CHRISTOPHER KHALIL CLARKE (NPI# 1295120210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295120210 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER KHALIL CLARKE |
| Practice Address |
3907 S Highway 14 Greenville SC 29615 |
| Mailing Address |
1 Independence Pt Ste 212 Greenville SC 29615-4536 |
| Practice Telephone | 8645221300 |
| Practice Fax Number | 8645221305 |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2018-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 51936 | SC | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1215 Lee St, Box 800744, Charlottesville, VA 229080816 | 4349241931 | 4342435770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548401557 | Christopher Thomas Clarke | Massage Therapist | 31956 Us 19 N, Palm Harbor, FL 34684-3730 | 2009-03-20 |
| 1447365176 | Christopher Andrew Clarke | Optometrist | 2760 North Germatown Pkwy, Memphis, TN 38133 | 2006-08-21 |
| 1013336940 | Christopher Clarke | Internal Medicine | 3 Medical Park, Fairhope, AL 36532-1804 | 2014-04-08 |
| 1467737833 | Christopher Clarke | Chiropractor | 922 Main St, Nashville, TN 37206-3614 | 2011-10-18 |
| 1376855742 | Christopher Peter Clarke | Counselor | 2045 Westgate Dr, Bethlehem, PA 18017-7480 | 2010-07-13 |
| 1093971947 | Christopher Nicholson Clarke | Family Medicine | 426 Main St, Berlin, PA 15530-1229 | 2008-07-31 |
| 1649473315 | Christopher J. Clarke | Pediatrics | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2007-06-08 |
| 1295876738 | Christopher A Clarke | Anesthesiology | 6606 Lyndon B Johnson Fwy Ste 200, Dallas, TX 75240-6524 | 2007-02-09 |
| Street Address |
3907 S HIGHWAY 14 |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770764128 | Mitchell Scott Mcclure | Internal Medicine | 3907 S Highway 14, Greenville, SC 29615-6138 | 2007-11-14 |
| 1073972840 | Karla Burton | Nurse Practitioner | 3907 S Highway 14, Greenville, SC 29615-6138 | 2016-02-22 |
| 1770954257 | Brandi Lea Ruffo | Nurse Practitioner | 3907 S Highway 14, Greenville, SC 29615-6138 | 2015-10-09 |
| 1508232547 | Narciss Johnson Brown | Nurse Practitioner | 3907 S Highway 14, Greenville, SC 29615-6138 | 2015-08-13 |
| 1295082337 | Pamela Wenger Yanoviak | Internal Medicine | 3907 S Highway 14, Greenville, SC 29615-6138 | 2012-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358051 | Adenike Orogade | Behavior Technician | 17 Caldedon Ct, Suite B, Greenville, SC 29615 | 2020-02-19 |
| 1629608369 | Jennifer Jacobsen | Behavior Technician | 17 Caldedon Court, Suite B, Greenville, SC 29615 | 2020-01-22 |
| 1932668217 | Carolina Orthopaedic and Neurosurgical Associates | Orthopaedic Surgery | Carolina Orthopaedic and Neurosurgical Associates, 220 Roper Mountain Road Extension, Greenville, SC 29615 | 2019-03-18 |
| 1255816070 | Trevis L Cureton | Pharmacist | 2401 East North St, Greenville, SC 29615 | 2018-09-27 |
| 1497232565 | Jacob J Fountain | Nurse Practitioner | 225 Enterprise Blvd, Suite 101, Greenville, SC 29615 | 2018-07-23 |
| 1346726924 | St. Francis Physician Services, Inc | Internal Medicine | 5 Hoke Smith Blvd, Greenville, SC 29615 | 2018-07-17 |
| 1558853101 | Alexandra Michelle Taylor | Audiologist | 200 Patewood Dr Ste 400, Greenville, SC 29615 | 2018-05-30 |
| 1316466543 | Mariah Hope Mosher | Behavioral Analyst | 7 Mckenna Commons Court, Greenvilee, SC 29615 | 2017-09-19 |
| 1326400896 | Karen L Heaps | Counselor | 3150 S. Hwy 14, The Pelham Center, Greenville, SC 29615 | 2016-03-24 |
| 1134589013 | Sharon Erk | Technician, Other | 2950 E.norths St, Greenville, OH 29615 | 2016-03-04 |
| Find all providers in zip 29615 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043868789 | Hopewell Medical Care LLC | Internal Medicine | 2090 Woodruff Rd, Greenville, SC 29607-5939 | 2019-08-27 |
| 1346726924 | St. Francis Physician Services, Inc | Internal Medicine | 5 Hoke Smith Blvd, Greenville, SC 29615 | 2018-07-17 |
| 1689193237 | Gim Barry Blackston, Md, Pa | Internal Medicine | 8 Memorial Medical Ct Ste 4, Greenville, SC 29605-4400 | 2017-09-14 |
| 1003357948 | Keith Freeman | Internal Medicine | 10 Enterprise Blvd Ste 110, Greenville, SC 29615-3534 | 2017-03-11 |
| 1871945204 | Annum Faisal | Internal Medicine | 2100 Stantonsburg Rd Ofc, Greenville, NC 27834-2818 | 2016-07-11 |
| 1508284324 | Lusana Ahsan | Internal Medicine | 2100 Stantonsburg Rd Ste 1ad200, Greenville, NC 27834-2818 | 2014-03-29 |
| 1548604341 | William M Wooten | Internal Medicine | 2400 Stantonsburg Rd, Greenville, NC 27834-7210 | 2013-04-23 |
| 1356699904 | Mohammad Raihan Azad | Internal Medicine | 1006 Wh Smith Blvd., Physicians East - Endocrinology, Greenville, NC 27834 | 2012-08-29 |
| 1104185420 | Geoffrey P Little | Internal Medicine | 20 Bryants Sq, Apt/suite, Greenville, NY 12083-3413 | 2012-05-07 |
| 1053679530 | Matthew Earles Dauterive | Internal Medicine | 600 Moye Blvd Ste 3e149, Greenville, NC 27834-4300 | 2012-05-02 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29615 |
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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.