DR. MICHAEL W CLARK (NPI# 1073549804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073549804 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL W CLARK |
| Credential | DO |
| Practice Address |
1234 Napier Ave Saint Joseph MI 49085-2112 |
| Mailing Address |
18828 N Fruitport Rd Spring Lake MI 49456-1160 |
| Practice Telephone | 2699838300 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2011-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 008264 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2580269 | 05 | |
| MI | 4742464 | 05 | |
| MI | BC/BS | MC008264 | 01 |
| MI | 4742455 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534227 | Michael Clark | Contractor | 1107 Lavender Shade Court, Houston, TX 77073 | 2020-10-02 |
| 1558858464 | Michael Clark | Optometrist | 990 Medical Dr Ste G3, Brigham City, UT 84302 | 2018-04-16 |
| 1740780006 | Michael Ryan Clark | Pharmacist | 556 Northside Drive, Statesboro, GA 30458 | 2018-02-13 |
| 1942715255 | Michael Clark | Physical Medicine & Rehabilitation | 10600 Riverside Drive, Coral Springs, FL 33071-3307 | 2017-12-08 |
| 1386170348 | Michael Clark | Registered Nurse | 317 E 100 N, Price, UT 84501-2504 | 2017-05-11 |
| 1184163982 | Michael Clark | Specialist/Technologist | 19 Second Ave, Auburn, NY 13021-5113 | 2017-02-14 |
| 1356780837 | Michael Clark | Adult Companion | 8305 Concord Dr, Rowlett, TX 75089-2001 | 2013-06-18 |
| 1417394503 | Michael Ray Clark | Pharmacist | 2661 Valleydale Rd, Hoover, AL 35244-2026 | 2013-05-29 |
| 1407143381 | Michael Jeffery Clark | Orthopaedic Surgery | 5671 Peachtree Dunwoody Ste 700, Atlanta, GA 30342-5047 | 2011-06-29 |
| 1700183993 | Michael Brady Clark | Preventive Medicine | 1400 Mckean Rd, Spring House, PA 19477 | 2011-02-24 |
| Street Address |
1234 NAPIER AVE |
| City | SAINT JOSEPH |
| State | MI |
| Zip Code | 49085-2112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841282456 | Ewanah D Johnson | Internal Medicine | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2005-08-19 |
| 1497355010 | Suzanne Arlene Arendt | Registered Nurse | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2020-11-01 |
| 1053918748 | Katlyn Slowik | Physician Assistant | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2020-10-06 |
| 1578175261 | Megan Elizabeth Schluentz | Student in an Organized Health Care Education/Training Program | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2020-08-23 |
| 1538779954 | Priscilla Kennedy | Student in an Organized Health Care Education/Training Program | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2020-08-01 |
| 1700494226 | Sara Saliba | Student in an Organized Health Care Education/Training Program | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2020-07-21 |
| 1730797101 | Spandana Alla | Student in an Organized Health Care Education/Training Program | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2020-07-21 |
| 1013525047 | Sunny Patel | Student in an Organized Health Care Education/Training Program | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2020-07-15 |
| 1205454402 | Alexis Kristina Welsh | Physician Assistant | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2020-07-14 |
| 1639797020 | Yamann Sahlool | Student in an Organized Health Care Education/Training Program | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2020-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758949 | Ahmed Elshareif | Student in an Organized Health Care Education/Training Program | Lakeland Health, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2020-04-03 |
| 1033747225 | Ezra Fox | Student in an Organized Health Care Education/Training Program | Lakeland Health- Gme, 1234 Napier Avenue, St. Joseph, MI 49085 | 2020-04-01 |
| 1679033930 | Asad Butt | Student in an Organized Health Care Education/Training Program | Lakeland Health-gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2019-03-22 |
| 1184194714 | Benjamin Phillip Knuth | Physical Therapist | 3950 Hollywood Road, Suite 140, Saint Joseph, MI 49085 | 2018-11-27 |
| 1336624279 | Brandi Chatot | Counselor | 1101 Broad Street #8, Saint Joseph, MI 49085 | 2018-09-26 |
| 1396239562 | Lakeland Medical Practices | Family Medicine | 2500 Niles Ave., Suite 1, St. Joseph, MI 49085 | 2018-06-20 |
| 1760976518 | Premier Health Associates, Inc. | Home Health | 1111 Main Sr, St Joseph, MI 49085 | 2018-06-15 |
| 1053817783 | Chantell Strong | Student in an Organized Health Care Education/Training Program | Lakeland Health - Gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2018-04-02 |
| 1386144053 | Anjana Gupta, Dds, Pllc | Dentist | 2800 Niles Road, Saint Joseph, MI 49085 | 2018-02-19 |
| 1356858997 | Hope Reborn Counseling, Pllc | Counselor | 2816 Willa Dr, Saint Joseph, MI 49085 | 2018-01-04 |
| Find all providers in zip 49085 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649412198 | Gregory Clair Rood | Emergency Medicine | 950 Tucker Dr, Saint Joseph, MI 49085-3531 | 2009-03-30 |
| 1477521995 | Deborah A Weems | Emergency Medicine | 5001 Lake Ave, Saint Joseph, MO 64504 | 2006-03-10 |
| 1649247354 | Kenneth J Breker | Emergency Medicine | 9828 Jenny Ln, Saint Joseph, MN 56374-9692 | 2006-03-01 |
| 1437142965 | Steven M. Orr | Emergency Medicine | 5301 Faraon St, Ste 250, Saint Joseph, MO 64506-3512 | 2005-08-30 |
| 1548261795 | Brian J Robb | Emergency Medicine | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2005-08-09 |
| 1346776242 | Ryan Harold Wyatt | Emergency Medicine | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2017-05-11 |
| 1922534437 | Erik Arnits | Emergency Medicine | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2017-05-03 |
| 1659805430 | Joseph Longobardi | Emergency Medicine | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2017-04-18 |
| 1275067480 | Marcus Fazzari | Emergency Medicine | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2017-04-13 |
| 1508399304 | Ashley Meredith Olson | Emergency Medicine | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2017-04-07 |
| Find all providers in SAINT JOSEPH | ||||
| City | SAINT JOSEPH |
| Zip Code | 49085 |
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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.