CAMERON KEITH CLARK (NPI# 1124236146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124236146 |
| Entity Type | Individual |
| Full Name | CAMERON KEITH CLARK |
| Credential | L.ATC |
| Practice Address |
3100 W Mccormick St Wichita KS 67213-2008 |
| Practice Telephone | 3169424291 |
| Practice Fax Number | 3169424483 |
| Mailing Telephone | 3169424291 |
| Mailing Fax Number | 3169424483 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2014-04-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
24-00037 | KS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639795487 | Cameron Clark | Student in an Organized Health Care Education/Training Program | 701 Loch Highlands Dr, Raleigh, NC 27606-8432 | 2020-06-17 |
| 1720480866 | Cameron Clark | Pharmacist | 5126 W Daybreak Pkwy, South Jordan, UT 84095-5994 | 2014-09-19 |
| 1760758320 | Cameron Whitaker Clark | Physician Assistant | 809 W Harwood Rd, Hurst, TX 76054-3289 | 2012-03-28 |
| 1053600767 | Cameron Clark | Counselor | 1931 Center St, Berkeley, CA 94704-1105 | 2011-04-04 |
| 1912137282 | Cameron Clark | Dentist | 869 Nw 23rd St, Corvallis, OR 97330-4307 | 2009-07-21 |
| 1083891477 | Cameron David Clark | Chiropractor | 318 Memorial Dr, Suite 200, Crystal Lake, IL 60014-6267 | 2008-01-28 |
| 1407049422 | Cameron Talmage Clark | Physician Assistant | 388 Martin St, Twin Falls, ID 83301-4544 | 2007-08-22 |
| Street Address |
3100 W MCCORMICK ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67213-2008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417977521 | Terra Nicole Macklin | Specialist/Technologist | 3100 W Mccormick St, Wichita, KS 67213-2008 | 2006-07-20 |
| 1558807404 | Emily Lynn De La Garza | Technician, Other | 3100 W Mccormick St, 119 Merlini Hall, Wichita, KS 67213-2008 | 2017-01-17 |
| 1467500199 | Via Christi Regional Medical Center | Specialist/Technologist | 3100 W Mccormick St, Wichita, KS 67213-2008 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689111965 | Kelsey Lynn Riefenhauser | Specialist/Technologist, Other | 3100 Mccormick, Wichita, KS 67213 | 2017-01-25 |
| 1932579513 | Gracemed Health Clinic, Inc | Clinic/Center | 755 W. Lincoln St, Wichita, KS 67213 | 2015-09-25 |
| 1134564024 | Valerie Christine Wondra | Physical Therapist | 301 S Meridian Ave, Wichita, KS 67213 | 2013-05-06 |
| 1942597505 | Carmen Maria Aguilar | Social Worker | 2312 S Meridian Ave Ste 102, Wichita, KS 67213 | 2011-07-05 |
| 1245568625 | Joanne Velez | Home Health | 711 S Main, Wichita, KS 67213 | 2009-11-24 |
| 1093958712 | Adaptive Living, LLC | Occupational Therapist | 2423 W. Maple, Ste B, Wichita, KS 67213 | 2009-04-10 |
| 1295809069 | Stacey D Langston | Technician/Technologist | 2301 S Water, Wichita, KS 67213 | 2006-11-20 |
| 1275595134 | Ronald Dean Fisher | Optometrist | 2635 W Douglas, Wichita, KS 67213 | 2006-04-05 |
| 1083676936 | Wichita Optometry, P.a. | Optometrist | 2635 W Douglas Ave, Wichita, KS 67213 | 2006-04-05 |
| 1427361385 | Ryan Carl Emrick | Optometrist | 1202 W Maple St, Wichita, KS 67213 | 2010-07-21 |
| Find all providers in zip 67213 | ||||
| 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 |
|---|---|---|---|---|
| 1346841749 | Mick Emerson Harris | Specialist/Technologist | 523 N Birkdale Ct, Wichita, KS 67230-1532 | 2020-11-03 |
| 1922611201 | Kylie Alexis Roberts | Specialist/Technologist | 7610 E 32nd St N Apt 702, Wichita, KS 67226-1284 | 2020-08-26 |
| 1467084947 | Alex Milby | Specialist/Technologist | 1043 N Post Oak Rd, Wichita, KS 67206-3829 | 2020-02-12 |
| 1457996001 | Haleigh Raeann Owens | Specialist/Technologist | 3100 W Mccormick Ave, Wichita, KS 67213-2008 | 2019-11-07 |
| 1801375183 | Joshua Gerard Elmer | Specialist/Technologist | 500 E Waterman St, Wichita, KS 67202-4509 | 2018-08-08 |
| 1689151227 | Serena Lynn Lytle | Specialist/Technologist | 620 S Richmond St, Wichita, KS 67213-2644 | 2018-07-26 |
| 1386162683 | Karlee Dawn Gluszek | Specialist/Technologist | 1947 S Lulu St, Wichita, KS 67211 | 2017-09-07 |
| 1649716069 | Weston Bucher | Specialist/Technologist | 1437 N Rochester St, Wichita, KS 67203-2647 | 2017-01-09 |
| 1487197000 | Dennis John Munk | Specialist/Technologist | 7903 W 19th St N, Wichita, KS 67212-1499 | 2016-11-30 |
| 1174987218 | Cris Dooley | Specialist/Technologist | 1999 N Amidon Ave Ste 100, Wichita, KS 67203-2122 | 2016-04-05 |
| Find all providers in WICHITA | ||||
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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.