ROBERT BROOKS CLARKE (NPI# 1225162753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225162753 |
Entity Type | Individual |
Full Name | ROBERT BROOKS CLARKE |
Credential | PA |
Practice Address |
520 E Douglas Blvd Tyler TX 75702-8307 |
Mailing Address |
Po Box 846098 Dallas TX 75284-6098 |
Practice Telephone | 9035931721 |
Mailing Telephone | 9033246450 |
Enumeration Date | 2007-03-15 |
Last Update Date | 2014-10-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | PA01650 | TX | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 200344401 | 05 | |
TX | TRICARE CANTON LOCATION | TIN PLUS 001 | 01 |
TX | TRICARE DOUGLAS LOCATION | TIN PLUS 007 | 01 |
TX | TRICARE LINDALE LOCATION | TIN PLUS 028 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114934007 | Robert A Clarke | Internal Medicine | 108 South Munn Ave, East Orange, NJ 07018 | 2006-08-02 |
1568077873 | Robert Martin Clarke | Social Worker | 69 N Broad St, Brevard, NC 28712-3725 | 2020-09-14 |
1255987194 | Robert G Clarke Iv | Specialist/Technologist | 1160 Steelwood Rd, Columbus, OH 43212-1356 | 2019-08-15 |
1245708486 | Robert Clarke | Marriage & Family Therapist | 4405 W Riverside Dr Ste 208, Burbank, CA 91505-4050 | 2018-11-06 |
1831415355 | Robert John Clarke | Chiropractor | 1519 9th St, Ste 101, Marysville, WA 98270 | 2010-04-08 |
1992798748 | Robert William Clarke Jr. | Pediatrics | 8120 Main St, Suite 300, Houma, LA 70360-3403 | 2005-08-26 |
Street Address |
520 E DOUGLAS BLVD |
City | TYLER |
State | TX |
Zip Code | 75702-8307 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316917750 | David H Beaird | Internal Medicine | 520 E Douglas Blvd, Tyler, TX 75702-8307 | 2006-01-26 |
1487973350 | Rebecca L Monahan | Dietitian, Registered | 520 E Douglas Blvd, Tyler, TX 75702-8307 | 2010-05-18 |
1366671216 | Trinity Clinic | Clinic/Center | 520 E Douglas Blvd, Tyler, TX 75702-8307 | 2009-07-13 |
1619152139 | Amanda Elizabeth Mullins | Nurse Practitioner | 520 E Douglas Blvd, Tyler, TX 75702-8307 | 2008-01-03 |
1356364178 | Neda Esfandiari | Family Medicine | 520 E Douglas Blvd, Tyler, TX 75702-8307 | 2006-07-25 |
1316966971 | Albert C Lee | Specialist | 520 E Douglas Blvd, Tyler, TX 75702-8307 | 2006-07-18 |
1134163868 | Marcia W Green | Nurse Practitioner | 520 E Douglas Blvd, Tyler, TX 75702-8307 | 2006-06-15 |
1407896293 | Andria Beth Cardinalli-stein | Internal Medicine | 520 E Douglas Blvd, Tyler, TX 75702-8307 | 2006-06-08 |
1649246315 | James Gregory Stovall | Internal Medicine | 520 E Douglas Blvd, Tyler, TX 75702 | 2006-02-23 |
1245206937 | Oscar Ray Wilson | Family Medicine | 520 E Douglas Blvd, Tyler, TX 75702-8307 | 2006-02-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679116610 | Tiffiney Mcmakin | Nurse Practitioner | 810 E Houston St # 100, Tyler, TX 75702 | 2019-10-22 |
1659852507 | Krystal Gayle Lilley | Licensed Vocational Nurse | 100 E Ferguson St Ste 60a, Tyler, TX 75702 | 2018-08-28 |
1679029383 | Cynthia Lynn Kalawe | Physical Therapist | 100 E Ferguson, Suite 1204, Tyler, TX 75702 | 2016-09-01 |
1649623646 | Susan E Oxford | Social Worker | 13495 Frankston Highway, Tyler, TX 75702 | 2016-07-14 |
1053769281 | All Kidz Kan | Home Health | 2902 E Front St, Tyler, TX 75702 | 2016-05-27 |
1821415639 | Heather Mullins | Physical Therapy Assistant | 100 E. Ferguson Ste.1204, Tyler, TX 75702 | 2014-03-19 |
1346671336 | Dennis Keith Johnson | Dentist | 3081 Hwy. 31 East, Tyler, TX 75702 | 2013-12-02 |
1275882201 | Bobby Gibson | Counselor | 401 East Front Street, Ste 233, Tyler, TX 75702 | 2012-09-06 |
1144596792 | Tina Marie Borke | Clinical Neuropsychologist | 719 West Front St., Tyler, TX 75702 | 2012-03-28 |
1457629529 | James Whaley Rapp | Specialist/Technologist | 430 South Beckham Avenue, Trinity Mother Frances Sports Medicine, Tyler, TX 75702 | 2011-12-05 |
Find all providers in zip 75702 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972129997 | Elizabeth Niedrauer | Physician Assistant | 2314 S Kennedy Ave, Tyler, TX 75701-5242 | 2020-06-25 |
1629489042 | Lifetime Health Center | Physician Assistant | 1420 Wsw Loop 323, Suite 100, Tyler, TX 75701-9347 | 2014-05-20 |
1407273428 | East Texas Physician Assistant Services | Physician Assistant | 5380 Old Bullard Rd Ste 600-125, Tyler, TX 75703-3607 | 2014-03-27 |
1023356524 | Vitality Center | Physician Assistant | 14444 Eastside Rd, Tyler, TX 75707-6724 | 2013-01-18 |
1790029007 | John M Mclean | Physician Assistant | 3700 Mcdonald Rd, Apt 260, Tyler, TX 75701-6253 | 2012-11-27 |
1124058524 | David Beck | Physician Assistant | 1133 Medical Dr, Tyler, TX 75701-2130 | 2006-07-03 |
1467444141 | Thomas R Scholler | Physician Assistant | 703 S Fleishel Ave, Tyler, TX 75701-2015 | 2005-08-18 |
1376535054 | Stephanie S Carter | Physician Assistant | 703 S Fleishel Ave Ste 4000, Tyler, TX 75701 | 2005-08-18 |
1992797799 | Matthew M Hand | Physician Assistant | 619 S Fleishel Ave, Suite 101, Tyler, TX 75701-2004 | 2005-08-17 |
1518962299 | Nina Beth Partin | Physician Assistant | 910 E Houston St, Ste 550, Tyler, TX 75702-8369 | 2005-06-17 |
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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.