JOSHUA RAI CLARK (NPI# 1184913493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184913493 |
| Entity Type | Individual |
| Full Name | JOSHUA RAI CLARK |
| Credential | MD |
| Practice Address |
4463 La Highway 1 South Suite A Port Allen LA 70767 |
| Mailing Address |
5959 S Sherwood Forest Blvd Baton Rouge LA 70816-6038 |
| Practice Telephone | 2254485307 |
| Practice Fax Number | 2254485021 |
| Mailing Telephone | 2255260001 |
| Mailing Fax Number | 2257659196 |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2017-03-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD.206095 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2143433 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245641794 | Joshua Miles Clark | Contractor | 1050 S Dahlia St Apt C19, Glendale, CO 80246-2829 | 2014-05-17 |
| 1497008486 | Joshua Scott Clark | Occupational Therapist | 303 N. Hurstbourne Pkwy, Suite 200, Louisville, KY 40222 | 2012-10-16 |
| 1568785459 | Joshua James Clark | Pharmacist | 131 Columbia Avenue, Berwick, PA 18603-2001 | 2010-03-05 |
| 1639127772 | Joshua Maxson Clark | Family Medicine | 645 E State Highway 121, Suite 600, Coppell, TX 75019-7942 | 2006-05-04 |
| 1235792342 | Joshua Michael Clark | Student in an Organized Health Care Education/Training Program | 170 Manning Dr, Chapel Hill, NC 27514-4221 | 2019-04-16 |
| 1174085955 | Joshua Cody Clark | Student in an Organized Health Care Education/Training Program | 920 Madison Ave Ste 447, Memphis, TN 38103-3438 | 2019-04-02 |
| 1720564834 | Joshua Lee Clark | Physical Therapist | 5900 College Rd, Key West, FL 33040-4342 | 2018-07-12 |
| 1134651987 | Joshua Michael Clark | Physician Assistant | 720 Rollingbrook St, Baytown, TX 77521-4059 | 2017-03-31 |
| 1013451095 | Joshua Clark | Specialist/Technologist | 170 School St, Watertown, MA 02472-4149 | 2016-12-11 |
| 1457701336 | Joshua Clark | Psychologist | 3710 Sw Us Veterans Hospital Rd, East Mh, Portland, OR 97239-2964 | 2016-06-21 |
| Street Address |
4463 LA HIGHWAY 1 SOUTH SUITE A |
| City | PORT ALLEN |
| State | LA |
| Zip Code | 70767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386255701 | Empowerment Consultants, LLC | Counselor | 3680 La- 1 South, Port Allen, LA 70767 | 2020-08-10 |
| 1700400934 | Just Health | Clinic/Center | 3975 Rosedale Rd, Port Allen, LA 70767 | 2020-06-03 |
| 1770141756 | Tarshea Joy Williams | Licensed Practical Nurse | 2306 Larguier Lane, Port Allen, LA 70767 | 2019-06-04 |
| 1295264638 | Victoria Williams | Counselor | 6010 Horner Road, Port Allen, LA 70767 | 2017-06-08 |
| 1588015531 | Advantage Dental Care, Dr. Louis L Mason Dds LLC | Dentist | 260 S. Alexander Ave, Port Allen, LA 70767 | 2016-06-30 |
| 1831386358 | Port City Enterprises, Inc. | Respite Care | 836 N. Seventh St, Port Allen, LA 70767 | 2007-09-28 |
| 1518153139 | Trinity Behavioral Health of Port Allen | Preferred Provider Organization | 2753 Court Street, Unit C, Port Allen, LA 70767 | 2007-09-18 |
| 1912198219 | Arnette Scavella | Pediatrics | 3515 Highway 1 South, Port Allen, LA 70767 | 2007-08-05 |
| 1881814150 | Port City Enterprises, Inc. | Respite Care | 836 N 7th St, Port Allen, LA 70767 | 2007-04-27 |
| 1841317088 | James Huntington Odom Jr. | Dentist | 227 North Jefferson Ave, West Baton Rouge Parish, Port Allen, LA 70767 | 2007-03-23 |
| Find all providers in zip 70767 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275799371 | Paulette Lucille Grey Riveria | Family Medicine | 4353 Hwy 1 S, Port Allen, LA 70767-5826 | 2008-07-29 |
| 1063516151 | Philip G Padgett | Family Medicine | 610 N Jefferson Ave, Port Allen, LA 70767 | 2006-09-11 |
| 1649290578 | River Healthcare, Inc | Family Medicine | 3515 Hwy 1 South, Port Allen, LA 70767 | 2006-07-21 |
| 1609805381 | Leone Elliott | Family Medicine | 4451 Hwy 1 South, Port Allen, LA 70767 | 2006-07-03 |
| 1407284540 | Baton Rouge General Medical Center | Family Medicine | 610 N Jefferson Ave, Port Allen, LA 70767-2414 | 2013-10-29 |
| 1942524970 | Michael Paul Ramagos | Family Medicine | 4463 La Highway 1 S, Suite A, Port Allen, LA 70767-5989 | 2010-03-19 |
| 1700096690 | Philip G. Padgett, Ampc | Family Medicine | 610 N Jefferson Ave, Port Allen, LA 70767-2414 | 2007-05-22 |
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| 1588270581 | Wk Palmetto Family Practice | Family Medicine | 4200 Palmetto Rd, Benton, LA 71006-9420 | 2020-09-16 |
| 1255941498 | Concierge Medical Services | Family Medicine | 4108 Vendome Pl, New Orleans, LA 70125-2739 | 2020-08-03 |
| 1922621390 | Partners In Primary Care La PC | Family Medicine | 7551 Youree Dr Ste 11, Shreveport, LA 71105-5533 | 2020-05-20 |
| 1760005136 | Partners In Primary Care La PC | Family Medicine | 2900 E Texas St Ste 100, Bossier City, LA 71111-3275 | 2020-05-20 |
| 1871116244 | Partners In Primary Care La PC | Family Medicine | 537 Bertrand Dr Ste F0a, Lafayette, LA 70506-5556 | 2020-05-20 |
| 1578185781 | Prestige Medical Staffing and Marketing | Family Medicine | 4108 Vendome Place, New Orleans, LA 70125 | 2020-05-11 |
| 1487275939 | La Health Solutions-laplace LLC | Family Medicine | 1524 W Airline Hwy, La Place, LA 70068-3725 | 2020-05-06 |
| 1316575434 | Southern Healthcare of Louisiana | Family Medicine | 1340 Gause Blvd W, Slidell, LA 70460 | 2020-04-01 |
| 1780219907 | Shirley Ann Burns | Family Medicine | 1201 South St, Vinton, LA 70668-4509 | 2020-03-09 |
| Find all providers with the same taxonomy | ||||
| City | PORT ALLEN |
| Zip Code | 70767 |
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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.