DR. SUSAN CLARKE (NPI# 1033385984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033385984 |
| Entity Type | Individual |
| Full Name | DR. SUSAN CLARKE |
| Credential | MB BCH, MSC |
| Practice Address |
1920 W 1st St Piedmont Plaza 1, Second Floor Winston Salem NC 27104-4220 |
| Mailing Address |
7 Elm Park Donnybrook Dublin IRELAND 00004 IE |
| Practice Telephone | 3367162794 |
| Practice Fax Number | 3367163206 |
| Mailing Telephone | 011353863483418 |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2008-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | NC | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790252567 | Susan Cheryl Clarke | Registered Nurse | 14537 232nd St Apt 2c, Springfield Gardens, NY 11413-3937 | 2018-10-30 |
| 1336424431 | Susan Clarke | Marriage & Family Therapist | 23121 Plaza Pointe Dr Ste 108, Laguna Hills, CA 92653-1466 | 2011-10-20 |
| 1811010473 | Susan A Clarke | Occupational Therapist | 1600 Congress St, Portland, ME 04102 | 2007-04-09 |
| 1013905371 | Susan Legender Clarke | Chiropractor | 846 Laurel Ave, Saint Paul, MN 55104-7110 | 2005-10-11 |
| 1114163029 | Susan Lynn Clarke | Registered Nurse | 516 Nizhoni Blvd, Gallup, NM 87301-5748 | 2008-12-23 |
| 1972628600 | Susan Winstead Clarke | Nurse Practitioner | 221a Professional Cir, Morehead City, NC 28557-4303 | 2007-03-20 |
| Street Address |
1920 W 1ST ST PIEDMONT PLAZA 1, SECOND FLOOR |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27104-4220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659312429 | Christian Scott Gurley | Physician Assistant | 1920 W 1st St, Winston Salem, NC 27104-4220 | 2006-06-10 |
| 1659900140 | Michelle Lear Green | Student in an Organized Health Care Education/Training Program | 1920 W 1st St, Winston Salem, NC 27104-4220 | 2020-04-06 |
| 1154950962 | Jamie Don Lauwagie | Student in an Organized Health Care Education/Training Program | 1920 W 1st St, Winston Salem, NC 27104-4220 | 2020-04-03 |
| 1427687292 | Alexandria Patrice Lawrence | Student in an Organized Health Care Education/Training Program | 1920 W 1st St, Winston Salem, NC 27104-4220 | 2020-04-03 |
| 1487282166 | Olivia Nicole Lardo | Student in an Organized Health Care Education/Training Program | 1920 W 1st St, Winston Salem, NC 27104-4220 | 2020-03-30 |
| 1518595438 | Nicole Anna Desantis | Student in an Organized Health Care Education/Training Program | 1920 W 1st St, Winston Salem, NC 27104-4220 | 2020-03-27 |
| 1700413770 | Sarah Katherine Nullmeyer | Student in an Organized Health Care Education/Training Program | 1920 W 1st St, Winston Salem, NC 27104-4220 | 2020-03-26 |
| 1598392953 | Taylor Renee Lahasky | Student in an Organized Health Care Education/Training Program | 1920 W 1st St, Winston Salem, NC 27104-4220 | 2020-03-25 |
| 1750842761 | Brady Wilson Nichols | Student in an Organized Health Care Education/Training Program | 1920 W 1st St, Winston Salem, NC 27104-4220 | 2019-03-31 |
| 1336600444 | Kimberly Marie Burcher | Student in an Organized Health Care Education/Training Program | 1920 W 1st St, Winston Salem, NC 27104-4220 | 2019-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447807664 | Cameron Grant Ford | Psychologist | 614 Country Club Road, Winston-salem, NC 27104 | 2019-08-22 |
| 1104310374 | Novant Medical Group, Inc. | Internal Medicine | 4937 Old Country Club Rd, Winston Salem, NC 27104 | 2018-06-20 |
| 1982100509 | Dillon James Magalski | Student in an Organized Health Care Education/Training Program | Piedmont Plaza 1, 1920 West First Street, Wake Forest Baptist Medical Center, Winston-salem, NC 27104 | 2018-04-03 |
| 1891290144 | Breann M Poling | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center, Department Of, Family Medicine Piedmont Plaza I 1920 West First Street, Winston Salem, NC 27104 | 2018-03-28 |
| 1689178600 | Christopher Vasil | Student in an Organized Health Care Education/Training Program | Piedmont Plaza I, 1920 West First Street, Department of Family Medicine, Winston Salem, NC 27104 | 2018-03-23 |
| 1407379126 | April Lynn Lowe | Registered Nurse | 940 N Peace Haven Rd, Winstonsalem, NC 27104 | 2017-07-25 |
| 1164950804 | Donald Joyce | Student in an Organized Health Care Education/Training Program | 1920 West First St, Piedmont Plaza I Building, 3rd Floor, Winston-salem, NC 27104 | 2017-05-25 |
| 1255867289 | Benjamin Hansen | Pharmacist | 2150 Country Club Rd Ste 300, Winston Salem, NC 27104 | 2017-05-11 |
| 1770020976 | Jane Reed | Physical Medicine & Rehabilitation | 2627 E Greenbrier Road, Winston Salem, NC 27104 | 2017-01-25 |
| 1053728261 | Ashraf Alsaedi | Pharmacist | 1659 Stratford Rd Nw, Winston Salem, NC 27104 | 2014-07-20 |
| Find all providers in zip 27104 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659747 | Lakisha Henry-simmons | Student in an Organized Health Care Education/Training Program | 4298 Falcon Rd, Winston Salem, NC 27106-9425 | 2020-11-03 |
| 1366040503 | William Tommy Sparks | Student in an Organized Health Care Education/Training Program | 1012 S Hawthorne Rd, Winston Salem, NC 27103-4419 | 2020-10-10 |
| 1386258432 | Valerie Miller | Student in an Organized Health Care Education/Training Program | 601 Mlk Jr Dr, Winston Salem, NC 27110-0001 | 2020-09-05 |
| 1942814074 | Joyous Hawkins | Student in an Organized Health Care Education/Training Program | 601 S Martin Luther King, Winston Salem, NC 27110-0001 | 2020-09-05 |
| 1326652504 | Emily Claire Skoglund | Student in an Organized Health Care Education/Training Program | 601 S Martin Luther King Jr Dr Fl 432, Winston Salem, NC 27110-0001 | 2020-09-03 |
| 1750903233 | Rachel Elizabeth Crespi | Student in an Organized Health Care Education/Training Program | 3517 Summerfield Ln, Winston Salem, NC 27106-4295 | 2020-05-07 |
| 1023639325 | Christopher Gregg Marler Jr. | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd Winston-salem N Surgery Clinic, Winston Salem, NC 27157-0001 | 2020-04-28 |
| 1912526005 | Hunter Bright Yancey | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center 1 Me, Winston Salem, NC 27157-0001 | 2020-04-09 |
| 1033748371 | Chukwuweike U Gwam | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center Medical Center Boul, Winston Salem, NC 27157-0001 | 2020-04-08 |
| 1386273175 | Mehrnoosh Ghandili | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Health One Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-04-03 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27104 |
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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.