DR. ROXANN VINELLE CLARKE (NPI# 1174829923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174829923 |
| Entity Type | Individual |
| Full Name | DR. ROXANN VINELLE CLARKE |
| Credential | DPM |
| Practice Address |
111 John St Rm 1450 New York NY 10038 |
| Mailing Address |
111 John St Rm 1450 New York NY 10038-3122 |
| Practice Telephone | 2127915700 |
| Practice Fax Number | 2127915700 |
| Mailing Telephone | 1227915700 |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2018-07-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 006461 | NY | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
006461 | NY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 303480059 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 650 Ashford St, Brooklyn, NY 112077315 | 7183455000 | 7183455794 |
| Street Address |
111 JOHN ST RM 1450 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922648062 | Chana Christina Camacho | Physician Assistant | 111 John St Rm 1450, New York, NY 10038-3122 | 2020-01-07 |
| 1194380444 | New York Podiatry Suite | Podiatrist | 111 John St Rm 1450, New York, NY 10038-3122 | 2019-05-02 |
| 1851761175 | Priya Sailesh Patel | Physician Assistant | 111 John St Rm 1450, New York, NY 10038-3122 | 2015-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093353575 | Jacqueline Michelle Collins | Speech-Language Pathologist | 144-176 E 128th Street, New York, NY 10038 | 2019-12-16 |
| 1013552421 | Sai Ka Tsang | Optometrist | 150 William Street, Pride Optical, New York, NY 10038 | 2019-11-08 |
| 1407412802 | Corner Chemists Pharmacy LLC | Pharmacy | 11 Henry Street, New York, NY 10038 | 2019-05-13 |
| 1235603374 | Chuan Jing Mou | Acupuncturist | 7-8 Chatham Square #805, New York, NY 10038 | 2019-01-11 |
| 1023531654 | Natalie Considine | Counselor | 75 Maiden Ln Ste 341, New York, NY 10038 | 2017-07-25 |
| 1801319199 | Cecile Bell | Registered Nurse | 15 St James Place, Apt 10 I, New York, NY 10038 | 2017-07-19 |
| 1598206088 | Jessica Moreno | Registered Nurse | 182 South Street Apt 8e, New York, NY 10038 | 2017-03-16 |
| 1801258678 | Disha Vin | Physical Therapist | 160 Broadway East Building, New York, NY 10038 | 2016-03-22 |
| 1861877110 | Andrew Zhu | Physician Assistant | 70 William Street, New York, NY 10038 | 2015-07-29 |
| 1467848770 | Bryan Andrew Roller | Anesthesiology | Columbia University Medical Center - Dept of Anesthesia, 622 West 168th Street, New York, NY 10038 | 2015-04-13 |
| Find all providers in zip 10038 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376159756 | West Side Foot Group, L.l.p. | Podiatrist | 244 W 54th St Fl 10, New York, NY 10019-5597 | 2020-09-21 |
| 1255786331 | Park Place Podiatry Pllc | Podiatrist | 291 Broadway Ste 810, New York, NY 10007 | 2016-04-26 |
| 1457768525 | Iac Footcare PC | Podiatrist | 15 W 44th St Fl 8, New York, NY 10036-6611 | 2014-07-21 |
| 1942543103 | Complete Podiatry Services, P.C. | Podiatrist | 185 Canal St Ste 206, New York, NY 10013-4537 | 2013-04-05 |
| 1194005611 | Jian Q Liang Dpm P C | Podiatrist | 139 Centre St Ste 211, New York, NY 10013-4553 | 2011-08-29 |
| 1740442797 | Emily Marie Splichal | Podiatrist | 4 Park Ave Apt 4s, New York, NY 10016-5306 | 2008-07-01 |
| 1790958825 | New York Precision Foot Care PC | Podiatrist | 133 E 58th St Ste 506, New York, NY 10022-1150 | 2008-04-09 |
| 1053591511 | Sage Medispa and Podiatry | Podiatrist | 133 Mulberry St Apt 3n, New York, NY 10013-4700 | 2007-11-13 |
| 1801097977 | Jonathan S Thurm | Podiatrist | 26 Broadway Ste 907, New York, NY 10004-1836 | 2007-05-29 |
| 1487861647 | Michael Denicola | Podiatrist | 116 East 36th St, New York, NY 10016 | 2007-05-17 |
| Find all providers in NEW YORK | ||||
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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.