CHRISTOPHER MATTHEW CLARK (NPI# 1255617080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255617080 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER MATTHEW CLARK |
| Credential | RN |
| Practice Address |
16200 19 Mile Rd Clinton Township MI 48038-1103 |
| Practice Telephone | 5868738607 |
| Practice Fax Number | 5864166705 |
| Mailing Telephone | 5868738607 |
| Mailing Fax Number | 5864166705 |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2018-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
4704280192 | MI | Nursing Service Providers |
| N | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
4704280192 | MI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194286955 | Christopher James Clark | Student in an Organized Health Care Education/Training Program | 2390 W Congress St # 2, Lafayette, LA 70506-4205 | 2019-03-26 |
| 1801383351 | Christopher Clark | Case Management | 43a Richfield Rd, Upper Darby, PA 19082-2517 | 2018-04-20 |
| 1285088385 | Christopher Clark | Occupational Therapist | 101 Applied Bank Blvd Ste D4, Glen Mills, PA 19342 | 2016-04-15 |
| 1912322694 | Christopher W Clark | Military Health Care Provider | G544 C Street, Camp Lejuene, NC 28542 | 2014-03-04 |
| 1144657248 | Christopher Alex Clark | Counselor | 900 Corbitt Dr, Wilmore, KY 40390-1096 | 2013-10-03 |
| 1427480490 | Christopher James Clark | Counselor | 2817 E 97th Pl Apt 1506, Tulsa, OK 74137-7334 | 2013-08-01 |
| 1912341892 | Christopher Michael Clark | Otolaryngology | 48 Medical Park Dr E Ste 153, Birmingham, AL 35235-3459 | 2013-04-23 |
| 1992053474 | Christopher Tad Clark | Counselor | 1471 Dewar Dr Ste 204, Rock Springs, WY 82901-5826 | 2012-08-15 |
| 1215257217 | Christopher David Clark | Physical Medicine & Rehabilitation | 1165 Imperial Dr Ste 103, Hagerstown, MD 21740-6555 | 2010-06-02 |
| 1497983332 | Christopher Lee Clark | Military Health Care Provider | 5179 Malmstrom Ave, Nellis Afb, NV 89191-6126 | 2009-06-30 |
| Street Address |
16200 19 MILE RD |
| City | CLINTON TOWNSHIP |
| State | MI |
| Zip Code | 48038-1103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871696047 | Macomb Oakland Regional Center Inc. | Physical Therapist | 16200 19 Mile Rd, Clinton Township, MI 48038-1103 | 2006-09-06 |
| 1003473893 | Miranda Gorges | Behavior Technician | 16200 19 Mile Rd, Clinton Township, MI 48038-1103 | 2019-05-28 |
| 1912564709 | Kyle James Bott | Technician, Other | 16200 19 Mile Rd, Clinton Township, MI 48038-1103 | 2019-05-28 |
| 1467019257 | Courtney Willhite | Technician, Other | 16200 19 Mile Rd, Clinton Township, MI 48038-1103 | 2019-05-28 |
| 1720645518 | Brett Wilson | Behavior Technician | 16200 19 Mile Rd, Clinton Township, MI 48038-1103 | 2019-05-28 |
| 1518523877 | Charles William Harrison Jr. | Social Worker | 16200 19 Mile Rd, Clinton Township, MI 48038-1103 | 2019-05-13 |
| 1194381442 | Caroline Mae Redman | Technician, Other | 16200 19 Mile Rd, Clinton Township, MI 48038-1103 | 2019-05-13 |
| 1821654179 | Laura Elizabeth Frattini | Technician, Other | 16200 19 Mile Rd, Clinton Township, MI 48038-1103 | 2019-05-13 |
| 1558927806 | Megan Leann Kennedy | Technician, Other | 16200 19 Mile Rd, Clinton Township, MI 48038-1103 | 2019-05-13 |
| 1720641855 | Piper Schick | Social Worker | 16200 19 Mile Rd, Clinton Township, MI 48038-1103 | 2019-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447864129 | Raphael Antonio Tramble | Counselor | River Oaks Suites Plaza 42815 Garfield Road, Suite 201, Clinton Township, MI 48038 | 2020-09-01 |
