MR. DANIEL CLARK (NPI# 1043613649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043613649 |
| Entity Type | Individual |
| Full Name | MR. DANIEL CLARK |
| Credential | NURSE PRACITIONER |
| Practice Address |
3451 Bald Mountain Rd Lake Orion MI 48360-2401 |
| Practice Telephone | 2483305808 |
| Mailing Telephone | 2483305808 |
| Enumeration Date | 2014-09-27 |
| Last Update Date | 2014-09-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704269853 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336771955 | Daniel Lee Clark | Contractor | 2151 Harvey Mitchell Pkwy S Ste 227, College Station, TX 77840-5242 | 2020-02-11 |
| 1124212345 | Daniel Curtis Clark | Chiropractor | 860 E. Remington Drive, Suite C, Sunnyvale, CA 94087-2913 | 2007-08-30 |
| 1619168796 | Daniel W Clark | Psychologist | 1405 Harrison Ave Nw Ste 205, Olympia, WA 98502-5327 | 2007-08-05 |
| 1275757130 | Daniel Charles Clark | Social Worker | 3829 S Duquesne Rd, Joplin, MO 64804-5409 | 2007-04-12 |
| 1851308472 | Daniel John Clark | Dentist | 624 S High St, Hillsboro, OH 45133 | 2006-08-03 |
| 1184669210 | Daniel Stewart Clark | Chiropractor | 41060 Hayes Road, Clinton Township, MI 48038 | 2006-06-20 |
| 1548219256 | Daniel M Clark | Obstetrics & Gynecology | 4333 S Lowes Creek Rd, Eau Claire, WI 54701-7405 | 2006-05-09 |
| 1225093891 | Daniel Curtis Clark | Psychologist | 3196 Parliament Cir, Suite 400, Montgomery, AL 36116-7271 | 2006-04-18 |
| 1700487360 | Daniel Clark | Pharmacist | 660 S 1750 W, Springville, UT 84663-3071 | 2020-11-02 |
| 1326679846 | Daniel Lewis Clark | Physical Therapy Assistant | 1919 Brinker Rd, Denton, TX 76208-6215 | 2020-02-03 |
| Street Address |
3451 BALD MOUNTAIN RD |
| City | LAKE ORION |
| State | MI |
| Zip Code | 48360-2401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124409446 | Kyle Vires | Licensed Practical Nurse | 2271 Geyer Ct, Lake Orion, MI 48360 | 2015-06-11 |
| 1871931592 | Ihsan Asbahi | Anesthesiology | 1234 S Lapeer Rd, Lake Orion, MI 48360 | 2013-06-05 |
| 1205119567 | Michigan Bone and Joint Center | Orthopaedic Surgery | 1251 S. Lapeer Rd., Suite #102, Lake Orion, MI 48360 | 2011-09-23 |
| 1629226139 | Travis L Summerville | Physical Therapist | 1298 Walloon Way, Lake Orion, MI 48360 | 2008-09-09 |
| 1982878609 | Audrey Vizzaccaro | Physician Assistant | 1261 South Lapeer Rd, Ste 201, Lake Orion, MI 48360 | 2008-04-14 |
| 1881872265 | H & L Drugs Inc | Durable Medical Equipment & Medical Supplies | 1455 S Lapeer, Suite 101, Lake Orion, MI 48360 | 2008-02-07 |
| 1598952129 | Oakland Psychological Clinic, P.C. | Counselor | 1455 S Lapeer Rd Ste 175n, Lake Orion, MI 48360 | 2007-09-27 |
| 1700098704 | Laura Elizabeth Salome | Audiologist | 1176 S. Lapeer Rd, Lake Orion, MI 48360 | 2007-05-04 |
| 1780743658 | Frank James Iulianelli | Chiropractor | 2523 South Lapeer Road, Lake Orion, MI 48360 | 2006-12-07 |
| 1942377122 | James C Komendera Dds PC | Dentist | 1135 S Lapeer Rd, Lake Orion, MI 48360 | 2006-11-30 |
| Find all providers in zip 48360 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114493384 | Jeffrey Thomas Snyder | Nurse Practitioner | 1455 S Lapeer Rd Ste 102, Lake Orion, MI 48360-1468 | 2018-10-15 |
| 1285125625 | Suzana Marku | Nurse Practitioner | 1420 S Lapeer Rd, Lake Orion, MI 48360-1437 | 2018-05-22 |
| 1962866533 | Allison Laprise | Nurse Practitioner | 1240 S Lapeer Rd Ste 101a, Lake Orion, MI 48360-1470 | 2016-04-11 |
| 1821453218 | Amanda Lynn Allen | Nurse Practitioner | 3079 S Baldwin Rd Ste 1076, Lake Orion, MI 48359-1028 | 2015-12-29 |
| 1437539681 | Colleen Erin Ellis | Nurse Practitioner | 1080 Walloon Way, Lake Orion, MI 48360-1318 | 2015-06-03 |
| 1811201114 | Deborah Ann Romain | Nurse Practitioner | 488 N Washington St, Lake Orion, MI 48362-3273 | 2010-07-29 |
| 1043859564 | Amy Olds | Nurse Practitioner | 1455 S Lapeer Rd Ste 102, Lake Orion, MI 48360-1468 | 2020-01-01 |
| 1679042949 | Haneet Multani | Nurse Practitioner | 1455 S Lapeer Rd Ste 102, Lake Orion, MI 48360-1468 | 2018-11-16 |
| 1487136552 | Shawna Susanne Cuda | Nurse Practitioner | 1428 S Lapeer Rd, Lake Orion, MI 48360-1437 | 2018-09-05 |
| 1053848614 | Brittany Shamoun | Nurse Practitioner | 1455 S Lapeer Rd Ste 100, Lake Orion, MI 48360-1468 | 2017-05-15 |
| Find all providers in LAKE ORION | ||||
| City | LAKE ORION |
| Zip Code | 48360 |
Please comment or provide details below to improve the information on MR. DANIEL CLARK.
| 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.