LATOYA SHANTEL CLARK (NPI# 1346566700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346566700 |
| Entity Type | Individual |
| Full Name | LATOYA SHANTEL CLARK |
| Credential | MD |
| Practice Address |
1758 Park Pl Suite 406 Montgomery AL 36106-1127 |
| Practice Telephone | 2517164744 |
| Mailing Telephone | 2517164744 |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2015-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MD.33558 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 2106252 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790240810 | Latoya D. Clark | Counselor | 7725 Sandra St, Houston, TX 77016-6588 | 2019-02-02 |
| 1811412109 | Latoya Shaneese Clark | Pharmacist | 7700 Shepherdsville Rd, Louisville, KY 40219-4021 | 2017-08-07 |
| 1689959801 | Latoya M Clark | Nutritionist | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2011-10-19 |
| 1144383795 | Latoya Denise Clark | Case Manager/Care Coordinator | 3810 Winchester Rd, Memphis, TN 38118-9007 | 2006-12-18 |
| Street Address |
1758 PARK PL SUITE 406 |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36106-1127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699765271 | Howard L Brazil | Specialist | 1758 Park Pl, Montgomery, AL 36106-1133 | 2005-10-25 |
| 1407387848 | Jackson Hospital and Clinic Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1758 Park Pl, Suite 202, Montgomery, AL 36106-1127 | 2017-03-27 |
| 1578003745 | Jackson Hospital and Clinic Inc. | Internal Medicine | 1758 Park Pl, Suite 406, Montgomery, AL 36106-1127 | 2017-03-07 |
| 1194261669 | Jackson Hospital and Clinic Inc. | Internal Medicine | 1758 Park Pl, Suite 402, Montgomery, AL 36106-1127 | 2017-01-09 |
| 1912362773 | Jackson Hospital and Clinic Inc | Internal Medicine | 1758 Park Pl, Suite 401, Montgomery, AL 36106-1127 | 2015-12-22 |
| 1558764266 | Jackson Hospital and Clinic Inc | Obstetrics & Gynecology | 1758 Park Pl, Suite 301, Montgomery, AL 36106-1127 | 2014-10-08 |
| 1528475084 | William Saliski | Nurse Practitioner | 1758 Park Pl, Ste 300, Montgomery, AL 36106-1127 | 2014-07-16 |
| 1093068900 | Stewart H Tankersley, Md, LLC | Clinic/Center | 1758 Park Pl, Suite 200, Montgomery, AL 36106-1127 | 2012-10-17 |
| 1841576915 | Shelley Sanders Byrd | Nurse Practitioner | 1758 Park Pl, Suite 100, Montgomery, AL 36106-1127 | 2011-11-02 |
| 1013140904 | Southeast Cancer Network, Inc | Internal Medicine | 1758 Park Pl, Suite 301, Montgomery, AL 36106-1127 | 2009-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747205 | Rural Urgent Care LLC | Clinic/Center | 3039 Vaughn Road, Montgomery, AL 36106 | 2020-07-16 |
| 1548733306 | Bennett Family Dentistry, LLC | Dentist | 4270 Carmichael Road, Montgomery, AL 36106 | 2019-01-04 |
| 1588133854 | Lori Leanne Fail | Physical Therapist | 1615 Windsor Hill Court, Montgomery, AL 36106 | 2018-11-16 |
| 1073020749 | Charlene Richmond Harrell | Chiropractor | 2900 Zelda Rd., Suite A, Montgomery, AL 36106 | 2018-01-03 |
| 1780123109 | Montgomery Accident and Injury Center, Inc | Nurse Practitioner | 2900 Zelda Rd, Ste B, Montgomery, AL 36106 | 2017-02-17 |
| 1467843573 | Ernest Porterfield | Non-emergency Medical Transport (VAN) | 4183 Carmichael Road, Suite A, Montgomery, AL 36106 | 2015-02-11 |
| 1114334281 | Daniel Gerald O'bryant | Specialist/Technologist | 1160 Navarro Avenue, Montgomery, AL 36106 | 2014-07-21 |
| 1801213764 | Amanda Hodge | Specialist/Technologist | 4605 Cherry Tree Terrace, Montgomery, AL 36106 | 2014-03-27 |
| 1871861542 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1758 Park Pl Ste 102, Montgomery, AL 36106 | 2011-12-08 |
| 1578862546 | Helping Hands Preventitive Health Center | Community/Behavioral Health | 2015 Mulberry St, Montgomery, AL 36106 | 2011-03-16 |
| Find all providers in zip 36106 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780003822 | Crystal Reese | Obstetrics & Gynecology | 1758 Park Pl Ste 301, Montgomery, AL 36106-1137 | 2014-04-15 |
| 1295061059 | Montgomery Women's Primary Care Center, LLC | Obstetrics & Gynecology | 8134 Seaton Pl, Montgomery, AL 36116-7204 | 2009-10-28 |
| 1003141649 | Women Taking Care of Women Plus, LLC | Obstetrics & Gynecology | 1357 Carmichael Way, Montgomery, AL 36106-3629 | 2009-10-15 |
| 1396921193 | Thomas M Miller | Obstetrics & Gynecology | 201 Monroe St Ste 983, Montgomery, AL 36104-3735 | 2008-01-11 |
| 1194865048 | Middletown Community Health Center Inc | Obstetrics & Gynecology | 20 Walnut Street Suite C, Montgomery, NY 12549 | 2007-02-08 |
| 1225196140 | Women's Health and Wellness Center, LLC | Obstetrics & Gynecology | 1401 E South Blvd, Montgomery, AL 36116-2319 | 2006-12-04 |
| 1093825127 | Roosevelt Mccorvey | Obstetrics & Gynecology | 2455 Bell Rd, Montgomery, AL 36117-4336 | 2006-08-30 |
| 1982618633 | Christopher Roger Duggar | Obstetrics & Gynecology | 2024 Chestnut St, Montgomery, AL 36106-1111 | 2006-07-28 |
| 1366464216 | Julian Edward Mcintyre | Obstetrics & Gynecology | 2055 E South Blvd Ste 806, Montgomery, AL 36116-2007 | 2006-07-23 |
| 1134173164 | Dent Williams | Obstetrics & Gynecology | 7040a Sydney Curv, Montgomery, AL 36117-3508 | 2006-05-22 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36106 |
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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.