| 1275160384 | Varun C Sankuratri | Obstetrics & Gynecology | 16515 Nineteen Mile Rd, Gme Office: Attention Obgyn PC Kelly Bennet, Clinton Township, MI 48038 | 2020-03-26 |
| 1114563178 | Hopeful Reflections Counseling Center, Pllc | Counselor | 44444 Hayes, Clinton Township, MI 48038 | 2019-11-25 |
| 1588224570 | Karrie Marie Armstrong | Social Worker | 42815 Garfield Rd Macomb Therapy Group, Suite 201, Clinton Twp, MI 48038 | 2019-06-20 |
| 1386201424 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr Ste #2, Clinton Twp, MI 48038 | 2019-05-23 |
| 1306314489 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr., Suite 2, Clinton Twp, MI 48038 | 2018-11-07 |
| 1730677592 | Najoi Sleiman | Physical Medicine & Rehabilitation | 15855 19-mile Road, Rehab Services, 4th Floor, South Tower, Clinton Twp., MI 48038 | 2018-04-27 |
| 1295230365 | David Michael Ragbeer | Emergency Medicine | Henry Ford Macomb Hospitals, 15855 Nineteen Mile Road, Clinton Township, MI 48038 | 2018-03-29 |
| 1932601317 | Synergy Pharmacy LLC | Pharmacy | 42621 Garfield Rd Ste 101a, Clinton Township, MI 48038 | 2018-03-01 |
| 1689175002 | Melissa Velez Miracle | Speech-Language Pathologist | 38809 Windmill Pointe W, Clinton Twp, MI 48038 | 2018-02-21 |
| Find all providers in zip 48038 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376054262 | Carrie Allan | Registered Nurse | 39067 Salem Dr, Clinton Township, MI 48038-2857 | 2017-10-18 |
| 1952438855 | Kathleen Ann Rodgers | Registered Nurse | 43740 N Groesbeck Hwy, Clinton Township, MI 48036-1139 | 2007-02-27 |
| 1881734242 | Barbara Nowakowski | Registered Nurse | 38251 S Groesbeck Hwy, Clinton Township, MI 48036-1929 | 2007-02-07 |
| 1154460350 | Angela Faye Gutt | Registered Nurse | 38251 S Groesbeck Hwy, Clinton Township, MI 48036-1929 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427669969 | K & M Medical & Catastrophic Management, LLC | Registered Nurse | 3005 E 11 Mile Rd, Warren, MI 48092-3523 | 2020-08-10 |
| 1194347211 | Martin James Leonard | Registered Nurse | 3067 Beach Lake Dr E, Milford, MI 48380-2864 | 2020-05-12 |
| 1104460971 | Lovingprivatecare71 LLC | Registered Nurse | 24020 Sunnypoint Dr, Southfield, MI 48033-2907 | 2019-11-04 |
| 1497217822 | James Henry Wood | Registered Nurse | 50 W Big Beaver Rd Ste 90, Bloomfield Hills, MI 48304-3910 | 2019-04-04 |
| 1295207991 | Jacqueline Hodges | Registered Nurse | 15404 Ilene St, Detroit, MI 48238-1042 | 2018-12-19 |
| 1396211702 | Julius Militante | Registered Nurse | 3101 Vineyard Ln, Flushing, MI 48433-2435 | 2018-10-23 |
| 1992293567 | Kathleen Drew | Registered Nurse | 24801 5 Mile Rd Ste 7, Redford, MI 48239-3653 | 2018-04-28 |
| 1033622667 | Julie Ann Bise | Registered Nurse | 10555 Enterprise Dr Ste 314, Davisburg, MI 48350-1338 | 2017-11-06 |
| 1942733050 | Jennifer Bartkowiak-wise | Registered Nurse | 4320 N 11 Mile Rd, Pinconning, MI 48650-7976 | 2017-04-05 |
| 1649725912 | Kim Czarnota | Registered Nurse | 3803 Orchard Dr, Highland, MI 48356-1955 | 2016-08-16 |
| Find all providers with the same taxonomy | ||||
| City | CLINTON TOWNSHIP |
| Zip Code | 48038 |
Please comment or provide details below to improve the information on CHRISTOPHER MATTHEW 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.