RICHARD WAYNE CLARK (NPI# 1073554242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073554242 |
| Entity Type | Individual |
| Full Name | RICHARD WAYNE CLARK |
| Credential | M.D. |
| Practice Address |
1245 Wilshire Blvd Los Angeles CA 90017-4810 |
| Mailing Address |
1245 Wilshire Blvd Los Angeles CA 90017-4806 |
| Practice Telephone | 2139771215 |
| Practice Fax Number | 2139770404 |
| Mailing Telephone | 2139771215 |
| Mailing Fax Number | 2139770404 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2011-07-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | G23111 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0071560 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366922684 | Richard Sheldon Clark | Counselor | 311 Penny Dr, Lithopolis, OH 43136-9704 | 2018-08-16 |
| 1871929000 | Richard H Clark | Chiropractor | 462 Warren Rd, Franklin, PA 16323-6544 | 2013-09-19 |
| 1770831901 | Richard Clark | Counselor | 2902 Jack Pine St, Bellevue, NE 68123-5519 | 2012-08-20 |
| 1285866079 | Richard C Clark IIi | Counselor | 800 Pineview Dr, Hattiesburg, MS 39401-7459 | 2009-08-13 |
| 1134318140 | Richard S Clark | Marriage & Family Therapist | 2801 Summit St Apt 307, Oakland, CA 94609-3643 | 2007-10-16 |
| 1023042470 | Richard R. Clark | Family Medicine | 1475 E Belvidere Rd Unit 385, Grayslake, IL 60030-2026 | 2006-07-10 |
| 1942249545 | Richard James Clark IIi | Dentist | 2300 Garrett Rd, Drexel Hill, PA 19026-1102 | 2006-06-06 |
| 1699744011 | Richard C Clark | Physical Therapist | 4909 Nolensville Rd, Nashville, TN 37211-5411 | 2006-03-16 |
| 1528059565 | Richard K Clark | Optometrist | 810 Ne 25th Ave, Ocala, FL 34470-6335 | 2005-10-31 |
| 1053316364 | Richard Don Clark | Family Medicine | 802 Wayne St, Ste 202, Marietta, OH 45750-3300 | 2005-06-15 |
| Street Address |
1245 WILSHIRE BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90017-4810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902805914 | Thomas Henry Kanegae | Internal Medicine | 1245 Wilshire Blvd, Ste 804, Los Angeles, CA 90017-4810 | 2005-07-20 |
| 1548736903 | Jocelyn Choy | Physician Assistant | 1245 Wilshire Blvd, Los Angeles, CA 90017-4810 | 2018-10-23 |
| 1619419819 | Mandy Littlefield | Nurse Practitioner | 1245 Wilshire Blvd, Los Angeles, CA 90017-4810 | 2016-11-06 |
| 1710431853 | Judy Justus | Physician Assistant | 1245 Wilshire Blvd, #707, Los Angeles, CA 90017-4810 | 2016-08-05 |
| 1295196756 | Suyoun Lee | Nurse Practitioner | 1245 Wilshire Blvd, Suite 703, Los Angeles, CA 90017-4810 | 2016-03-11 |
| 1588024723 | Yahan Chung | Registered Nurse | 1245 Wilshire Blvd, Suite 703, Los Angeles, CA 90017-4810 | 2016-03-01 |
| 1770964454 | Billings Orthopedics Inc | Orthopaedic Surgery | 1245 Wilshire Blvd, Suite 611, Los Angeles, CA 90017-4810 | 2015-06-17 |
| 1730570243 | Carmina-lou Paez | Nurse Practitioner | 1245 Wilshire Blvd, Suite 703, Los Angeles, CA 90017-4810 | 2015-02-05 |
| 1639569270 | Los Angeles Cardiology Associates | Nurse Practitioner | 1245 Wilshire Blvd, Suite 703, Los Angeles, CA 90017-4810 | 2015-02-04 |
