JOSEPH M CLARK (NPI# 1053308288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053308288 |
| Entity Type | Individual |
| Full Name | JOSEPH M CLARK |
| Credential | MD |
| Practice Address |
1248 Huffman Mill Rd Ste 201 Burlington NC 27215-8700 |
| Mailing Address |
Po Box 24848 Winston Salem NC 27114-4848 |
| Practice Telephone | 3365381966 |
| Practice Fax Number | 3365381729 |
| Mailing Telephone | 3365381966 |
| Mailing Fax Number | 3365381729 |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2014-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 9700217 | NC | Allopathic & Osteopathic Physicians |
| N | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
9700217 | NC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417319161 | Joseph Martin Clark | Radiology | 16 E High St, Lebanon, PA 17042-5454 | 2016-03-22 |
| 1285936005 | Joseph R Clark | Dentist | 42 Georgia Ave, Commerce, GA 30529-2320 | 2010-11-30 |
| 1467776484 | Joseph Lefiever Clark Iv | Nurse Practitioner | 618 Oak St, Graham, TX 76450-3040 | 2010-03-19 |
| 1437354842 | Joseph Patterson Clark | Audiologist | 510 Fleming St Ste D, Hendersonville, NC 28739-4250 | 2007-06-15 |
| 1821217738 | Joseph Allen Clark | Massage Therapist | 3270 Fir Ridge Rd, Lake Oswego, OR 97035-2643 | 2007-04-25 |
| 1194795856 | Joseph D Clark | Psychiatry & Neurology | 81 Hillcrest Dr Ste 1300, Punxsutawney, PA 15767-2605 | 2006-01-25 |
| 1164021093 | Joseph Brady Clark | Physical Therapy Assistant | 1030 Scott Dr, Prescott, AZ 86301-4737 | 2020-10-21 |
| 1740814656 | Joseph D Clark | Case Manager/Care Coordinator | 3100 E 45th St Ste 408, Cleveland, OH 44127-1095 | 2020-02-29 |
| 1235626110 | Joseph Louis Clark II | Physical Medicine & Rehabilitation | 11565 Harts Rd, Jacksonville, FL 32218-3777 | 2018-04-17 |
| 1669984407 | Joseph Raymond Clark | Nurse Anesthetist, Certified Registered | 6606 Lbj Fwy Ste 200, Dallas, TX 75240 | 2017-11-02 |
| Street Address |
1248 HUFFMAN MILL RD STE 201 |
| City | BURLINGTON |
| State | NC |
| Zip Code | 27215-8700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558802785 | Leah Coulter | Nurse Practitioner | 1248 Huffman Mill Rd, Burlington, NC 27215-8700 | 2017-03-20 |
| 1043620347 | J Madison Clark Md Pllc | Otolaryngology | 1248 Huffman Mill Rd, Suite 201, Burlington, NC 27215-8700 | 2014-05-07 |
| 1619217627 | Karla Wright Leath | Nurse Practitioner | 1248 Huffman Mill Rd, Suite 103, Burlington, NC 27215 | 2013-02-27 |
| 1972881506 | Private Diagnostic Clinic, Pllc | Internal Medicine | 1248 Huffman Mill Rd, Ste. 103, Burlington, NC 27215-8700 | 2011-08-01 |
| 1821397209 | Jennifer Ann Brooks | Physician Assistant | 1248 Huffman Mill Rd, Burlington, NC 27215-8700 | 2011-03-24 |
| 1508189515 | Carolina Diagnostics, Inc. | Durable Medical Equipment & Medical Supplies | 1248 Huffman Mill Rd, B, Burlington, NC 27215-8700 | 2010-03-04 |
| 1407033939 | Digitrace Care Services Inc. | Durable Medical Equipment & Medical Supplies | 1248 Huffman Mill Rd, Suite B, Burlington, NC 27215-8700 | 2008-01-28 |
