JAMES PAUL CLARK II (NPI# 1306838453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306838453 |
| Entity Type | Individual |
| Full Name | JAMES PAUL CLARK II |
| Credential | MD |
| Practice Address |
3411a Noyes Ave Se Charleston WV 25304 |
| Practice Telephone | 3043442459 |
| Practice Fax Number | 3043451336 |
| Mailing Telephone | 3043442459 |
| Mailing Fax Number | 3043451336 |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2018-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | 17504 | WV | Allopathic & Osteopathic Physicians |
| N | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
17504 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | AETNA | 5720204 | 01 |
| WV | BLUE CROSS BS | 001722434 | 01 |
| WV | 0079196000 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3977 Teays Valley Rd, Hurricane, WV 255269082 | 3043442459 | 3043451336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285240036 | James Daniel Clark | Clinical Nurse Specialist | 1325 Sanders Dr, Laramie, WY 82070-8204 | 2020-09-17 |
| 1376154435 | James Lindsay Clark | Pharmacist | 201 S 1300 E Ste 101, Salt Lake City, UT 84102-2608 | 2020-08-12 |
| 1154954758 | James Clark | Internal Medicine | 1409 Satilla Blvd, Waycross, GA 31501-4322 | 2020-02-21 |
| 1861051542 | James Bernard Clark | Counselor | 5739 Almaden Rd Apt 4, San Jose, CA 95118-3623 | 2019-06-06 |
| 1225595614 | James Colbert Clark IIi | Specialist/Technologist | 11 Aventura Ct, Randallstown, MD 21133-4330 | 2019-02-21 |
| 1609389832 | James Thomas Clark | Contractor | 11460 Old Mill Rd, Spencer, OH 44275-9582 | 2017-11-09 |
| 1124427067 | James William Clark | Dentist | 2825 Se 45th St, Ocala, FL 34480-7225 | 2014-08-16 |
| 1306267406 | James Clark | Pharmacist | 11307 Roszell St, San Antonio, TX 78217-2511 | 2013-12-17 |
| 1720322795 | James Timothy Clark | Hearing Instrument Specialist | 724 Perry Ave, Big Rapids, MI 49307-2200 | 2012-11-15 |
| 1457625782 | James Clark | Pharmacist | 16130 Parker St, Omaha, NE 68118 | 2012-03-05 |
| Street Address |
3411A NOYES AVE SE |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356333405 | Lawrence Blair Thrush Jr. | Allergy & Immunology | 3411a Noyes Ave Se, Charleston, WV 25304 | 2005-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893908 | Sade Yvonne Rice | Technician | 392 B South Parkd Rd, Charleston, WV 25304 | 2020-08-27 |
| 1053931410 | Pir Ali Shah | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Southeast Robert C. Bind Clinical, Charleston, WV 25304 | 2020-04-25 |
| 1649807603 | Jasmine Shah | Student in an Organized Health Care Education/Training Program | 3110 Maccorkle Avenue, Se, Student Services Department - Wvu Building, 4th Floor, Charleston, WV 25304 | 2020-03-26 |
| 1447811872 | Kwasi Amponsah Gambrah | Student in an Organized Health Care Education/Training Program | 3200 Mac Corkle Ave. Se, Robert C. Byrd Clinical Teaching Center, 5th Floor, Charlestoni, WV 25304 | 2019-06-26 |
| 1457916751 | Divya Kalluru | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Southeast, Robert C. Bird Clinica, 4th Floor Internal Medicine Department, Charleston, WV 25304 | 2019-05-02 |
| 1841854965 | Sean Michael Percy Losier | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Ave., Se, Camc Family Medicine Center Robert C. Byrd Clinical Tea, Charleston, WV 25304 | 2019-04-24 |
| 1700440047 | Priyanka Chowdhry | Student in an Organized Health Care Education/Training Program | Robert C. Bird Clinical Training Center, 4th Floor, 3200 Maccorkle Avenue, Southeast, Charleston, WV 25304 | 2019-04-23 |
| 1568925469 | Saranya Dinesan | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Ave. Se, 4th Floor, Robert C. Byrd Clini, Charleston, WV 25304 | 2019-04-09 |
| 1043771694 | Mary Elizabeth Novak | Student in an Organized Health Care Education/Training Program | Camc Memorial Hospital, Surgicare Center, 3200 Maccorkle Ave Se, Charleston, WV 25304 | 2019-03-27 |
| 1124518600 | Abdullah Sohail | Student in an Organized Health Care Education/Training Program | 4th Floor, 3200 Maccorkle Ave, South East Robert C. Bir, Charleston, WV 25304 | 2018-05-10 |
| Find all providers in zip 25304 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164956439 | Rosenblatt Enterprise Group, LLC. | Allergy & Immunology | 46 Montagu St, Ste B, Charleston, SC 29401-6709 | 2017-04-13 |
| 1861438699 | Brian Samuel Dantzler | Allergy & Immunology | 46 Markfield Dr, Suite A, Charleston, SC 29407-6982 | 2006-06-21 |
| 1538101258 | Allergy Partners, Pllc | Allergy & Immunology | 46a Markfield Dr, Charleston, SC 29407-6942 | 2006-06-11 |
| 1891779203 | Le Mcneill Md Sc | Allergy & Immunology | 506 W Lincoln, Ste 200 A & B, Charleston, IL 61920 | 2005-11-30 |
| 1356333405 | Lawrence Blair Thrush Jr. | Allergy & Immunology | 3411a Noyes Ave Se, Charleston, WV 25304 | 2005-08-16 |
| 1407858996 | Thomas Bailey Harper IIi | Allergy & Immunology | 2270 Ashley Crossing Dr, Suite 150, Charleston, SC 29414-5732 | 2005-08-15 |
| 1902323504 | University Medical Associates | Allergy & Immunology | 171 Ashley Ave, Charleston, SC 29425-8908 | 2017-08-24 |
| 1376091645 | Asthma, Allergy and Immunology Clinics, LLC | Allergy & Immunology | 452 Folly Rd, Suite A, Charleston, SC 29412-2641 | 2016-09-15 |
| 1376819524 | Gregory Hayward Bennett | Allergy & Immunology | 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 | 2012-03-31 |
| 1255666954 | Alpha Care Allergy, Asthma & Immunology | Allergy & Immunology | 435 Folly Rd, Charleston, SC 29412-2624 | 2009-10-14 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25304 |
Please comment or provide details below to improve the information on JAMES PAUL CLARK II.
| 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.