NANCY S CLARK (NPI# 1114986023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114986023 |
| Entity Type | Individual |
| Full Name | NANCY S CLARK |
| Credential | M.D. |
| Practice Address |
911 Bypass Rd Pikeville KY 41501-1689 |
| Mailing Address |
Po Box 909 Louisville KY 40201-0909 |
| Practice Telephone | 6062186402 |
| Practice Fax Number | 6062187502 |
| Mailing Telephone | 5025880325 |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2020-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
50539 | KY | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
D0054318 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100468230 | 05 | |
| DC | BLUE DC | 88260001 | 01 |
| MD | BLUE MD | 95QW | 01 |
| MD | 413914300 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3623 Falls Rd, Baltimore, MD 212111815 | 4102358129 | 4102358159 |
| 401 E Chestnut St Unit 710, Louisville, KY 40202 | 5025838303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932722907 | Nancy Clark | Occupational Therapist | 1147 S Bay Dr, Tawas City, MI 48763-9318 | 2020-05-25 |
| 1811440894 | Nancy Elizabeth Clark | Counselor | 29157 Stonegate Lane, Highland, CA 92346 | 2016-07-26 |
| 1346622479 | Nancy Clark | Lactation Consultant, Non-RN | 47 Kimball Hill Rd, Mail Slot 41, West Topsham, VT 05086 | 2015-06-25 |
| 1184973372 | Nancy Jean Clark | Lactation Consultant, Non-RN | 7402 Flemingwood Ln, Springfield, VA 22153-1701 | 2012-09-03 |
| 1225334964 | Nancy Ellen Clark | Occupational Therapist | 3080 Hecla St, Butte, MT 59701-6320 | 2011-01-27 |
| 1861517716 | Nancy Deborah Clark | Acupuncturist | 2134 Ne 123rd St, North Miami, FL 33181-2902 | 2007-03-20 |
| 1831230911 | Nancy L Clark | Physician Assistant | 13033 Bellevue Redmond Rd, #110, Bellevue, WA 98005-2633 | 2007-02-09 |
| 1952451445 | Nancy A Clark | Massage Therapist | 609 State Ave Ste C, Marysville, WA 98270-4562 | 2007-01-10 |
| 1265595094 | Nancy L. Clark | Registered Nurse | 302 Hinsdale Rd, Camillus, NY 13031-1636 | 2006-12-19 |
| 1124116116 | Nancy Clark | Dietitian, Registered | 1300 Boylston St, Health Works Fitness Center, Chestnut Hill, MA 02467 | 2006-10-11 |
| Street Address |
911 BYPASS RD |
| City | PIKEVILLE |
| State | KY |
| Zip Code | 41501-1689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356345045 | Trevor Jones | Nurse Practitioner | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2005-06-09 |
| 1134736564 | Matthew Gene Damron | Pharmacist | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2020-09-29 |
| 1164051090 | Keterah F Norman | Respiratory Therapist, Registered | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2020-04-03 |
| 1144887951 | William Albert Ison | Nurse Practitioner | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2019-05-28 |
| 1598226045 | Joshua Adam Mullins | Family Medicine | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2019-03-27 |
| 1801360623 | Ryan Anthony Preston | Nurse Anesthetist, Certified Registered | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2019-01-15 |
| 1710486162 | Shylebra Lea Holbrook | Nurse Practitioner | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2018-02-12 |
| 1124530878 | Cynthia Acosta Pence | Nurse Practitioner | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2017-11-02 |
| 1598276552 | John Andrew Schultz | Nurse Anesthetist, Certified Registered | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2017-10-18 |
| 1053820555 | Samantha Boyd | Physician Assistant | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2017-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720634 | Lauren Ann Thacker | Nurse Practitioner | 648 Stonehenge Drive, Pikeville, KY 41501 | 2020-11-03 |
| 1659933406 | Wesley Tyler Rowe | Pharmacist | 553 Hambley Boulevard, Suite 6, Pikeville, KY 41501 | 2019-07-02 |
| 1275096489 | Eric Taejun Kim | Student in an Organized Health Care Education/Training Program | 184 South Mayo Trail, Pikeville, KY 41501 | 2019-04-13 |
| 1245755206 | Paula Renee Belcher | Nurse Practitioner | 5724 E Shelbiana Road, Pikeville, KY 41501 | 2017-08-10 |
| 1174044390 | Jessie C Deffendall | Dentist | 220 Cassidy Blvd, Pikeville, KY 41501 | 2017-06-28 |
| 1942667456 | Crossroads Addiction Recovery Effort, LLC | Family Medicine | 484 Tollage Crk, Pikeville, KY 41501 | 2016-01-28 |
| 1265836183 | Rebecca Leann Roberts | Pharmacist | 259 Bear Rd, Pikeville, KY 41501 | 2014-10-21 |
| 1306253190 | Ginger Webb Aprn | Clinic/Center | 153 Weddington Branch Rd., Pikeville, KY 41501 | 2014-07-14 |
| 1710323894 | Bhg Xxv, LLC | Case Management | 368 South Mayo Trail, Pikeville, KY 41501 | 2013-05-16 |
| 1740624220 | Sunrise Children's Services, Inc. | Foster Care Agency | 123 Weddington Branch Road, Pikeville, KY 41501 | 2013-04-26 |
| Find all providers in zip 41501 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588623136 | David E Collins Md | Surgery | 126 Trivette Drive, Ste 104, Pikeville, KY 41501 | 2006-03-22 |
| 1154531416 | Alaa Addasi | Surgery | 911 Bypass Rd, 2nd Floor Clinic, Pikeville, KY 41501-1689 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932658622 | Center for Vein Restoration Ky, LLC | Surgery | 2054 E Parrish Ave Ste A, Owensboro, KY 42303-1448 | 2016-09-23 |
| 1699066803 | Narayan Venguswamy Psc | Surgery | 1140 Lexington Rd # 101, Georgetown, KY 40324-9330 | 2011-04-21 |
| 1073833950 | Chen Rubinstein | Surgery | Cardiac Surgery of South Central Ky, 350 Park St Suite 210, Bowling Green, KY 42101 | 2010-06-02 |
| 1396064796 | Dong Hee Lee | Surgery | 800 Rose St # C225, Lexington, KY 40536-7001 | 2010-05-25 |
| 1053638734 | Samuel Chand Tyagi | Surgery | 800 Rose St # C212, Lexington, KY 40536-7001 | 2010-04-21 |
| 1447457247 | Sara Lynnea Cederstrand | Surgery | 1532 Lone Oak Road, Suite 405, Paducah, KY 42003-7942 | 2007-06-27 |
| 1457560302 | Ferenc Pantaleone Nagy | Surgery | 3 Audubon Plaza Dr Ste 220, Louisville, KY 40217 | 2007-05-21 |
| 1639251655 | Glenn Earl Lambert II | Surgery | 3991 Dutchmans Ln Ste 103, Suburban Medical Plaza II, Louisville, KY 40207-4732 | 2006-10-19 |
| 1649360413 | Thomas Wright Klamer | Surgery | 3991 Dutchmans Lane, #103, Louisville, KY 40207-1363 | 2006-10-13 |
| 1730111725 | David Anthony Lipski | Surgery | 4003 Kresge Way Ste 300, Louisville, KY 40207-4652 | 2006-07-07 |
| 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.