MR. MARK STEVEN CLARK


Address: 1 Verney Drive, Greenfield, NH 03047
Phone: 6033050628

MR. MARK STEVEN CLARK (NPI# 1235115213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235115213
Entity Type Individual
Full Name MR. MARK STEVEN CLARK
Credential PA
Practice Address 1 Verney Drive
Greenfield
NH 03047
Mailing Address 38 Cortland Dr
Bedford
NH 03110-4224
Practice Telephone 6033050628
Enumeration Date 2005-12-21
Last Update Date 2014-03-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant 0362 NH Physician Assistants & Advanced Practice Nursing Providers
Y 363AM0700X Physician Assistant
Specialization: Medical
0362 NH Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NH 30331005 05

Other Providers MARK CLARK

NPI Name Taxonomy Address Enumeration
1912324351 Mark Clark Podiatrist 2300 Coronado Rd, Pueblo, CO 81003-1840 2014-03-24
1710265160 Mark Clark Technician, Other 6646 Highway 50, Gerald, MO 63037-2700 2011-08-02
1215255682 Mark P Clark Counselor 11 Brandywine Dr, Cincinnati, OH 45246-3809 2010-05-11
1609006022 Mark H. Clark Pharmacist 2901 N Dallas Parkway, Suite 420, Plano, TX 75093 2009-07-20
1588856827 Mark Brian Clark Registered Nurse 3420 Box Elder, Evergreen, CO 80439-7841 2007-08-10
1154549061 Mark W Clark Nurse Anesthetist, Certified Registered 1201 First St, Kennett, MO 63857 2007-04-23
1720119167 Mark Clark Counselor 1366 W Indian Hills Dr Unit 69, Saint George, UT 84770-1885 2007-03-08
1205989605 Mark Daniel Clark Anesthesiology 3735 Norton Hills Rd, Norton Shores, MI 49441-4469 2007-01-19
1407903693 Mark Allen Clark Nurse Practitioner 111 Park Hill Dr # A, Fredericksburg, VA 22401-3357 2007-01-03
1447352828 Mark Wayne Clark Dentist G-3550 Flushing Rd, Flint, MI 48504 2006-09-05

Office Location

Street Address 1 VERNEY DRIVE
City GREENFIELD
State NH
Zip Code 03047

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295119345 Kelli Ann Dube Psychologist 1 Verney Drive, Greenfield, NH 03047 2015-07-17
1821397134 Heidi Lyn Mclennan Occupational Therapist 1 Verney Drive, Greenfield, NH 03047 2011-03-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023418399 Tara Anne Stetson Occupational Therapist 1 Verney Dr, Greenfield, NH 03047 2014-08-24
1053912279 Andrew Schinnerer Psychologist 860 Forest Rd, Greenfield, NH 03047-4301 2020-11-04
1821348434 Susan Moller Religious Nonmedical Practitioner 246 East Rd, Greenfield, NH 03047-4407 2012-09-12
1598112849 Chrisitna Ferraiuolo Dietitian, Registered 68 Gould Hill Rd, Greenfield, NH 03047-4525 2016-05-17
1962476366 William Carl Cooley Pediatrics 1 Verney Dr, Greenfield, NH 03047-5000 2006-02-14
1518500784 Ariana Laniyan Speech-Language Pathologist 1 Verney Dr, Greenfield, NH 03047-5000 2019-10-21
1255814695 Shelby Ouellette Specialist/Technologist 1 Verney Dr, Greenfield, NH 03047-5000 2018-09-12
1265915607 Madeline Alexander Speech-Language Pathologist 1 Verney Dr, Greenfield, NH 03047-5000 2018-09-12
1710460159 Stephanie Drago Specialist/Technologist 1 Verney Dr, Greenfield, NH 03047-5000 2018-09-12
1346729753 Chandra Miller Nurse Practitioner 1 Verney Dr, Greenfield, NH 03047-5000 2018-08-08
Find all providers in zip 03047

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912356668 Alyssa N Bobe Physician Assistant 164 High St, Greenfield, MA 01301-2613 2016-06-03
1699177394 Carol Lynn Conolly Physician Assistant 329 Conway St, Greenfield Health Center, Greenfield, MA 01301-1521 2014-09-24
1730516147 Katrina Hull Physician Assistant 48 Sanderson St, Greenfield, MA 01301-2778 2013-09-30
1801153689 Natalie Harding Physician Assistant 329 Conway St, Greenfield Health Center, Greenfield, MA 01301-1521 2012-04-18
1821304312 Peter A Buchanan Physician Assistant 329 Conway St, Greenfield Health Center, Greenfield, MA 01301-1521 2010-08-23
1023241254 Cara Chadbourne Vickers Physician Assistant 489 Bernardston Rd, Suite 108, Greenfield, MA 01301-1238 2009-09-04
1821321050 Jessica A Bartlett Physician Assistant 48 Sanderson St, Greenfield, MA 01301-2778 2009-09-04
1730258617 Matthew Burns Physician Assistant 164 High St, Greenfield, MA 01301-2613 2006-11-07
1588751911 Meghan Migeon Physician Assistant 164 High St, Greenfield, MA 01301-2613 2006-10-06
1356459242 Bonnie J Hanson Physician Assistant 164 High Street, Greenfield, MA 01301-2613 2006-08-29
Find all providers in GREENFIELD

Competitor

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City GREENFIELD
Zip Code 03047

Improve Information

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Dataset Information

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.

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