TOR CLARK (NPI# 1265556872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265556872 |
| Entity Type | Individual |
| Full Name | TOR CLARK |
| Other Name | TOR CLARK |
| Credential | PA-C |
| Practice Address |
Brown University Health Service Box 1928 Providence RI 02912 |
| Mailing Address |
Brown University Health Service Box 1928 Providence RI 02912-0001 |
| Practice Telephone | 4018633953 |
| Practice Fax Number | 4018637953 |
| Mailing Telephone | 4018633953 |
| Mailing Fax Number | 4018637953 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2018-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | RIPA00077 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
BROWN UNIVERSITY HEALTH SERVICE BOX 1928 |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477527182 | Tanya Christine Sullivan | Nurse Practitioner | 13 Brown Street Andrews House, Providence, RI 02912 | 2006-02-17 |
| 1417363151 | Beth Conroy | Specialist/Technologist | 235 Hope St, Box 1933, Providence, RI 02912 | 2014-07-02 |
| 1861567323 | Laura N. Ward | Nurse Practitioner | 13 Brown St, Providence, RI 02912 | 2006-11-21 |
| 1194337220 | Shannon Adams | Student in an Organized Health Care Education/Training Program | Brown University Box G-9999, Providence, RI 02912-0001 | 2020-08-19 |
| 1962024869 | Chonlada Jarukitisakul | Psychologist | 69 Brown Street Page-robinson Hall 512, Providence, RI 02912-0001 | 2020-05-13 |
| 1730747502 | Kristian Georgiev | Student in an Organized Health Care Education/Training Program | Brown University Box G-9525, Providence, RI 02912-0001 | 2019-06-05 |
| 1881184042 | Diane Farber | Psychologist | Brown University Counseling and Psychological Services, Providence, RI 02912-0001 | 2018-05-14 |
| 1558758664 | Brian Michael Daigneault | Specialist/Technologist | 229 Hope St Box 1933, Providence, RI 02912-0001 | 2015-04-16 |
| 1346647450 | Kate Carey | Psychologist | Po Box G-s121, Brown University School of Public Health, Providence, RI 02912-0001 | 2014-12-04 |
| 1306188909 | Albert Edward Dahlberg | General Practice | 185 Meeting St, Room L-254, Sfh, Brown University, Providence, RI 02912-0001 | 2013-03-21 |
| Find all providers in zip 02912 | ||||
| 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 |
|---|---|---|---|---|
| 1922622265 | Jacob H. Sosa | Physician Assistant | 11 Amy St, Providence, RI 02906-3802 | 2020-06-02 |
| 1114541661 | Alison Ruth Dias | Physician Assistant | 164 Summit Ave Fl 3, Providence, RI 02906-2853 | 2020-06-01 |
| 1780210021 | Michael Weller | Physician Assistant | 166 Valley St Apt 6a202, Providence, RI 02909-2467 | 2020-03-18 |
| 1659915221 | Sanju Dhital | Physician Assistant | 15 Tew Pl, Providence, RI 02906-1721 | 2019-11-06 |
| 1467093823 | Alan Miller | Physician Assistant | 79 11th St, Providence, RI 02906-2911 | 2019-10-07 |
| 1134774011 | Linda Ung | Physician Assistant | 198 Wendell St, Providence, RI 02909-2129 | 2019-08-07 |
| 1346703527 | Simran Kaur Kochar | Physician Assistant | 207 Jastram St, Providence, RI 02908-2708 | 2019-04-13 |
| 1457881666 | Katelyn Mary Pires | Physician Assistant | 539 Eddy St., Providence, RI 02903 | 2017-06-20 |
| 1275509408 | Sharonda Evette Keith | Physician Assistant | 593 Eddy Street, Apc-6, Lifespan Physician's Group, Dept of Neurosurgery, Providence, RI 02903 | 2006-02-27 |
| 1760467971 | Rodd Leighton Casper | Physician Assistant | 3 Davol Sq, Suite B200, Providence, RI 02903-4710 | 2005-12-09 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02912 |
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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.