DR. JAMES G CLARK (NPI# 1093712556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093712556 |
| Entity Type | Individual |
| Full Name | DR. JAMES G CLARK |
| Credential | MD |
| Practice Address |
315 Isle of Capri Dr Fort Lauderdale FL 33301-2409 |
| Practice Telephone | 9543190225 |
| Mailing Telephone | 9543190225 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2015-05-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD2006-0077 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 12232033 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285240036 | James Daniel Clark | Clinical Nurse Specialist | 1325 Sanders Dr, Laramie, WY 82070-8204 | 2020-09-17 |
| 1376154435 | James Lindsay Clark | Pharmacist | 201 S 1300 E Ste 101, Salt Lake City, UT 84102-2608 | 2020-08-12 |
| 1154954758 | James Clark | Internal Medicine | 1409 Satilla Blvd, Waycross, GA 31501-4322 | 2020-02-21 |
| 1861051542 | James Bernard Clark | Counselor | 5739 Almaden Rd Apt 4, San Jose, CA 95118-3623 | 2019-06-06 |
| 1225595614 | James Colbert Clark IIi | Specialist/Technologist | 11 Aventura Ct, Randallstown, MD 21133-4330 | 2019-02-21 |
| 1609389832 | James Thomas Clark | Contractor | 11460 Old Mill Rd, Spencer, OH 44275-9582 | 2017-11-09 |
| 1124427067 | James William Clark | Dentist | 2825 Se 45th St, Ocala, FL 34480-7225 | 2014-08-16 |
| 1306267406 | James Clark | Pharmacist | 11307 Roszell St, San Antonio, TX 78217-2511 | 2013-12-17 |
| 1720322795 | James Timothy Clark | Hearing Instrument Specialist | 724 Perry Ave, Big Rapids, MI 49307-2200 | 2012-11-15 |
| 1457625782 | James Clark | Pharmacist | 16130 Parker St, Omaha, NE 68118 | 2012-03-05 |
| Street Address |
315 ISLE OF CAPRI DR |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33301-2409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568074284 | Sergio Francisco Galvez Leiva | Massage Therapist | 311 Se 15 Avenue, 5, Fort Lauderdale, FL 33301 | 2020-08-24 |
| 1083248355 | Aaidebook Inc | In Home Supportive Care | 501 East Olas Blvd., Suite 300 Office 337, Fort Lauderdale, FL 33301 | 2020-02-26 |
| 1962995845 | Primary Care Specialist of South Florida Pa | Internal Medicine | 20200 W Dixie High Way, 1108, Aventura, FL 33301 | 2018-06-14 |
| 1356877047 | Samaritan Counseling Center | Community Based Residential Treatment Facility, Mental Illness | 101 Se 3rd Avenue, Fort Lauderdale, FL 33301 | 2017-05-02 |
| 1093263956 | Lindsay Elizabeth Halas | Speech-Language Pathologist | 533 Ne 3rd Ave Apt 337, Fort Lauderdale, FL 33301 | 2016-09-20 |
| 1568842433 | Elaina Williams | Behavioral Analyst | 333 Las Olas Way # Cu1, Fort Lauderdale, FL 33301 | 2015-06-04 |
| 1598144057 | Cynthia I Pepper | Occupational Therapist | 440 Ne 4th Ave Unit 722, Fort Lauderdale, FL 33301 | 2015-05-29 |
| 1972900629 | Marquita Rucker | Counselor | 790 East Broward Blvd., Suite 400, Ft. Lauderdale, FL 33301 | 2014-11-24 |
| 1932502879 | Martha Bouza | Obstetrics & Gynecology | 609 Isle of Palms Drive, Fort Lauderdale, FL 33301 | 2014-10-07 |
| 1891117016 | Sara Jimenez | Social Worker | 401 Ne 4th Steret, Ft.lauderdale, FL 33301 | 2014-01-07 |
| Find all providers in zip 33301 | ||||
| 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 |
|---|---|---|---|---|
| 1760812986 | William Goetz | Emergency Medicine | 51 Fort Royal Is, Fort Lauderdale, FL 33308-6013 | 2013-11-25 |
| 1801221619 | Nicole Marie Molinaro | Emergency Medicine | 2537 Nassau Lane, Fort Lauderdale, FL 33312 | 2013-09-11 |
| 1699065763 | Anthony Sheehan Jr. | Emergency Medicine | 1705 Ne 1st St, Fort Lauderdale, FL 33301-3761 | 2011-04-11 |
| 1326280058 | Joubin Meta | Emergency Medicine | 2709 Ne 25th Street, Fort Lauderdale, FL 33305 | 2009-03-26 |
| 1023283744 | Adrian T. Maestas | Emergency Medicine | 1328 Se 17th St, Fort Lauderdale, FL 33316-1708 | 2008-04-23 |
| 1336320803 | Ronald Habas | Emergency Medicine | 2860 Oak Tree Ct, Fort Lauderdale, FL 33309-6709 | 2007-11-26 |
| 1457373862 | Ronald Nga Yeh | Emergency Medicine | Broward General Hospital, 1600 S Andrews Ave, Fort Lauderdale, FL 33316 | 2006-07-24 |
| 1235173717 | Matthew J. Huebner | Emergency Medicine | 330 Coconut Isle Dr, Fort Lauderdale, FL 33301-2424 | 2006-06-15 |
| 1063485415 | Garrett Trance | Emergency Medicine | 3991 Laurel Oak Way, Fort Lauderdale, FL 33312-6265 | 2006-02-08 |
| 1093787491 | Donald A. Human | Emergency Medicine | 6451 N Federal Hwy, Suite 800, Fort Lauderdale, FL 33308-1402 | 2006-02-02 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33301 |
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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.