STEVEN M CLARK (NPI# 1285664052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285664052 |
| Entity Type | Individual |
| Full Name | STEVEN M CLARK |
| Credential | MD |
| Practice Address |
701 E County Line Road Suite 201 Greenwood IN 46143 |
| Mailing Address |
6626 E 75th St Suite 500 Indianapolis IN 46250-2805 |
| Practice Telephone | 3178658000 |
| Practice Fax Number | 3178658012 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2020-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 01052195A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | MEDICARE RAILROAD | 020047583 | 01 |
| IN | 200281580A | 05 | |
| CAQH ID | 10781002 | 01 | |
| IN | ANTHEM BLUE CROSS | 000000091132 | 01 |
| IN | MDWISE/PROHEALTH | 000000014025 | 01 |
| IN | MEDICARE RR | P01456868 | 01 |
| IN | AETNA ELIGIBILITY ID | 5263695 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8711 Us 31 S, Indianapolis, IN 462276252 | 3178877771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669021564 | Steven Michael Clark | Dentist | 1700 University Blvd Ste 105, Morrilton, AR 72110-8004 | 2019-09-04 |
| 1801079686 | Steven Shia Clark | Social Worker | 223 Gratiot Ct, Saginaw, MI 48602-1865 | 2007-12-14 |
| 1003982489 | Steven Clark | Occupational Therapist | 15311 Vantage Pkwy W Ste 130, Houston, TX 77032-1955 | 2006-11-28 |
| 1124125505 | Steven Lester Clark | Family Medicine | 4586 E Highway 20, Suite B, Niceville, FL 32578-9724 | 2006-09-20 |
| 1023114576 | Steven Donald Clark | Physical Therapist | 2220 Mormon Trek Blvd, Iowa City, IA 52246-4435 | 2006-09-15 |
| 1629172622 | Steven Heyen Clark | Dentist | 801 Newton Ave, Iowa City, IA 52242-1001 | 2006-09-11 |
| 1124036058 | Steven Alan Clark | Chiropractor | 2747 Sunset Ave, Rocky Mount, NC 27804-3751 | 2006-08-04 |
| 1063414464 | Steven R. Clark | Physical Therapist | 330 1st Street, Suite 100, Steven Clark Mfr Physical Therapy, West Des Moines, IA 50265 | 2005-08-15 |
| 1861498859 | Steven D. Clark | Physician Assistant | 14 Mountain Ledge Drive, Wilton, NY 12831-1858 | 2005-06-23 |
| 1881252658 | Steven Douglas Clark | Physician Assistant | 1998 Motel Blvd, Las Cruces, NM 88007 | 2019-06-05 |
| Street Address |
701 E COUNTY LINE ROAD SUITE 201 |
| City | GREENWOOD |
| State | IN |
| Zip Code | 46143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760471080 | Asif Ansari | Internal Medicine | 701 E County Line Road, Suite 101, Greenwood, IN 46143-1070 | 2005-10-19 |
| 1205204377 | Southside Center for Sight | Ophthalmology | 701 E County Line Road, Suite 202, Greenwood, IN 46143-1071 | 2015-09-08 |
| 1760450720 | Qamer Ahmed | Internal Medicine | 701 E County Line Road, Suite 101, Greenwood, IN 46143-1070 | 2006-03-08 |
| 1659341741 | Imad Shawa | Internal Medicine | 701 E County Line Road, Suite 101, Greenwood, IN 46143-1070 | 2006-01-23 |
| 1801876396 | Ajay K Ponugoti | Internal Medicine | 701 E County Line Road, Suite 101, Greenwood, IN 46143-1070 | 2006-01-19 |
| 1174503650 | Manfred Paul Mueller | Internal Medicine | 701 E County Line Road, Suite 101, Greenwood, IN 46143-1070 | 2006-01-19 |
| 1235111733 | William Minor Gilkison | Family Medicine | 701 E County Line Road, Suite 301, Greenwood, IN 46143-1070 | 2005-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395299 | Tiffany Smirat | Pharmacist | 882 S Sr 135, Greenwood, IN 46143 | 2020-10-27 |
| 1083250138 | Benajmin Thomas Nyboer | Pharmacist | 5961 North State Road 135, Kroger Pharmacy, Greenwood, IN 46143 | 2019-11-25 |
| 1609417260 | Orthopaedics-indianapolis, Inc | Orthopaedic Surgery | 1579 Olive Branch Parke Lane, Suite 130, Greenwood, IN 46143 | 2019-10-04 |
| 1194282525 | Homebased Mental Health Service | Case Management | 2244 Blossom Dr, Greenwood, IN 46143 | 2019-02-21 |
| 1710478078 | Anne E Packard | Pharmacist | 333 E County Line Rd # 101, Greenwood, IN 46143 | 2018-05-22 |
| 1033607924 | Ez Clinic Inc. | Nurse Practitioner | 494 S Emerson Ave Ste I, Greenwood, IN 46143 | 2018-04-25 |
| 1891246633 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 5961 N Sr 135, Greenwood, IN 46143 | 2016-10-17 |
| 1477919637 | Ourhealth Physicians Group, LLC | Clinic/Center | 1273 N Emerson Ave Ste H, Greenwood, IN 46143 | 2016-01-04 |
| 1003212655 | American Health Network of Indiana, LLC | Non-Pharmacy Dispensing Site | 2355 Endress Place St A, Healthy Measures Wellness Clinic, Greenwood, IN 46143 | 2014-11-10 |
| 1265831366 | Katie D'agosto | Counselor | 3000 S State Road 135 Ste 230, Greenwood, IN 46143 | 2014-08-14 |
| Find all providers in zip 46143 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568912228 | Capel Surgical Clinic, LLC | Surgery | 406 E. Washington St., Greenwood, MS 38930 | 2016-10-06 |
| 1891189171 | Werner Heinrich Henning | Surgery | 1230 Colinbrook Cir, Greenwood, IN 46143-3608 | 2015-03-24 |
| 1457685570 | Self Medical Group | Surgery | 160 Academy Avenue, Greenwood, SC 29646-3808 | 2009-09-22 |
| 1982836847 | Self Medical Group | Surgery | 1325 Spring Street, Greenwood, SC 29646-3860 | 2009-08-11 |
| 1114161817 | Community Hospitals of Indiana Inc | Surgery | 533 E County Line Road, Suite 101, Greenwood, IN 46143-1074 | 2009-04-24 |
| 1558380477 | Douglas Edward Bowden | Surgery | 501 W Washington St, Greenwood, MS 38930-4237 | 2006-07-19 |
| 1629009956 | Stephen J O'neil | Surgery | 701 East County Line Road, Suite 201, Greenwood, IN 46143-1071 | 2006-07-05 |
| 1598794364 | Edward Joseph Rapp II | Surgery | 105 Vinecrest Ct, Ste 500, Greenwood, SC 29646-8031 | 2006-07-02 |
| 1114956919 | Premier Surgical Services, Pa | Surgery | 105 Vine Crest Ct, Ste 500, Greenwood, SC 29646-8031 | 2006-07-02 |
| 1578522934 | Raymond Girnys | Surgery | 302 8th St, Greenwood, MS 38930-4014 | 2006-03-22 |
| Find all providers in GREENWOOD | ||||
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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.