MR. MATTHEW ERICK CLARK (NPI# 1093849606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093849606 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW ERICK CLARK |
| Credential | ATC. |
| Practice Address |
2004 Sproul Rd Broomall PA 19008-3511 |
| Mailing Address |
117 Cooper Ln Oxford PA 19363-4012 |
| Practice Telephone | 6103530800 |
| Practice Fax Number | 6103591686 |
| Mailing Telephone | 6109328547 |
| Mailing Fax Number | 6103591686 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
RT002008A | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033578653 | Matthew Mitchell Clark | Student in an Organized Health Care Education/Training Program | 2644 Crystal Falls Rd, Lexington, KY 40509-4208 | 2016-02-11 |
| 1154787844 | Matthew Clark | Chiropractor | 5250 S Commerce Dr Ste 155, Murray, UT 84107-5379 | 2016-01-11 |
| 1811001126 | Matthew David Ayers Clark | Psychologist | 7150 Kalamazoo Ave Se, Ste C, Caledonia, MI 49316-9126 | 2006-08-17 |
| 1215993308 | Matthew Alexander Clark | Internal Medicine | Ute Mountain Ute Health Center, Complex B Rustling Willow Street, Towaoc, CO 81334-0049 | 2006-04-26 |
| 1407341134 | Matthew Howard Clark | Nurse Practitioner | 200 1st St Sw, Rochester, MN 55905 | 2018-06-25 |
| 1639674591 | Matthew Anthony Clark | Student in an Organized Health Care Education/Training Program | 22 Bramhall St, Portland, ME 04102-3134 | 2018-03-24 |
| 1588104913 | Matthew Louis Clark | Pharmacist | 4747 Sawmill Rd, Columbus, OH 43220-2490 | 2017-03-04 |
| 1679949184 | Matthew Clark | Optometrist | 2792 E 146th St, Carmel, IN 46033-7718 | 2015-08-19 |
| 1902288806 | Matthew Lewis Clark | Dermatology | 8245 Holly Rd Ste 101, Grand Blanc, MI 48439-2443 | 2015-06-26 |
| 1417353996 | Matthew Clark | Counselor | 360 Bloomfield Ave, Ste 301, Windsor, CT 06095-2700 | 2014-11-12 |
| Street Address |
2004 SPROUL RD |
| City | BROOMALL |
| State | PA |
| Zip Code | 19008-3511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720053622 | Stephen Todaro | Physical Therapist | 2004 Sproul Rd, Suite 100, Broomall, PA 19008-3511 | 2006-02-22 |
| 1396359139 | Thomas Murrin Jr. | Physician Assistant | 2004 Sproul Rd, Broomall, PA 19008-3511 | 2020-08-31 |
| 1942723671 | Michael W Selby | Physician Assistant | 2004 Sproul Rd, Broomall, PA 19008-3511 | 2017-07-25 |
| 1962868802 | Marple Dental, Inc. | Dentist | 2004 Sproul Rd, Ste 304, Broomall, PA 19008-3511 | 2016-01-07 |
| 1013250059 | Premier Orthopaedic and Sports Medicine Assoc | Orthopaedic Surgery | 2004 Sproul Rd, 1st Floor, Broomall, PA 19008-3511 | 2013-03-28 |
| 1275852782 | Premier Orthopaedic and Sports Medicine Associates, Ltd | Durable Medical Equipment & Medical Supplies | 2004 Sproul Rd, Suite 100, Broomall, PA 19008-3511 | 2010-05-24 |
| 1710204144 | Michael E Birns | Orthopaedic Surgery | 2004 Sproul Rd, Broomall, PA 19008 | 2010-04-25 |
| 1750503009 | Seth M. Blitzer, Dmd, PC | Dentist | 2004 Sproul Rd, Suite 204, Broomall, PA 19008 | 2007-05-03 |
| 1457470833 | Joshua Douglas Park | Physician Assistant | 2004 Sproul Rd, Broomall, PA 19008-3511 | 2007-03-28 |
| 1952429334 | Andrew Goldenberg | Dentist | 2004 Sproul Rd, Suite 300, Broomall, PA 19008-3511 | 2007-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275098964 | Ashley Szewczuk | Occupational Therapy Assistant | 50 Malin Rd., Broomall, PA 19008 | 2019-02-06 |