| 1316357007 | Olivia A Wu | Nurse Practitioner | 1245 Wilshire Blvd, Los Angeles, CA 90017-4810 | 2014-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833617 | Guadalupe Vallejo | Licensed Vocational Nurse | 515 Columbia Avenue, #200, 515 Columbia Avenue, Los Angeles, CA 90017 | 2020-08-25 |
| 1376181768 | Nirlok Corporation | Optometrist | 750 West 7th Street, Los Angeles, CA 90017 | 2019-12-16 |
| 1689228223 | Marycarmen Beltran | Student in an Organized Health Care Education/Training Program | 333 S. Beaudry Ave., Los Angeles, CA 90017 | 2019-08-01 |
| 1639661465 | Robin B Horowitz | Counselor | 333 South Beaudry Avenue, Los Angeles, CA 90017 | 2018-06-06 |
| 1710483797 | Rose Jadidian | Pharmacist | 701 S. Flower, Ste. 3150, Los Angeles, CA 90017 | 2018-03-30 |
| 1417469875 | Marykarla Gallegos | Case Manager/Care Coordinator | 1125 W. 6th St., Suite 103, Los Angeles, CA 90017 | 2017-10-25 |
| 1134646516 | Maria Salas | Rehabilitation Practitioner | 333 S Beaudry Ave., Los Angeles, CA 90017 | 2017-08-25 |
| 1932638202 | Butterfli Technologies Inc | Transportation Broker | 865 S Figueroa St Ste 2750, Los Angeles, CA 90017 | 2017-06-08 |
| 1316493125 | Phamily Love Foundation | Community/Behavioral Health | 626 Wilshire Blvd ., Suite 910, Los Angeles, CA 90017 | 2016-08-31 |
| 1215392188 | Jessica R. Garcia-hillard | Specialist/Technologist | 1111 W. 6th St., Suite 111, Los Angeles, CA 90017 | 2015-12-21 |
| Find all providers in zip 90017 | ||||
| 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 |
|---|---|---|---|---|
| 1598280901 | Kian Karimi Md Inc | Otolaryngology | 11645 Wilshire Blvd Fl 6, Los Angeles, CA 90025-6807 | 2017-08-07 |
| 1770906687 | David Carl Marcusen | Otolaryngology | 660 N Gramercy Pl, Los Angeles, CA 90004-1702 | 2014-01-28 |
| 1124451505 | Karam Badran | Otolaryngology | 10833 Le Conte Ave Chs 62-132, Department of Head and Neck Surgery, Los Angeles, CA 90095-1624 | 2013-08-20 |
| 1528490554 | Los Angeles Ent Surgical Associates | Otolaryngology | 1700 E. Cesar Chavez Ave, Suite 2500, Los Angeles, CA 90033 | 2013-08-01 |
| 1598011397 | Mehdi Sina | Otolaryngology | 1401 S Bentley Ave Apt 203, Los Angeles, CA 90025-8031 | 2012-07-30 |
| 1134486681 | Kevin Jae Choi | Otolaryngology | 966 S Western Ave Ste 101, Los Angeles, CA 90006-1014 | 2012-04-20 |
| 1649577156 | Hanwon H Cho | Otolaryngology | 11706 Montana Ave Apt 210, Los Angeles, CA 90049-6724 | 2011-02-17 |
| 1588822100 | Gary S Bellack Md Inc | Otolaryngology | 8631 W Third St, Suite 225, Los Angeles, CA 90048-5901 | 2008-05-30 |
| 1730359258 | Kimanh Duong Nguyen | Otolaryngology | 600 South San Vicente Blvd, Los Angeles, CA 90048 | 2008-03-11 |
| 1669657748 | Jennifer Lynn Long | Otolaryngology | 200 Medical Plaza Suite 550, Los Angeles, CA 90095-6975 | 2008-01-08 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90017 |
Please comment or provide details below to improve the information on RICHARD WAYNE 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.