DR. THOMAS G. CLARK (NPI# 1255495743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255495743 |
| Entity Type | Individual |
| Full Name | DR. THOMAS G. CLARK |
| Credential | D.C. |
| Practice Address |
2909 4th St N St Petersburg FL 33704-2103 |
| Practice Telephone | 7275282808 |
| Practice Fax Number | 7278248855 |
| Mailing Telephone | 7275282808 |
| Mailing Fax Number | 7278248855 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2010-08-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH0003633 | FL | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669096020 | Thomas Edward Clark | Optometrist | 3672 W South Jordan Pkwy Ste 103, South Jordan, UT 84009-7172 | 2020-06-02 |
| 1861053811 | Thomas J Clark | Massage Therapist | 16615 North Rd Unit B, Bothell, WA 98012-5983 | 2019-06-20 |
| 1922417005 | Thomas Boyle Clark IIi | Pathology | 3619 Pacific Ave, Tacoma, WA 98418-7921 | 2014-08-04 |
| 1053558205 | Thomas Edward Clark | Student in an Organized Health Care Education/Training Program | 980 Western Avenue, Albany, NY 12202 | 2009-01-09 |
| 1255593273 | Thomas James Clark | Licensed Practical Nurse | 8703 Shear Dr, Powell, OH 43065-8835 | 2008-06-30 |
| 1508044181 | Thomas B Clark | Chiropractor | 2092 Casa De Vereda, Vista, CA 92084-4223 | 2008-02-05 |
| 1306061502 | Thomas Lyon Clark | Psychologist | 1515 Payne St, Tallahassee, FL 32303-5796 | 2007-04-16 |
| 1487877213 | Thomas R Clark | Chiropractor | 2418 W 9th Ave, Amarillo, TX 79106-6620 | 2007-04-10 |
| 1023157153 | Thomas Clark | Dentist | 4402 Airline Dr, Houston, TX 77022-2934 | 2007-02-05 |
| 1972649499 | Thomas Colin Clark | Physical Therapist | 7111 E 21st St N Ste 103, Wichita, KS 67206 | 2007-01-30 |
| Street Address |
2909 4TH ST N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33704-2103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346303401 | Richard Deneen Shook | Chiropractor | 2909 4th St N, St Petersburg, FL 33704-2103 | 2006-12-19 |
| 1487040671 | Jennifer Gantzer | Chiropractor | 2909 4th St N, St Petersburg, FL 33704-2103 | 2015-04-14 |
| 1467516856 | Clark Chiropractic Health Center Inc | Chiropractor | 2909 4th St N, St Petersburg, FL 33704-2103 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588289086 | Megan Burgess | Chiropractor | 1656 Brightwaters Blvd Northeast, Saint Petersburg, FL 33704 | 2020-06-10 |
| 1952932816 | Klement Family Dental P.a. | Dentist | 425 22nd Avenue North, Saint Petersburg, FL 33704 | 2020-01-30 |
| 1972150738 | Alexander Medical Group LLC | Non-Pharmacy Dispensing Site | 2438 Dr. M L King Jr Street N, St. Petersburg, FL 33704 | 2019-08-26 |
| 1720634595 | Taylor Collins | Physical Medicine & Rehabilitation | 2600 Dr. Jlk Jr St N Unity 2008, Stpetersburg, FL 33704 | 2019-08-16 |
| 1417302142 | Carrie Beth Zilbauer | Physical Therapist | 750 24th Ave N, Saint Petersburg, FL 33704 | 2016-05-02 |
| 1710225982 | Jessica Willoughby | Midwife | 1405 Dr Mlk Jr St N, Saint Petersburg, FL 33704 | 2013-01-23 |
| 1649515354 | Surgcenter Northeast LLC | Clinic/Center | 2438 Dr. Martin Luther King Jr Street North Suite C, St Petersburg, FL 33704 | 2012-12-06 |
| 1700144235 | St. Pete Chiropractic and Injury Center LLC | Chiropractor | 2206 4th Street North, St. Petersburg, FL 33704 | 2012-05-03 |
| 1437421963 | Kenneth R. Reinhart D.c. Pa | Chiropractor | 3190 Mlk Street N., St. Petersburg, FL 33704 | 2012-01-30 |
| 1386944064 | Alcove Retirement Center IIi | Assisted Living Facility | 2801 4th St N, St Petersburg, FL 33704 | 2010-10-27 |
| Find all providers in zip 33704 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790390433 | Jessica Schofield | Chiropractor | 3202 9th St N, St Petersburg, FL 33704-1202 | 2020-09-10 |
| 1497386577 | Sarah Elizabeth Brumbaugh | Chiropractor | 790 4th Ave S, St Petersburg, FL 33701-4412 | 2020-01-28 |
| 1114565504 | Debra Jane Roche | Chiropractor | 9100 9th St N Apt 508, St Petersburg, FL 33702-3077 | 2019-12-16 |
| 1841838620 | Ashley Therese Martin | Chiropractor | 556 1st Ave N, St Petersburg, FL 33701-3702 | 2019-12-12 |
| 1982169686 | Danielle Fortner | Chiropractor | 6044 30th Ave N, St Petersburg, FL 33710-3334 | 2019-02-06 |
| 1588150445 | Anas Anis Khalaf | Chiropractor | 6740 Crosswinds Dr N Ste A, St Petersburg, FL 33710-5472 | 2018-07-03 |
| 1316455009 | Welcome Home Family Chiropractic & Wellness Center, Pllc | Chiropractor | 3773 Central Ave, St Petersburg, FL 33713-8338 | 2018-01-16 |
| 1538696901 | Manuel Alvin Valverde | Chiropractor | 5203 Central Ave, St Petersburg, FL 33710-8141 | 2017-05-17 |
| 1043744949 | Jake Lowe | Chiropractor | 2253 Central Ave, 106, St Petersburg, FL 33713-8844 | 2017-04-18 |
| 1598201139 | Vicky Poulakis | Chiropractor | 3157 4th St N, St Petersburg, FL 33704-2124 | 2017-01-06 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33704 |
Please comment or provide details below to improve the information on DR. THOMAS G. 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.