SPENCER CLARK (NPI# 1033557269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033557269 |
| Entity Type | Individual |
| Full Name | SPENCER CLARK |
| Practice Address |
3300 Nw Expwy Oklahoma City OK 73112-4418 |
| Practice Telephone | 4059512277 |
| Practice Fax Number | 7023888431 |
| Mailing Telephone | 4059512277 |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2014-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | SL0944 | NV | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245576487 | Spencer Clark | Physical Therapist | 1952 E 7000 S, Salt Lake City, UT 84121-6877 | 2012-12-17 |
| Street Address |
3300 NW EXPWY |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73112-4418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790853067 | Julie Denise Watson | Pediatrics | 3300 Nw Expwy, 4th Floor Nicu, Oklahoma City, OK 73112-4418 | 2006-12-02 |
| 1558983387 | Anna S Kim | Anesthesiologist Assistant | 3300 Nw Expwy, Oklahoma City, OK 73112-4418 | 2020-05-14 |
| 1073134144 | Parker Thomas Richardson | Anesthesiologist Assistant | 3300 Nw Expwy, Oklahoma City, OK 73112-4418 | 2020-04-30 |
| 1871112409 | John Robert Sheets | Student in an Organized Health Care Education/Training Program | 3300 Nw Expwy, Oklahoma City, OK 73112-4999 | 2020-04-14 |
| 1902434020 | Aakash Jivan | Student in an Organized Health Care Education/Training Program | 3300 Nw Expwy, Oklahoma City, OK 73112-4418 | 2020-04-01 |
| 1891322855 | Jaxson Tucker Thomas | Student in an Organized Health Care Education/Training Program | 3300 Nw Expwy, Oklahoma City, OK 73112-4418 | 2020-03-26 |
| 1336776392 | Adam K Judd | Student in an Organized Health Care Education/Training Program | 3300 Nw Expwy, Oklahoma City, OK 73112-4418 | 2020-03-26 |
| 1164984332 | Dustin Coleman | Student in an Organized Health Care Education/Training Program | 3300 Nw Expwy, Oklahoma City, OK 73112-4999 | 2019-04-04 |
| 1356811558 | Crystal A Mahana | Physician Assistant | 3300 Nw Expwy, Oklahoma City, OK 73112-4418 | 2018-11-29 |
| 1053804112 | Taylor Brooke Herzer | Physician Assistant | 3300 Nw Expwy, Oklahoma City, OK 73112-4999 | 2018-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
| 1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
| 1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
| 1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
| 1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
| 1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
| 1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
| 1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
| Find all providers in zip 73112 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932634789 | Suboxone Solutions LLC | Specialist | 10813 N Macarthur Blvd Ste W, Oklahoma City, OK 73162-6904 | 2017-04-28 |
| 1245656461 | Chris Kunkel | Specialist | 2900 Purdue Dr, Oklahoma City, OK 73128-5808 | 2014-03-12 |
| 1235554338 | Megan Peters | Specialist | 8521 N Eastern Ave, Oklahoma City, OK 73131-4031 | 2014-02-26 |
| 1821332438 | Tsa Eshelle King | Specialist | 1330 N Classen Blvd Ste 307, Oklahoma City, OK 73106-6834 | 2012-11-20 |
| 1841542859 | Tempest Johann Johnson | Specialist | 1210 Sw 77th Ter, Oklahoma City, OK 73139-2439 | 2012-10-15 |
| 1861753956 | Rickey Lee Great | Specialist | 834 Ne 36th St, Oklahoma City, OK 73105-7206 | 2012-06-05 |
| 1154689487 | Connie L Burch | Specialist | 3112 Nw Expressway Apt 115, Oklahoma City, OK 73112-4016 | 2012-04-24 |
| 1437433125 | Virginia Parrish | Specialist | 222 E Sheridan Ave, Oklahoma City, OK 73104-4233 | 2011-09-29 |
| 1356650675 | Richard C. Greyson, M.d., A Professional Corporation | Specialist | 1110 N Classen Blvd Ste 301, Oklahoma City, OK 73106-6842 | 2010-10-04 |
| 1992017420 | Maurice Upshaw Jr. | Specialist | 3035 Nw 63rd St Ste 201n, Oklahoma City, OK 73116-3606 | 2010-07-13 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73112 |
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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.