PATRICIA L CLARK (NPI# 1316170574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316170574 |
| Entity Type | Individual |
| Full Name | PATRICIA L CLARK |
| Credential | RPA-C |
| Practice Address |
271 Route 25a Ste 2 Wading River NY 11792-2014 |
| Practice Telephone | 6319291256 |
| Practice Fax Number | 6319298313 |
| Mailing Telephone | 6319291256 |
| Mailing Fax Number | 6319298313 |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2009-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
013420-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427665694 | Patricia Jane Clark | Occupational Therapist | Patricia Clark, 408 Center Bridge Road, Turner, ME 04282 | 2020-09-30 |
| 1326590126 | Patricia Clark | Occupational Therapist | 310 Hidden Valley Trl, Sherman, TX 75092-7618 | 2016-10-27 |
| 1467830380 | Patricia Ann Clark | Speech-Language Pathologist | 4260 Hunters Pass, Spring Hill, FL 34609-0319 | 2015-05-12 |
| 1013335447 | Patricia Clark | Behavioral Analyst | 5332 N El Sol Ave, Fresno, CA 93722-6119 | 2014-04-02 |
| 1528409737 | Patricia L. Clark | Psychologist | 117 Tecumseh Ct., Raleigh, NC 27607 | 2013-07-16 |
| 1003174319 | Patricia Clark | Licensed Practical Nurse | 305 The Brooklands, Akron, OH 44305-3610 | 2012-04-25 |
| 1407120108 | Patricia Clark | Registered Nurse | 1870 Sunshine Drive, Concord, CA 94520 | 2012-02-28 |
| 1720122963 | Patricia R Clark | Marriage & Family Therapist | 186 Kettle Pond Dr, Wakefield, RI 02879-5419 | 2007-02-19 |
| 1942372248 | Patricia Ann Clark | Counselor | 112 S. Madison, Aurora, MO 65605 | 2006-11-14 |
| 1093897266 | Patricia Clark | Nurse Practitioner | 1316 Hymelia Ave, Metairie, LA 70003-3710 | 2006-10-19 |
| Street Address |
271 ROUTE 25A STE 2 |
| City | WADING RIVER |
| State | NY |
| Zip Code | 11792-2014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265906085 | Puja Kakar Godhwani | Nurse Practitioner | 6144 Ny-25a, Building C Suite 13, Wading River, NY 11792 | 2019-01-15 |
| 1336557230 | Danielle Schneider | Social Worker | 177 Cliff Rd West, Wading River, NY 11792 | 2014-07-24 |
| 1023428018 | Kristin Ponzini | Speech-Language Pathologist | 154 Sylvan Dr, Wading River, NY 11792 | 2014-04-30 |
| 1508281478 | Melissa Ellen Taylor | Audiologist | 5964 Route 25a, Wading River, NY 11792 | 2014-02-28 |
| 1992142285 | Alyssa Marie Wruck | Dentist | 6336 Ny 25-a, Suite 2, Wading River, NY 11792 | 2013-05-28 |
| 1639421803 | Barbara O. Higgins | Nutritionist | 12540 N Wading River Road, Little Flower Services, Wading River, NY 11792 | 2012-10-11 |
| 1821308545 | Sarah Jeanne Hogan | Licensed Practical Nurse | 63 Dogwood Dr, Wading River, NY 11792 | 2010-10-15 |
| 1336461854 | George Gabriel Hershman | Pharmacist | 1815 Wading River Manorville Road, Wading River, NY 11792 | 2010-02-25 |
| 1225365950 | Anne Valerie Nienstedt | Family Medicine | 67 Karen Court, Wading River, NY 11792 | 2009-11-18 |
| 1497894828 | Katherine Edith Gosman | Physical Therapist | 2098 N Wading River Rd, Wading River, NY 11792 | 2007-02-05 |
| Find all providers in zip 11792 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386981090 | John Joseph Sheppard | Physician Assistant | 42 Deane St, Wading River, NY 11792-1805 | 2013-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252581 | North Shore Medical Group Pllc | Physician Assistant | 311 Skyview Ter, Syracuse, NY 13219-2835 | 2020-10-12 |
| 1477169654 | Kristen Ariel O'connell | Physician Assistant | 85 John St Apt 7a, New York, NY 10038-2844 | 2020-09-22 |
| 1699381616 | David Nmn Kao | Physician Assistant | 737 Pleasant Avenue, Westbury, NY 11590-6407 | 2020-09-16 |
| 1043824816 | Elizabeth Keane | Physician Assistant | 25 Hollis Dr, Sound Beach, NY 11789-1629 | 2020-08-31 |
| 1497364111 | Tianna Stephens | Physician Assistant | 165 N Village Ave Ste 5, Rockville Centre, NY 11570-3701 | 2020-07-28 |
| 1124636188 | Shannon Maureen O'connell | Physician Assistant | 270-05 270th Ave, New Hyde Park, NY 11040 | 2020-07-16 |
| 1841818895 | Yanick Dugue | Physician Assistant | 4 Lincoln Ave, New Hyde Park, NY 11040-3125 | 2020-07-07 |
| 1194340505 | Kayleigh Marie Tourt | Physician Assistant | 222 Alexander St Fl 4, Rochester, NY 14607-4039 | 2020-06-11 |
| 1023638509 | Kristina Rajic | Physician Assistant | 7237 66th Dr, Flushing, NY 11379-2111 | 2020-04-24 |
| 1114547791 | Michele Hein | Physician Assistant | 700 Veterans Memorial Hwy, Hauppauge, NY 11788-2952 | 2020-04-23 |
| Find all providers with the same taxonomy | ||||
| City | WADING RIVER |
| Zip Code | 11792 |
Please comment or provide details below to improve the information on PATRICIA L CLARK.
| 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.