CHARLES E CLARK IV (NPI# 1194745851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194745851 |
| Entity Type | Individual |
| Full Name | CHARLES E CLARK IV |
| Credential | M.D. |
| Practice Address |
1900 Electric Rd Salem VA 24153-7474 |
| Mailing Address |
Po Box 13888 Roanoke VA 24038-3888 |
| Practice Telephone | 5407727200 |
| Mailing Telephone | 5407727200 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2008-02-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 0101053907 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940753 | Charles Patrick Clark | Physician Assistant | 6621 Fannin St, Houston, Houston, TX 77030 | 2019-03-08 |
| 1013485713 | Charles Nicholson Clark | Nurse Practitioner | 1331 Bandera Hwy Ste 4, Kerrville, TX 78028-9535 | 2018-11-12 |
| 1568971653 | Charles E Clark IIi | Counselor | 255 Main Street, St. Clairsville, OH 43950 | 2017-09-21 |
| 1649680406 | Charles Amos Clark | Internal Medicine | Vanderbilt University Dept of Medicine, D-3100, Medical Center North, Nashville, TN 37232 | 2014-05-02 |
| 1124301106 | Charles Malcolm Clark Jr. | Internal Medicine | 2802 Lafayette Road Suite 13, Eagledale Health Center, Indianapolis, IN 46222-2112 | 2011-09-26 |
| 1811290935 | Charles Warren Clark Jr. | Massage Therapist | 19577 Fm 2854 Rd, Montgomery, TX 77316-3150 | 2010-12-11 |
| 1780913640 | Charles S Clark | Physician Assistant | Bldg. H 2005 Knight Lane Attn: Medical Staff Services, Navy Medicine Support Command, Jacksonville, FL 92055-0140 | 2009-12-23 |
| 1083866222 | Charles Larry Clark Jr. | Dentist | 2415 Gillionville Rd, Albany, GA 31707-3022 | 2008-10-21 |
| 1689826984 | Charles John Clark | Pharmacist | 203 So. Daisy, Salmon, ID 83467 | 2008-10-17 |
| 1164642948 | Charles Robert Clark | Family Medicine | 1725 N Sky Glen Path, Hernando, FL 34442-6187 | 2007-04-26 |
| Street Address |
1900 ELECTRIC RD |
| City | SALEM |
| State | VA |
| Zip Code | 24153-7474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841281730 | Norberto Paras | Internal Medicine | 1900 Electric Rd, Salem, VA 24153-7474 | 2005-10-31 |
| 1376159335 | Hanna-nicole Stanley | Physician Assistant | 1900 Electric Rd, Salem, VA 24153-7494 | 2020-09-16 |
| 1306469614 | Faraaz Bhatti | Student in an Organized Health Care Education/Training Program | 1900 Electric Rd, Salem, VA 24153-7494 | 2020-05-20 |
| 1336761972 | Tyler Starman | Student in an Organized Health Care Education/Training Program | 1900 Electric Rd, Salem, VA 24153-7494 | 2020-05-16 |
| 1619599644 | Christopher Patrick Cooney | Student in an Organized Health Care Education/Training Program | 1900 Electric Rd, Salem, VA 24153-7474 | 2020-05-13 |
| 1629690987 | Emily Yau | Student in an Organized Health Care Education/Training Program | 1900 Electric Rd, Salem, VA 24153-7474 | 2020-05-10 |
| 1124640461 | Libeneur Loriston | Student in an Organized Health Care Education/Training Program | 1900 Electric Rd, Salem, VA 24153-7474 | 2020-05-09 |
| 1861014227 | Brandon Kuley | Student in an Organized Health Care Education/Training Program | 1900 Electric Rd, Salem, VA 24153-7474 | 2020-05-08 |
| 1043832413 | Beverly Nyokabi | Student in an Organized Health Care Education/Training Program | 1900 Electric Rd, Salem, VA 24153-7494 | 2020-05-08 |
| 1962024398 | Kathryn Garcia | Student in an Organized Health Care Education/Training Program | 1900 Electric Rd, Salem, VA 24153-7494 | 2020-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669001228 | Paul Mcguire | Student in an Organized Health Care Education/Training Program | 1906 Braeburn Drive Psychiatry Gme, Salem, VA 24153 | 2020-04-06 |
| 1386114965 | Dynamic Medical LLC | Clinical Medical Laboratory | 1201 Texas Street, Salem, VA 24153 | 2018-11-27 |
| 1134607898 | Renew Psychiatry Services | Psychiatry & Neurology | 177 Electric Rd, Salem, VA 24153 | 2018-08-03 |
| 1508304015 | Samantha Getz | Assisted Living Facility | 3706 Knollridge Rd., Salem, VA 24153 | 2017-02-03 |
| 1518409762 | Melissa Ward | Case Manager/Care Coordinator | 1380 Southside Dr, Suite 100, Salem, VA 24153 | 2016-11-04 |
| 1154729051 | Allison Marie Parry | Physician Assistant | 1336 W Main St., Salem, VA 24153 | 2014-12-09 |
| 1598199457 | Stacy Stanley | Occupational Therapy Assistant | 4812 Moore Rd, Salem, VA 24153 | 2013-08-28 |
| 1366888034 | Dolores Hager | Speech-Language Pathologist | 1851 Harrogate Dr, Salem, VA 24153 | 2013-05-21 |
| 1073850764 | Joel Aaron Nickerson | Specialist/Technologist | 400 Spartan Dr., Salem High School, Salem, VA 24153 | 2013-01-15 |
| 1023387271 | National Diabetic Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 2153 Apperson Drive, Salem, VA 24153 | 2011-12-16 |
| Find all providers in zip 24153 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437323292 | Marissa Lopez Bisbe | Anesthesiology | 27 Wisteria St, Unit 4, Salem, MA 01970-4541 | 2008-04-14 |
| 1053320572 | Melvin D Wade | Anesthesiology | 2525 12th St Se Ste 110, Salem, OR 97302-2153 | 2006-08-05 |
| 1255348041 | Linda K Stevenson | Anesthesiology | 1925 Hillwood Ct S, Salem, OR 97302-3668 | 2006-08-02 |
| 1235152653 | William J Monson | Anesthesiology | 3973 Croisan Mountain Dr S, Salem, OR 97302-3645 | 2006-07-26 |
| 1255350831 | Marc A Swanson | Anesthesiology | 100 Knotbreak Rd, Salem, VA 24153 | 2006-07-18 |
| 1629014824 | Craig Douglas Anderson | Anesthesiology | 350 Miller St Se # 100, Salem, OR 97302 | 2006-06-22 |
| 1073558789 | Craig D Anderson Md PC | Anesthesiology | 4999 Skyline Rd S, Suite 100, Salem, OR 97306-2009 | 2006-06-17 |
| 1124062419 | Washington County Memorial Hospital | Anesthesiology | 911 N. Shelby St., Salem, IN 47167-2304 | 2006-06-16 |
| 1669432597 | Julie Selbst | Anesthesiology | Nsmc Salem Hospital - Department of Anesthesiology, 81 Highland Avenue, Salem, MA 01970-2714 | 2006-03-24 |
| 1669450102 | Paul Allen Pudimat | Anesthesiology | 61 Emerald Glen Rd, Salem, CT 06420-4123 | 2006-01-05 |
| Find all providers in SALEM | ||||
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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.