| 1225223449 | Sleepmed Therapies, Inc. | Durable Medical Equipment & Medical Supplies | 1248 Huffman Mill Rd, Suite B, Burlington, NC 27215 | 2007-09-11 |
| 1821219197 | John Ballance | Audiologist | 1248 Huffman Mill Rd, Suite 200, Burlington, NC 27215-8700 | 2007-05-02 |
| 1609099209 | Creighton Charles Vaught | Otolaryngology | 1248 Huffman Mill Rd, Suite 200, Burlington, NC 27215-8700 | 2007-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235748708 | Svetlana Nepocatych | Dietitian, Registered | 542 Spaulding St, Burlington, NC 27215 | 2020-07-30 |
| 1992341382 | Gracepoint Recovery Services | Counselor | The Gregory Business Center, 154 Huffman Mill Roal, Burlington, NC 27215 | 2019-11-21 |
| 1336797331 | Kelly Elizabeth Fleming | Preventive Medicine | Stallings-evans Sports Medicine Center, 91 Stadium Drive, Chapel Hill, NC 27215 | 2019-09-03 |
| 1861911968 | Michael Frey | Pharmacist | 2344 South Church St, Burlington, NC 27215 | 2017-09-11 |
| 1174043822 | Comfort Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1244 Plaza Dr, Burlington, NC 27215 | 2017-06-23 |
| 1811417561 | Burlington Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1244 Plaza Drive, Burlington, NC 27215 | 2017-06-23 |
| 1912459132 | Herb Mccandless Jr. | Non-emergency Medical Transport (VAN) | 4412 Dogwood Rd, Burlington, NC 27215 | 2016-11-04 |
| 1023479623 | Alpha Diagnostics, LLC | Clinical Medical Laboratory | 3015 South Church St, Burlington, NC 27215 | 2016-03-10 |
| 1669720819 | Lucy Wessinger Menefee | Registered Nurse | Unc Nephrology and Hypertension, 3325 Garden Road, Burlington, NC 27215 | 2012-08-20 |
| 1154685402 | Sheryl Harper | Social Worker | 2815 North Church Street, Burlington, NC 27215 | 2012-07-02 |
| Find all providers in zip 27215 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174935381 | Erin Tracy Ostby | Otolaryngology | 111 Colchester Ave Fl 4, Burlington, VT 05401-1473 | 2014-05-21 |
| 1942259379 | Donald A Leopold | Otolaryngology | 111 Colchoster Ave - Ent Wp4, Burlington, VT 05401 | 2006-05-10 |
| 1396732525 | Chapman T Mcqueen | Otolaryngology | 1248 Huffman Mill Road Ste 200, Burlington, NC 27215-8700 | 2005-10-03 |
| 1487656450 | Guy Albert Francis | Otolaryngology | 823 N 6th St, Ste 1, Burlington, IA 52601-4910 | 2005-08-10 |
| 1093710840 | Robert J Carpenter IIi | Otolaryngology | Lahey Clinic Inc, 41 Mall Road, Burlington, MA 01805-0001 | 2005-06-17 |
| 1124538855 | George Kurien | Otolaryngology | 111 Colchester Ave, Burlington, VT 05401-1473 | 2017-10-09 |
| 1730448721 | Carolyn Anne Orgain | Otolaryngology | 111 Colchester Ave, Burlington, VT 05401 | 2012-05-10 |
| 1235497207 | Stefanie Saunders | Otolaryngology | 41 Mall Road, Lahey Hospital and Medical Center, Burlington, MA 01805 | 2012-04-27 |
| 1215229968 | Mirabelle B Sajisevi | Otolaryngology | 111 Colchester Ave, Burlington, VT 05401-1473 | 2011-05-12 |
| 1730344995 | Annie Sang Lee | Otolaryngology | 41 Mall Rd, Burlington, MA 01805-0001 | 2008-07-26 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 27215 |
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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.