CLARK FORSTER (NPI# 1154964344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154964344 |
| Entity Type | Individual |
| Full Name | CLARK FORSTER |
| Practice Address |
1620 Euclid Ave Bristol VA 24201-3734 |
| Mailing Address |
516 W Oakland Ave Ste 101 Johnson City TN 37604-1677 |
| Practice Telephone | 2764512451 |
| Mailing Telephone | 3045214365 |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2019-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | Speech, Language and Hearing Service Providers |
| Street Address |
1620 EUCLID AVE |
| City | BRISTOL |
| State | VA |
| Zip Code | 24201-3734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356984546 | Todd Jarvis | Hearing Instrument Specialist | 1620 Euclid Ave, Bristol, VA 24201-3734 | 2019-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699234716 | Vanessa Ruiz Sutherland | Speech-Language Pathologist | Stonewall Jackson Elementary School, 2045 Euclid Ave, Bristol, VA 24201 | 2019-03-18 |
| 1003394693 | Cplace Bristol Snf, LLC | Clinic/Center | 109 Village Circle, Bristol, VA 24201 | 2018-08-06 |
| 1871001420 | Karen Lavonne Ford | Case Manager/Care Coordinator | 727 Portsmouth Avenue, Bristol, VA 24201 | 2018-01-17 |
| 1558872176 | City of Bristol Va | Ambulance | 211 Lee St, Bristol, VA 24201 | 2017-10-23 |
| 1639396989 | Barry Robert Matheson | Dentist | 817 Gate City Highway, Bristol, VA 24201 | 2007-04-19 |
| 1942338082 | Joann Wolfe Vaughn | Nurse Practitioner | 103 North Street, Ridgeview Pavilion, Bristol, VA 24201 | 2007-03-01 |
| 1003982968 | American Medical Devices, Inc. | Durable Medical Equipment & Medical Supplies | 1788 Island Rd, Bristol, VA 24201 | 2006-11-24 |
| 1134224827 | Theresa D Morris | Licensed Practical Nurse | 510 Cumberland St, Executive Plaza 4th Floor, Bristol, VA 24201 | 2006-09-14 |
| 1083718605 | Tomhave Olson Dental Associates | Dentist | 510 Cumberland St., Executive Plaza, 4th Floor, Bristol, VA 24201 | 2006-09-12 |
| 1972606408 | Terry H Gillenwater | Chiropractor | 2110 Euclid Ave, Bristol, VA 24201 | 2006-09-07 |
| Find all providers in zip 24201 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356984546 | Todd Jarvis | Hearing Instrument Specialist | 1620 Euclid Ave, Bristol, VA 24201-3734 | 2019-10-21 |
| 1548644354 | Jamie Silas Havens | Hearing Instrument Specialist | 123 Farmington Ave, Bristol, CT 06010-4200 | 2015-07-13 |
| 1336466853 | Craig Anthony Haltom | Hearing Instrument Specialist | 2725 W State St, Bristol, TN 37620-1828 | 2010-04-23 |
| 1619185618 | Ralph E Barker | Hearing Instrument Specialist | 13249 Lee Hwy, Bristol, VA 24202-5963 | 2007-05-21 |
| 1912529132 | Jerry Domby | Hearing Instrument Specialist | 3101 Lee Hwy Ste 6, Bristol, VA 24202-5958 | 2020-05-11 |
| 1851911473 | Julia Looney | Hearing Instrument Specialist | 2725 W State St, Bristol, TN 37620-1828 | 2020-04-23 |
| 1982224218 | Lindsey Creger | Hearing Instrument Specialist | 2725 W State St, Bristol, TN 37620-1828 | 2020-04-16 |
| 1013545748 | Andrew Blovish | Hearing Instrument Specialist | 728 Farmington Ave, Bristol, CT 06010-3952 | 2020-03-30 |
| 1700310695 | Donna Mergel | Hearing Instrument Specialist | 34 Main St, Bristol, VT 05443-1338 | 2017-04-18 |
| 1912259193 | Bristol Hearing Aids, LLC | Hearing Instrument Specialist | 72 Pine St, Unit B, Bristol, CT 06010-6960 | 2012-10-11 |
| Find all providers in BRISTOL | ||||
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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.