JACK CROWLEY CLARK SR. (NPI# 1306824016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306824016 |
| Entity Type | Individual |
| Full Name | JACK CROWLEY CLARK SR. |
| Credential | MD |
| Practice Address |
1431 Centerpoint Blvd Teamhealth Radiology Ste 100 Knoxville TN 37932-1984 |
| Mailing Address |
554 Halstead Dr Crossville TN 38555-0151 |
| Practice Telephone | 8659857186 |
| Mailing Telephone | 8659857186 |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
54492 | GA | Allopathic & Osteopathic Physicians |
| X | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD422200 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0019730830003 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083840342 | Jack R Clark | Dentist | 1856 Lancaster Rd, Homewood, AL 35209-4114 | 2009-06-01 |
| 1265571608 | Jack Douglas Clark | Ophthalmology | 7112 N Fresno St, Suite 100, Fresno, CA 93720-2940 | 2007-02-05 |
| 1346320140 | Jack Prow Clark | Family Medicine | 518 Ems D15 Ln, Syracuse, IN 46567-8026 | 2006-10-16 |
| 1902881014 | Jack J Clark | Chiropractor | 6015 E State Blvd, Fort Wayne, IN 46815-7638 | 2005-12-12 |
| 1477799112 | Jack Clark | Counselor | 4411 N Cedar Ave, Fresno, CA 93726-2538 | 2008-12-31 |
| 1841311487 | Jack Malcolm Clark IIi | Social Worker | 7711 Madonna, San Antonio, TX 78216-6620 | 2007-04-02 |
| 1902992837 | Jack O. Clark | Internal Medicine | 450 E Main St, Rexburg, ID 83440 | 2006-10-05 |
| 1427092857 | Jack C Clark | Family Medicine | 103 Midlake Dr, Knoxville, TN 37918-3039 | 2006-06-15 |
| 1588616882 | Jack Lewis Clark | Oral & Maxillofacial Surgery | 21700 Northwestern Hwy, Suite 1290, Southfield, MI 48075-4906 | 2006-05-16 |
| 1073563847 | Jack Clark | Internal Medicine | 1528 Del Prado Blvd S, Cape Coral, FL 33990-3798 | 2006-05-11 |
| Street Address |
1431 CENTERPOINT BLVD TEAMHEALTH RADIOLOGY STE 100 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37932-1984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750790507 | Anna Logan | Anesthesiologist Assistant | 1431 Centerpoint Blvd, Suite 100, Knoxville, TN 37932-1984 | 2014-08-06 |
| 1386051068 | Sara Pence | Nurse Practitioner | 1431 Centerpoint Blvd, Suite 100, Knoxville, TN 37932-1984 | 2014-07-15 |
| 1659795052 | Physician Services of Kentucky, P.s.c. | Family Medicine | 1431 Centerpoint Blvd, Suite 100, Knoxville, TN 37932-1983 | 2014-02-06 |
| 1548684871 | Bhn Physician Services, P.s.c. | Family Medicine | 1431 Centerpoint Blvd, Suite 100, Knoxville, TN 37932-1983 | 2014-02-06 |
| 1225469042 | Gloria Jean Krass | Nurse Practitioner | 1431 Centerpoint Blvd, Ste 100, Knoxville, TN 37932-1984 | 2013-12-04 |
| 1154673085 | Brandon Brooks | Physician Assistant | 1431 Centerpoint Blvd, Suite 100, Knoxville, TN 37932-1984 | 2012-10-02 |
| 1114298916 | Anthony Shane Mcraven | Emergency Medicine | 1431 Centerpoint Blvd, Suite 100, Knoxville, TN 37932-1984 | 2012-01-25 |
| 1598041626 | Christopher Blake Mckinless | Emergency Medicine | 1431 Centerpoint Blvd, Knoxville, TN 37932-1984 | 2011-11-03 |
| 1891076873 | Benjamin Keith Hale | Physician Assistant | 1431 Centerpoint Blvd, Suite 100, Knoxville, TN 37932-1984 | 2011-09-02 |
| 1407136682 | Mitchell Dean Dyer | Physician Assistant | 1431 Centerpoint Blvd, Suite 100, Knoxville, TN 37932-1984 | 2011-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265935589 | Jazmin Lowe | Nurse Practitioner | 9711 Sherrill Blvd Ste 201, Knoxville, TN 37932 | 2018-03-13 |
| 1619498649 | Brittney Danyelle Trent | Occupational Therapist | 120 Cavette Hill Lane, Farragut, TN 37932 | 2017-06-29 |
| 1891222634 | William M. Hogan, Md, Pllc | Psychiatry & Neurology | 1432 Hickey Road, Knoxville, TN 37932 | 2017-05-11 |
| 1487006193 | Cheryl Ann Williams | Occupational Therapist | 13029 George Lovelace Lane, Knoxville, TN 37932 | 2016-07-06 |
| 1760876627 | Institute for Female Pelvic Medicine,pllc | Urology | 10133 Sherrill Blvd Suite 100, Century Park, Knoxville, TN 37932 | 2015-03-27 |
| 1669877965 | Melissa Raymond | Nurse Practitioner | 550 Frank Gardner Lane, Knoxville, TN 37932 | 2014-10-29 |
| 1811186059 | Mia J Guillory | Optometrist | 10841 Hardin Valley Rd, Knoxville, TN 37932 | 2007-10-23 |
| 1427264555 | Amy Hill Shugart | Physical Therapist | 10710 Murdock Dr Ste 102, Knoxville, TN 37932 | 2007-05-15 |
| 1871626895 | East Tennessee Emg, Inc. | Physical Therapist | 614 Mabry Hood Road, Suite #301, Knoxville, TN 37932 | 2007-03-13 |
| 1083773584 | Summit View Health Management, Inc. | Durable Medical Equipment & Medical Supplies | 10805 Harding Dr., Knoxville, TN 37932 | 2006-12-08 |
| Find all providers in zip 37932 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336488782 | James Findlay Hudgens Jr. | Radiology | 6921 Alden Glen Way, Knoxville, TN 37919 | 2013-02-05 |
| 1104141613 | Scott Embry | Radiology | 2240 Sutherland Ave Ste 540, Knoxville, TN 37919-2333 | 2010-03-29 |
| 1447486113 | Bradley Robert Pollard | Radiology | 1924 Alcoa Hwy # U107, Knoxville, TN 37920-1511 | 2009-06-08 |
| 1013184241 | James Scott Schauberger | Radiology | 1112 E Weisgarber Road, Knoxville, TN 37909 | 2008-05-15 |
| 1841463627 | Steven Edward Repka | Radiology | Dept 888302, Knoxville, TN 37995-1661 | 2008-04-11 |
| 1265610604 | Philip A. Marino, M.d., P.C. | Radiology | 8870 Cedar Springs Ln, Knoxville, TN 37923-5407 | 2008-02-07 |
| 1003021783 | John Texada | Radiology | 4709 Papermill Dr Ste 201, Knoxville, TN 37909-1921 | 2007-05-14 |
| 1477675452 | Jason Deen | Radiology | 2001 Laurel Ave Ste 304, Knoxville, TN 37916-1834 | 2007-04-03 |
| 1831215318 | George Harden Wood | Radiology | 1000 Castlerock Ct, Knoxville, TN 37919-7221 | 2007-03-22 |
| 1386694040 | Peter P Piampiano | Radiology | 2240 Sutherland Ave Ste 107, Knoxville, TN 37919-2333 | 2006-05-11 |
| Find all providers in KNOXVILLE | ||||
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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.