DR. CHRISTOPHER NICHOLSON CLARKE (NPI# 1093971947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093971947 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER NICHOLSON CLARKE |
| Credential | D.O. |
| Practice Address |
426 Main St Berlin PA 15530-1229 |
| Mailing Address |
329 S Pleasant Ave Somerset PA 15501-2262 |
| Practice Telephone | 8142674603 |
| Practice Fax Number | 8142676467 |
| Mailing Telephone | 8144453575 |
| Mailing Fax Number | 8144458039 |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2015-05-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS017576 | PA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 5908 | NE | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548401557 | Christopher Thomas Clarke | Massage Therapist | 31956 Us 19 N, Palm Harbor, FL 34684-3730 | 2009-03-20 |
| 1447365176 | Christopher Andrew Clarke | Optometrist | 2760 North Germatown Pkwy, Memphis, TN 38133 | 2006-08-21 |
| 1295120210 | Christopher Khalil Clarke | Internal Medicine | 3907 S Highway 14, Greenville, SC 29615 | 2015-04-06 |
| 1013336940 | Christopher Clarke | Internal Medicine | 3 Medical Park, Fairhope, AL 36532-1804 | 2014-04-08 |
| 1467737833 | Christopher Clarke | Chiropractor | 922 Main St, Nashville, TN 37206-3614 | 2011-10-18 |
| 1376855742 | Christopher Peter Clarke | Counselor | 2045 Westgate Dr, Bethlehem, PA 18017-7480 | 2010-07-13 |
| 1649473315 | Christopher J. Clarke | Pediatrics | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2007-06-08 |
| 1295876738 | Christopher A Clarke | Anesthesiology | 6606 Lyndon B Johnson Fwy Ste 200, Dallas, TX 75240-6524 | 2007-02-09 |
| Street Address |
426 MAIN ST |
| City | BERLIN |
| State | PA |
| Zip Code | 15530-1229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447263942 | Kenneth J Vanantwerp | Family Medicine | 426 Main St, Berlin, PA 15530-1229 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396894564 | Jonico Inc | Pharmacy | 413 Broadway St, Berlin, PA 15530-1001 | 2007-01-09 |
| 1073578597 | Berlin Area Ambulance Assn Inc | Ambulance | 721 North St, Berlin, PA 15530-1115 | 2006-04-18 |
| 1114001658 | Joseph F Jurgevich | Dentist | 721 North St, Berlin, PA 15530-1115 | 2006-10-24 |
| 1447397914 | Glenn Wayne Kreinbrook | Chiropractor | 429 Main St, Apt#10, Berlin, PA 15530-1237 | 2007-01-31 |
| 1710100458 | Fairman Family Chiropractic P C | Chiropractor | 537 Main St, Berlin, PA 15530-1344 | 2007-04-11 |
| 1821128752 | Crystal Lynn Fairman | Chiropractor | 537 Main St, Berlin, PA 15530-1344 | 2007-03-07 |
| 1104956986 | Bradley Garrett Fairman | Chiropractor | 537 Main St, Berlin, PA 15530-1344 | 2007-03-07 |
| 1033779327 | Alternative Community Resource Program, Inc. | Community/Behavioral Health | 1025 Main St, Berlin, PA 15530-1426 | 2019-06-18 |
| 1457317968 | Berlin Brothersvalley School District | Local Education Agency (LEA) | 1025 Main St, Berlin, PA 15530-1426 | 2006-04-24 |
| 1972506954 | Somerset Care Inc. | Skilled Nursing Facility | 1404 Hay St, Berlin, PA 15530-1455 | 2005-05-24 |
| Find all providers in zip 15530 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093179400 | Justin Cherng Chuang | Family Medicine | Cvmc Hospitalist Department, 130 Fisher Road, 3rd Floor, Berlin, VT 05602-9000 | 2016-04-12 |
| 1952789265 | Brianne Teaboldt | Family Medicine | 133 Pleasant St Unit 2, Berlin, NH 03570 | 2015-05-07 |
| 1841587839 | Brian L Rodriguez | Family Medicine | 130 Fisher Rd., Ste. #3-1, Fahc-berlin Family Practice, Berlin, VT 05602 | 2011-06-29 |
| 1134428105 | Community Health Network | Family Medicine | W832 State Road 91, Ste 3, Berlin, WI 54923-8821 | 2011-03-16 |
| 1801038260 | Peninsula Regional Medical Center | Family Medicine | 10445 Ocean City Blvd, Unit #1, Berlin, MD 21811 | 2009-04-01 |
| 1306016050 | Atco Family Medical Associates, PC | Family Medicine | 10 Gardens Avenue, Berlin, NJ 08009-2104 | 2008-03-10 |
| 1336325596 | Jill E. Moorcroft | Family Medicine | 279 New Britain Rd, #6, Origins of Health, LLC, Berlin, CT 06037 | 2008-01-17 |
| 1902087190 | Richard Andrews Crandall IIi | Family Medicine | 1093 Brookfield Rd, Berlin, VT 05602-9065 | 2007-11-16 |
| 1174635536 | Angela L Gibbs | Family Medicine | 11200 Racetrack Rd, Ste A104, Berlin, MD 21811-3809 | 2006-08-31 |
| 1053347708 | Jennifer Brennan Bamford | Family Medicine | 130 Fisher Rd., Uvm Medical Center - Fm/berlin, Berlin, VT 05602 | 2006-06-24 |
| Find all providers in BERLIN | ||||
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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.