DR. LIANA ROXANNE CLARK (NPI# 1033507371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033507371 |
| Entity Type | Individual |
| Full Name | DR. LIANA ROXANNE CLARK |
| Credential | MD |
| Practice Address |
1 Discovery Dr Bldg 45, Room 208 Swiftwater PA 18370-9100 |
| Practice Telephone | 5709723464 |
| Practice Fax Number | 9086857283 |
| Mailing Telephone | 5709723464 |
| Mailing Fax Number | 9086857283 |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2017-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
MD050387L | PA | Allopathic & Osteopathic Physicians |
| Street Address |
1 DISCOVERY DR BLDG 45, ROOM 208 |
| City | SWIFTWATER |
| State | PA |
| Zip Code | 18370-9100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376521443 | Nishith Kishor Jobanputra | Preventive Medicine | 1 Discovery Dr, Pv Dept, Bldg 45, Rm 238, Swiftwater, PA 18370-9100 | 2006-01-09 |
| 1295064236 | John Gordon Mcneil | Preventive Medicine | 1 Discovery Dr, Swiftwater, PA 18370-9100 | 2009-12-22 |
| 1912181231 | Lee-jah Chang | Allergy & Immunology | 1 Discovery Dr, Swiftwater, PA 18370-9100 | 2007-12-21 |
| 1295858942 | Frederick Leon Ruben | Internal Medicine | 1 Discovery Dr, Box 187, Swiftwater, PA 18370-9100 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467793968 | Judith Rose Coates | Nurse Practitioner | Discovery Drive, Swiftwater, PA 18370 | 2013-03-07 |
| 1790063998 | Comprehensive Health Services | General Practice | Building 50 Discovery Drive, Swiftwater, PA 18370 | 2011-07-22 |
| 1720311756 | Jane Anne Scheffler | Specialist/Technologist | 1 Pocono Mt School Rd, Swiftwater, PA 18370 | 2009-09-09 |
| 1568644466 | Advanced Eyecare Specialists | Clinic/Center | 2055 Route 611, Swiftwater, PA 18370 | 2007-12-03 |
| 1982827119 | Colonial Intermediate Unit 20 | Clinic/Center | 125 Center Court, Swiftwater, PA 18370 | 2007-04-10 |
| 1023232972 | Colonial Intermediate Unit 20 | Clinic/Center | 231 Pocono Mt School Rd, Swiftwater, PA 18370-0200 | 2007-04-12 |
| 1912940669 | Pocono Mountain School District | Local Education Agency (LEA) | Pocono Mountain School Rd, Swiftwater, PA 18370-0200 | 2006-06-13 |
| 1063886497 | Ryan Tatu | Counselor | 7167 Moss Dr, Swiftwater, PA 18370-7730 | 2015-11-23 |
| 1245715556 | Kayse Lynne Dymond | Physical Therapist | 6146 Sunset Dr, Swiftwater, PA 18370-7768 | 2018-10-02 |
| 1518447234 | David Paul Greenberg | Pediatrics | 1 Discovery Dr Bldg 60, Swiftwater, PA 18370-9100 | 2018-08-21 |
| Find all providers in zip 18370 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
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|---|---|---|---|---|
| 1912516279 | Stc Pediatrics LLC | Pediatrics | 3601 A St Fl Family, Philadelphia, PA 19134-1043 | 2020-07-23 |
| 1386288702 | Advocare, LLC | Pediatrics | 2000 Hamilton St Ste 109, Philadelphia, PA 19130-3847 | 2019-10-29 |
| 1881253011 | Main Street Pediatrics of Greater Scranton | Pediatrics | 247 Main St # Pa, Dickson City, PA 18519-1641 | 2019-06-11 |
| 1801232962 | St. Luke's Physician Group, Inc | Pediatrics | 208 Lifeline Rd Ste 201, Stroudsburg, PA 18360-6473 | 2013-05-16 |
| 1558676890 | Care Network Norristown | Pediatrics | 1340 Dekalb St Ste 4, Norristown, PA 19401-3434 | 2010-08-11 |
| 1831427319 | Ellis H Sacks | Pediatrics | 2138 Lombard St, Apt 3b, Philadelphia, PA 19146-1261 | 2009-11-23 |
| 1720250137 | North Pittsburgh Pediatrics and Adolescent | Pediatrics | 11676 Perry Hwy Ste 2204, Wexford, PA 15090-7202 | 2008-03-25 |
| 1780896514 | Cheryl A Duffy Md Inc | Pediatrics | 1914 Mercer Avenue, Farrell, PA 16121 | 2007-05-04 |
| 1265575955 | Providence Pediatrics, PC | Pediatrics | 338 Russell Avenue, Williamsport, PA 17701 | 2007-02-14 |
| 1972691103 | Pediatric Care Center PC | Pediatrics | 100 Neale Address, Mahoning Medical Center, Marion Center, PA 15759-0268 | 2006-10-11 |
| Find all providers with the same taxonomy | ||||
| City | SWIFTWATER |
| Zip Code | 18370 |
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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.