MR. ADAM MERRITT CLARK (NPI# 1114462280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114462280 |
| Entity Type | Individual |
| Full Name | MR. ADAM MERRITT CLARK |
| Credential | CP |
| Practice Address |
5009 Boulder Creek Ln Raleigh NC 27613-6075 |
| Practice Telephone | 9193026255 |
| Mailing Telephone | 9193026255 |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2016-12-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 242T00000X | Perfusionist | 1000-00677 | NC | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003086224 | Adam M Clark | Dentist | 1416 Ashley River Rd, Atlantic Aesthetics, Charleston, SC 29407-5306 | 2008-03-04 |
| 1669469342 | Adam Clark | Pharmacist | 1920 Ne 7th Ter, Gainesville, FL 32609-3749 | 2005-09-29 |
| 1679571160 | Adam N Clark | Specialist | 850 W. H. Smith Blvd., Greenville, NC 27834-3763 | 2005-07-08 |
| 1407499478 | Adam Clark | Psychologist | 5283 Old Brownsville Rd, Corpus Christi, TX 78405-3908 | 2019-10-23 |
| 1700431749 | Adam Clark | Optometrist | 341 W Tudor Rd Ste 101, Anchorage, AK 99503-6639 | 2019-08-06 |
| 1568955797 | Adam Clark | Behavior Technician | 1112 S Broadway, Santa Maria, CA 93454-6608 | 2018-06-12 |
| 1699276287 | Adam Clark | Social Worker | 790 E 5th St, Coquille, OR 97423-1755 | 2018-02-28 |
| 1083138473 | Adam Thomas Clark | Physical Therapist | 12935 Shelbyville Rd Ste 106, Louisville, KY 40243-1592 | 2017-07-27 |
| 1861940728 | Adam Clark | Behavioral Analyst | 120 Laurel St, Duxbury, MA 02332-2936 | 2016-09-20 |
| 1861865610 | Adam Bradley Clark | Family Medicine | 2876 Sycamore Dr Ste 101, Simi Valley, CA 93065-1550 | 2015-11-02 |
| Street Address |
5009 BOULDER CREEK LN |
| City | RALEIGH |
| State | NC |
| Zip Code | 27613-6075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588124358 | Arend Klooster Dds II, Pllc | Dentist | 3721 Lynn Rd. #120, Raleigh, NC 27613 | 2019-03-20 |
| 1205319647 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 9640 Leesville Rd, Raleigh, NC 27613 | 2018-09-12 |
| 1386137735 | Maitlyn Avery Betts | Specialist/Technologist | 8421 Two Courts Drive, Raleigh, NC 27613 | 2018-06-11 |
| 1811492382 | Malek & Knight Dds Pa-iil | Dentist | 9201 Leesville Rd Ste 101, Raleigh, NC 27613 | 2018-03-27 |
| 1285151860 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 13300 Stickland Rd, Raleigh, NC 27613 | 2017-08-24 |
| 1376072165 | Caitlin Ann Singleton | Dentist | 13220 Strickland Rd Ste 166, Raleigh, NC 27613 | 2017-06-06 |
| 1508246547 | Jonathan Kent Weisner | Dentist | 13271 Strickland Rd, Raleigh, NC 27613 | 2015-06-04 |
| 1245620806 | Kimberly Szwed | Nurse Practitioner | 6422 Rosny Road, Raleigh, NC 27613 | 2015-02-03 |
| 1174957831 | Laurin Ballowe Collier | Pharmacist | 9640 Leesville Road, Raleigh, NC 27613 | 2013-08-29 |
| 1952655144 | Phillip Colby Smith | Marriage & Family Therapist | 6921 Springcreek Cv Apt 22, Raleigh, NC 27613 | 2012-11-09 |
| Find all providers in zip 27613 | ||||
| Taxonomy Code | 242T00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Perfusionist |
| A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient’s circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used. |
| Notes: Source: Health Professions Career and Education Directory, American Medical Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740452218 | Colie Bob Clark Jr. | Perfusionist | 3101 Carriage Trl, Hillsborough, NC 27278-8508 | 2008-03-25 |
| 1073153706 | David N Chowns Jr. | Perfusionist | 2000 Neuse Blvd, New Bern, NC 28560-3449 | 2020-01-10 |
| 1083177448 | Kyle Boatwright | Perfusionist | 257 Mcdowell St Ste 300, Asheville, NC 28803-2606 | 2019-04-11 |
| 1639632003 | Margaret A Relle | Perfusionist | 257 Mcdowell St Ste 300, Asheville, NC 28803-2606 | 2019-04-11 |
| 1780147157 | Jamison Goldstein | Perfusionist | 257 Mcdowell St, Asheville, NC 28803-2606 | 2019-04-11 |
| 1851854210 | Sebastian Gilmore | Perfusionist | 257 Mcdowell St Ste 300, Asheville, NC 28803-2606 | 2019-04-11 |
| 1578026936 | Luke Boganny | Perfusionist | 257 Mcdowell St Ste 300, Asheville, NC 28803-2606 | 2019-04-11 |
| 1326558719 | Susan Kelly Schneider | Perfusionist | 1100 Tunnel Rd, Asheville, NC 28805-2576 | 2017-10-11 |
| 1699112771 | Cassandra Marie Garland | Perfusionist | 115 Heart Dr, East Carolina Heart Institute At Ecu, Greenville, NC 27834-8944 | 2013-05-29 |
| 1013354356 | Sally Kirsten Stoner | Perfusionist | 115 Heart Dr, East Carolina Heart Institute At Ecu, Greenville, NC 27834-8944 | 2013-05-28 |
| Find all providers with the same taxonomy | ||||
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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.