-21 |
| 1215160197 | Jose P Parcon M D S C | Family Medicine | 727 9th St, Carrollton, IL 62016-1427 | 2009-08-26 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 44615 |
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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.