| 1134647316 | Bernadette Jacobs | Registered Nurse | Accucare Home Nursing 1999 Sproul Rd, # 1, Broomall, PA 19008 | 2017-09-07 |
| 1447780549 | Laura Ann Jamison | Physical Therapy Assistant | 50 North Malin Road, Broomall, PA 19008 | 2017-06-13 |
| 1528596608 | Lauren S. Burns | Occupational Therapist | 51 N Malin Rd., Broomall, PA 19008 | 2017-06-01 |
| 1558893024 | Marc Belitsky D.c., .pc. | Clinic/Center | 2633 West Chester Pike, Broomall, PA 19008 | 2017-04-03 |
| 1053773390 | Helen Richman | Pharmacist | 567 Sproul Road, Broomall, PA 19008 | 2016-03-25 |
| 1487028007 | Jenelle Thomas | Social Worker | 85 N. Malin Road, Broomall, PA 19008 | 2015-11-19 |
| 1649654740 | Akeesha M Washington | Counselor | 600 Abbott Drive, Broomall, PA 19008 | 2015-07-17 |
| 1821411976 | Ketrin Kapllani | Behavioral Analyst | 475 Lawrence, Philadelphia, PA 19008 | 2014-01-27 |
| 1710325741 | Joel Christopher Fusunyan-lee | Registered Nurse | 219 Sussex Blvd, Broomall, PA 19008 | 2013-06-12 |
| Find all providers in zip 19008 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023661469 | Kathleen Mcelwee | Specialist/Technologist | 2855 Old Cedar Grove Rd, Broomall, PA 19008-1041 | 2019-07-23 |
| 1417415209 | Michael Jurski | Specialist/Technologist | 128 Sylvan Dr, Broomall, PA 19008-1237 | 2019-03-11 |
| 1023467453 | Jennifer Cauley | Specialist/Technologist | 125 Deerfield Rd, Broomall, PA 19008-2036 | 2016-06-07 |
| 1982237780 | Meghan Elizabeth Fowler | Specialist/Technologist | 87 4th Ave, Broomall, PA 19008-2410 | 2020-02-20 |
| 1093114340 | Mike Cammarota | Specialist/Technologist | 600 Reed Rd, Suite 101, Broomall, PA 19008-3505 | 2014-08-21 |
| 1316078462 | Michael Bryant Duffey Sr. | Specialist/Technologist | 2004 Sproul Rd, Broomall, PA 19008-3511 | 2007-03-08 |
| 1750458972 | Janet Deanne Kruhm | Specialist/Technologist | 2004 Sproul Rd, 1st Floor, Broomall, PA 19008 | 2006-11-30 |
| 1881777894 | Jason Natale | Specialist/Technologist | 2004 Sproul Rd, Broomall, PA 19008-3511 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801642 | Allison Zilonis | Specialist/Technologist | 1923 Oak Hills Dr, Hanover, PA 17331-8522 | 2020-11-08 |
| 1487255642 | Siarra Grace Crum | Specialist/Technologist | 102 Bellwood Lane, Portage, PA 15946-1441 | 2020-11-04 |
| 1841891108 | Sydney Charles | Specialist/Technologist | 6325 Martins Mill Rd, Philadelphia, PA 19111-5321 | 2020-11-03 |
| 1871194308 | Alexander Hedrick | Specialist/Technologist | 33 Derstine Rd, Hatfield, PA 19440-3406 | 2020-11-02 |
| 1114528684 | Kelsey E Craig | Specialist/Technologist | 1856 N 16th St Apt 1r, Philadelphia, PA 19121-3301 | 2020-11-02 |
| 1740881333 | David Williams | Specialist/Technologist | 3100 W Thompson St Apt 42, Philadelphia, PA 19121-4485 | 2020-11-02 |
| 1992305940 | Alexandra Bossi | Specialist/Technologist | 450 N 18th St Apt 1032, Philadelphia, PA 19130-4198 | 2020-10-29 |
| 1043810021 | Randy W Dillon | Specialist/Technologist | 617c Chester Pike, Prospect Park, PA 19076-1506 | 2020-10-28 |
| 1871193086 | Troy Olsheski | Specialist/Technologist | 1970 Easton Tpke, Lake Ariel, PA 18436-4661 | 2020-10-27 |
| 1982203055 | Josiah Thompson | Specialist/Technologist | 20 Heather Rd, Feasterville Trevose, PA 19053-6320 | 2020-10-20 |
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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.