MRS. TANYA MARIE CLARK (NPI# 1023342862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023342862 |
| Entity Type | Individual |
| Full Name | MRS. TANYA MARIE CLARK |
| Credential | J.D. |
| Practice Address |
17601 Addison St Southfield MI 48075-2764 |
| Mailing Address |
Po Box 182 Southfield MI 48037-0182 |
| Practice Telephone | 2482272029 |
| Mailing Telephone | 2482272029 |
| Enumeration Date | 2009-09-27 |
| Last Update Date | 2009-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers | ||
| N | 172V00000X | Community Health Worker | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639653686 | Tanya L Clark | Physical Therapist | 208 Health Care Drive, Pennington Gap, VA 24277 | 2018-09-15 |
| 1194203281 | Tanya Clark | Community Health Worker | 33 Walker Street, Ashland, ME 04732 | 2018-08-01 |
| 1518022425 | Tanya Williams Clark | Speech-Language Pathologist | 100 South West St., Bainbridge, GA 39817 | 2006-12-22 |
| 1366042566 | Tanya Ray Clark | Pharmacist | 3500 Se Club Blvd, Bentonville, AR 72712-5182 | 2020-10-27 |
| 1427485192 | Tanya Lee Clark | Occupational Therapist | 150 Ware Rd, Dayville, CT 06241-1126 | 2013-09-26 |
| Street Address |
17601 ADDISON ST |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075-2764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
| 1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
| 1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
| 1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
| Find all providers in zip 48075 | ||||
| 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 |
|---|---|---|---|---|
| 1740888122 | Mosobalaje I Adewole | Contractor | 22448 Hallcroft Trl, Southfield, MI 48034-5498 | 2020-10-16 |
| 1740574359 | Diane Peeler Thurman | Contractor | 18922 Hilton Dr, 18922 Hilton Drive, Southfield, MI 48075-7238 | 2011-06-01 |
| 1912200858 | Independent Evaluation Services | Contractor | 30555 Southfield Rd., 250, Southfield, MI 48076 | 2010-12-15 |
| 1578000998 | Insight Center for Creative Counseling, LLC | Contractor | 17340 W 12 Mile Rd, Suite 202, Southfield, MI 48076-2122 | 2017-01-23 |
| 1952729154 | Dorenea Gurard | Contractor | 2000 Town Ctr, 1900, Southfield, MI 48075-1135 | 2014-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861693 | Asset Health, Inc. | Contractor | 2250 Butterfield Dr Ste 100, Troy, MI 48084-3411 | 2020-11-05 |
| 1689272833 | Michael Onwuegbuna | Contractor | 4057 Radcliff Dr, Canton, MI 48188-7236 | 2020-10-10 |
| 1366075053 | David Begley | Contractor | 4286 Welch Rd, Attica, MI 48412-9394 | 2020-02-20 |
| 1174155709 | Barbara S Kosten | Contractor | 7622 Collins Rd, Fenwick, MI 48834-9535 | 2020-02-11 |
| 1780229880 | Terri Dallas | Contractor | 59 Seward St Apt 603, Detroit, MI 48202-2431 | 2019-11-12 |
| 1033763347 | Latrese Tucker | Contractor | 9600 Wyoming, Detroit, MI 48204 | 2019-07-25 |
| 1700443033 | Payroll & Accounting Services LLC | Contractor | 20600 Eureka Rd Ste 220, Taylor, MI 48180-6337 | 2019-05-22 |
| 1659934669 | Jeffrey Paul Cates | Contractor | 826 W 11 Mile Rd, Madison Heights, MI 48071-3102 | 2019-04-16 |
| 1073073516 | Simba Mujuru | Contractor | 7115 Orchard Lake Rd Ste 220, West Bloomfield, MI 48322-3655 | 2019-03-21 |
| 1760956734 | Cody Allen Sweatland | Contractor | 3504 Church St, Saginaw, MI 48604-2143 | 2019-01-14 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHFIELD |
| Zip Code | 48075 |
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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.