CHAD MICHAEL CLARK


Address: 620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054-2176
Phone: 7048678021

CHAD MICHAEL CLARK (NPI# 1275517831) 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) 1275517831
Entity Type Individual
Full Name CHAD MICHAEL CLARK
Credential MD
Practice Address 620 Summit Crossing Pl
Ste 106
Gastonia
NC 28054-2176
Practice Telephone 7048678021
Practice Fax Number 7048644606
Mailing Telephone 7048678021
Mailing Fax Number 7048644606
Enumeration Date 2005-12-06
Last Update Date 2010-08-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085B0100X Radiology
Specialization: Body Imaging
200400199 NC Allopathic & Osteopathic Physicians
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
2004-00199 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PARTNERS 804966 01
MEDCOST D4989 01
AETNA HMO 3616084 01
AETNA PPO 7095608 01
BLUE CROSS BLUE SHIELD 1377R 01
UNITED HEALTHCARE 560988142 01
NC 891377R 05
RAILROAD MEDICARE P00183056 01
SC N0019C 05

Other Providers CHAD CLARK

NPI Name Taxonomy Address Enumeration
1831536994 Chad Alan Clark Physical Therapist 560 Memorial Dr Ste C, Pocatello, ID 83201-4073 2013-05-30
1215227525 Chad Joseph Clark Counselor 10201 E 5th St, Tulsa, OK 74128-2617 2011-04-08
1083617906 Chad Alan Clark Physical Therapist 58 Glenroyal Dr, Pueblo, CO 81005-2174 2005-05-24
1265912836 Chad Curtis Clark Technician 4326 W. Cheyenne Ave (suite 100), North Las Vegas, NV 89032 2018-08-14
1205241577 Chad Clark Optometrist 5201 Hamilton Blvd, Allentown, PA 18106-9113 2014-06-25
1346339496 Chad Jeremy Clark Family Medicine 900 Round Valley Dr, Suite 200, Park City, UT 84060-7552 2006-10-12
1023052545 Chad Leroy Clark Emergency Medicine 3865 Jackson St, Riverside, CA 92503-3919 2006-06-15
1881659258 Chad David Clark Physician Assistant 85 Mcnaughten Rd, Ste 110, Columbus, OH 43213-2174 2006-04-19

Office Location

Street Address 620 SUMMIT CROSSING PL
STE 106
City GASTONIA
State NC
Zip Code 28054-2176

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063495117 Christopher Johannus Vandermeer Radiology 620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054 2005-11-22
1962069534 Gaston Family Health Services, Inc. Clinic/Center 620 Summit Crossing Pl, Gastonia, NC 28054-2176 2019-05-20
1356767768 Samuel Hatchel Physical Therapist 620 Summit Crossing Pl, Ste 305, Gastonia, NC 28054-2176 2014-03-10
1003116377 Alicia Mcquain Physical Therapist 620 Summit Crossing Pl, Ste 305, Gastonia, NC 28054-2176 2010-11-02
1942498662 Elzbieta Bule Physical Therapist 620 Summit Crossing Pl, Gastonia, NC 28054-2176 2007-10-09
1720119696 Margaret C Junker Physical Therapist 620 Summit Crossing Pl, Ste 305, Gastonia, NC 28054-2176 2007-03-09
1992856181 Empicare, Inc. Durable Medical Equipment & Medical Supplies 620 Summit Crossing Pl, Suite 109, Gastonia, NC 28054-2176 2007-01-15
1821075508 Richard Montgomery Jordan Radiology 620 Summit Crossing Pl, Suite 106, Gastonia, NC 28054-2176 2005-12-23
1306821814 Robert William Miller Radiology 620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054-2176 2005-12-08
1235113929 Christopher William Saltmarsh Radiology 620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054-2176 2005-12-06
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225671423 Michaela Karsyn Morris Behavioral Analyst 2875 Court Dr. B, Gastonia, NC 28054 2019-10-21
1982263810 Brenda Sue Fox Occupational Therapist Brian Center, 969 Cox Rd, Gastonia, NC 28054 2019-06-13
1174096911 Carolinas Hometown Respiratory LLC Durable Medical Equipment & Medical Supplies 469 Hospital Drive, Suite B1, Gastonia, NC 28054 2019-01-04
1255801817 Jarae Mcswain Counselor 1558 Union Road, Ste F, Gastonia, NC 28054 2018-11-27
1427549807 Alterman & Dhillon Charlotte Metro, Pplc Dentist 2205 E. Franklin Blvd, Ste 110, Gastonia, NC 28054 2018-05-22
1871083147 Terrence Lamont Campbell Dentist 2641 Court Dr Ste A, Gastonia, NC 28054 2018-05-13
1861995367 Jefferson and Jefferson LLC. Respite Care 945 East 6 Ave, Gastonia, NC 28054 2018-03-12
1790154912 Tyler Adcock Pharmacist 2324 South New Hope Rd, Gastonia, NC 28054 2015-09-17
1922481894 Alesha Nicole Logan Nurse Practitioner 1895 Hoffman Rd Ste A, Gastonia, NC 28054 2015-07-09
1457732596 Buffie Baker Eller Counselor 2005 Flint Lane, Gastonia, NC 28054 2015-06-15
Find all providers in zip 28054

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629202866 Heidi Jon Hartman Radiology 620 Summit Crossing Pl Ste 106, Gastonia, NC 28054-2189 2009-05-02
1043429152 Sean Patrick Whalen Radiology 5013 Newport Landing Way, Gastonia, NC 28056-8401 2007-05-22
1770636268 Mecklenburg Diagnostic Imaging LLC Radiology 920 Cox Rd, Bldg C Ste 101, Gastonia, NC 28054-3456 2007-01-19
1265480446 Mecklenburg Diagnostic Imaging LLC Radiology 3723 Union Rd, Gastonia, NC 28056-8044 2006-05-04
1457817603 Gaston Memorial Hospital, Incorporated Radiology 620 Summit Crossing Pl Ste 106, Gastonia, NC 28054-2189 2019-02-13
1154854503 Mri Specialists of The Carolinas, LLC Radiology 620 Summit Crossing Pl Ste 106, Gastonia, NC 28054-2189 2017-04-04
1932435609 Gaston Radiology Radiology 620 Summit Crossing Pl Ste 106, Gastonia, NC 28054-2189 2009-10-30
1659540219 Charles John Girard II Radiology 2525 Court Dr, Gastonia, NC 28054-2140 2008-02-27
1326249327 Orion Imaging, LLC Radiology 900 Cox Rd, Gastonia, NC 28054-3460 2007-05-29
1821075508 Richard Montgomery Jordan Radiology 620 Summit Crossing Pl, Suite 106, Gastonia, NC 28054-2176 2005-12-23
Find all providers in GASTONIA

Competitor

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City GASTONIA
Zip Code 28054

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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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