DAVID MACK CLARK (NPI# 1215390265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215390265 |
| Entity Type | Individual |
| Full Name | DAVID MACK CLARK |
| Practice Address |
710 S Holly St Siloam Springs AR 72761-3304 |
| Mailing Address |
2400 S 48th St Springdale AR 72762-6683 |
| Practice Telephone | 4795248618 |
| Practice Fax Number | 4797504843 |
| Mailing Telephone | 4797502020 |
| Mailing Fax Number | 4797504843 |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2016-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225388531 | David Clark | Pharmacist | 87 Garner Rd., Cvs 4174, Spartanburg, SC 29303 | 2012-09-13 |
| 1568778793 | David F Clark | Social Worker | 4425 S Jones Blvd, Suite D3, Las Vegas, NV 89103-3370 | 2010-08-25 |
| 1407093065 | David E. Clark | Dietitian, Registered | 4132 Sierra Park Ter, Dayton, OH 45440-3324 | 2009-01-19 |
| 1962668202 | David Allen Clark | Dentist | 4209 Tieton Dr, Suite 102, Yakima, WA 98908-3377 | 2008-08-06 |
| 1548427693 | David Kyle Clark | Dentist | 2120 Bert Kouns Loop Ste D, Shreveport, LA 71118-3351 | 2008-05-16 |
| 1790957603 | David C. Clark | Pharmacist | 1215 Route 31, Macedon, NY 14502-9763 | 2008-03-31 |
| 1275722365 | David Allan Clark | Counselor | 50196 872nd Rd, Page, NE 68766-5539 | 2007-10-15 |
| 1649488214 | David D Clark | Chiropractor | 2573 N Reading Rd, Denver, PA 17517-9333 | 2007-05-18 |
| 1306059480 | David Roger Clark | Ophthalmology | 2812 Millbrook Ct, Arlington, TX 76012-2116 | 2007-05-07 |
| 1619049327 | David B Clark | Chiropractor | 106 Se 12th St, Oak Grove, MO 64075-9538 | 2006-11-15 |
| Street Address |
710 S HOLLY ST |
| City | SILOAM SPRINGS |
| State | AR |
| Zip Code | 72761-3304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467497099 | Vicroria Lynn Sullivan | Counselor | 710 S Holly St, Siloam Springs, AR 72761-3304 | 2006-06-18 |
| 1538563416 | Niluka Eroshini Weier | Marriage & Family Therapist | 710 S Holly St, Siloam Springs, AR 72761-3304 | 2014-10-21 |
| 1578858932 | Mariana Bautista | Nurse's Aide | 710 S Holly St, Siloam Springs, AR 72761-3304 | 2011-06-14 |
| 1740582311 | Kristie D Morgan | Social Worker | 710 S Holly St, Siloam Springs, AR 72761-3304 | 2010-12-02 |
| 1841469632 | Warren Brent Roby | Counselor | 710 S Holly St, Siloam Springs, AR 72761-3304 | 2008-02-26 |
| 1629247564 | April Dee Morris | Counselor | 710 S Holly St, Siloam Springs, AR 72761-3304 | 2008-02-25 |
| 1376711762 | Amanda Jane Smart | Counselor | 710 S Holly St, Siloam Springs, AR 72761-3304 | 2008-02-19 |
| 1477733228 | Deborah Tedford | Counselor | 710 S Holly St, Siloam Springs, AR 72761-3304 | 2007-11-09 |
| 1477743664 | Amy Brooke Oliver | Counselor | 710 S Holly St, Siloam Springs, AR 72761-3304 | 2007-07-25 |
| 1497784839 | Donna Marie Copeland | Counselor | 710 S Holly St, Siloam Springs, AR 72761-3304 | 2006-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285285908 | Tripharma Inc. | Pharmacy | 310 N Progress Ave, Siloam Springs, AR 72761 | 2019-09-24 |
| 1861058547 | Oyenike Adigun-awonaike | Nurse Practitioner | 3271, Hwy 412, Siloam Springs, AR 72761 | 2019-05-17 |
| 1811551989 | Natasha Victoria Clayton | Registered Nurse | 3721 U.S. 412 Hwy, Siloam Springs, AR 72761 | 2019-04-24 |
| 1649750662 | David Raymond Jordan | Physical Therapy Assistant | 301 Glenwood Pl, Siloam Springs, AR 72761 | 2018-08-20 |
| 1689120222 | Wesley Phillip Horton | Speech-Language Pathologist | 501 W Elgin St, Siloam Springs, AR 72761 | 2016-09-01 |
| 1407216138 | Amy Bassarear | Social Worker | 1500 N Mount Olive St Ste 1, Siloam Springs, AR 72761 | 2016-02-23 |
| 1033584073 | Siloam Springs Clinic Company, LLC | Clinic/Center | 3721 East 412 Hwy, Suite B, Siloam Springs, AR 72761 | 2015-12-02 |
| 1801279575 | Rachel Fritsche Gordon | Physician Assistant | Northwest Health Urgent Care-siloam Springs, 3721 Us-412, Siloam Springs, AR 72761 | 2015-06-30 |
| 1508258021 | Lifebridge Ar Counseling | Counselor | 301 East Ashley St., Siloam Springs, AR 72761 | 2015-02-20 |
| 1902176472 | Meghan Daley | Occupational Therapist | 918 South Mt Olive, Siloam Springs, AR 72761 | 2011-12-30 |
| Find all providers in zip 72761 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457763187 | Ryan Acord | Counselor | 419 Jan Lynn St, Siloam Springs, AR 72761-4657 | 2014-05-29 |
| 1568711984 | Sheila Curtis | Counselor | 702 Amanda Dr, Siloam Springs, AR 72761-2513 | 2012-08-30 |
| 1629241922 | A Voice for Children, Inc. | Counselor | 828 S Mount Olive St Ste B, Siloam Springs, AR 72761-4218 | 2008-04-08 |
| 1851343867 | New Creation Professional Counseling & Management Services, Inc. | Counselor | 800 S Mount Olive St Ste B, Siloam Springs, AR 72761-4203 | 2006-05-17 |
| 1568095917 | Angela K Stuart | Counselor | 827 W Harvard St, Siloam Springs, AR 72761-4013 | 2020-02-13 |
| 1235781931 | Trenton Bryce Aldridge | Counselor | 827 W Harvard St, Siloam Springs, AR 72761-4013 | 2019-07-12 |
| 1447727342 | Stacey Lynette Thomas | Counselor | 827 W Harvard St, Siloam Springs, AR 72761-4013 | 2018-10-29 |
| 1891280301 | Melody B Sams | Counselor | 827 W Harvard St, Siloam Springs, AR 72761-4013 | 2018-06-27 |
| 1932617123 | Jennifer Pittman | Counselor | 827 W Harvard St, Siloam Springs, AR 72761-4013 | 2018-01-22 |
| 1114434297 | Colin Blair Scott | Counselor | 827 W Harvard St, Siloam Springs, AR 72761-4013 | 2018-01-10 |
| Find all providers in SILOAM SPRINGS | ||||
| City | SILOAM SPRINGS |
| Zip Code | 72761 |
Please comment or provide details below to improve the information on DAVID MACK CLARK.
| 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.