MICHAEL S. CLARKE, M.D., P.A. (NPI# 1376029041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376029041 |
| Entity Type | Organization |
| Organization Name | MICHAEL S. CLARKE, M.D., P.A. |
| Practice Address |
620 N Main St Harrison AR 72601-2911 |
| Mailing Address |
Po Box 3317 Harrison AR 72602-3317 |
| Practice Telephone | 8704144073 |
| Mailing Telephone | 8704144073 |
| Mailing Fax Number | 8704144984 |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2018-10-26 |
| Authorized Official Name | DR. MICHAEL SYDENHAM CLARKE (PATHOLOGIST) |
| Authorized Official Telephone | 8704144073 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
E-11363 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | AR MEDICAL LICENSE | E-11363 | 01 |
| Street Address |
620 N MAIN ST |
| City | HARRISON |
| State | AR |
| Zip Code | 72601-2911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457959389 | Miranda Lee Cornett | Dietitian, Registered | 620 N Main St, Harrison, AR 72601-2911 | 2020-10-13 |
| 1003389180 | Adam Patrick Sova | Dietitian, Registered | 620 N Main St, Harrison, AR 72601-2911 | 2019-01-10 |
| 1770068850 | Rachel May Bertrand | Nurse Practitioner | 620 N Main St, Harrison, AR 72601-2911 | 2018-09-25 |
| 1154809051 | North Arkansas Regional Medical Center | Family Medicine | 620 N Main St, Harrison, AR 72601-2911 | 2018-08-02 |
| 1487144044 | North Arkansas Regional Medical Center | Family Medicine | 620 N Main St, Harrison, AR 72601-2911 | 2018-05-18 |
| 1942740204 | Narmc | General Acute Care Hospital | 620 N Main St, Harrison, AR 72601-2911 | 2017-03-06 |
| 1831640341 | North Arkansas Regional Medical Center | Behavioral Analyst | 620 N Main St, Harrison, AR 72601-2911 | 2016-10-19 |
| 1881143279 | North Arkansas Regional Medical Center | Anesthesiology | 620 N Main St, Harrison, AR 72601-2911 | 2016-09-26 |
| 1316327943 | Radiology Associates of The Ozarks, Pllc | Radiology | 620 N Main St, Harrison, AR 72601-2911 | 2015-06-09 |
| 1699187898 | Debi Arnold | Dietitian, Registered | 620 N Main St, Harrison, AR 72601-2911 | 2014-05-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184280364 | Linda Marie Balcerak | Physical Therapy Assistant | 400 Hwy 43 East, Harrison, AR 72601 | 2019-05-14 |
| 1750847315 | Boston Mountain Rural Health Center Inc. | Clinic/Center | 1002 North Spring St., Harrison, AR 72601 | 2019-02-19 |
| 1154808236 | Carrie Lynn Miller | Midwife | 5977 Sulphur. Mt. Rd, Harrison, AR 72601 | 2018-07-23 |
| 1255833778 | Julie Foster, Speech Language Pathologist, Inc. | Speech-Language Pathologist | 1898 Foley Rd, Harrison, AR 72601 | 2018-02-28 |
| 1386163582 | Reagan Brittany Kenney | Case Manager/Care Coordinator | 4537 Meadow Wood Lane, Harrison, AR 72601 | 2017-09-19 |
| 1306394465 | Rebecca Jane Mcanulty | Nurse Practitioner | 702 N. Springs Street, Harrison, AR 72601 | 2016-09-19 |
| 1194174763 | Jessalyn Foy | Case Manager/Care Coordinator | 413 N Rowland St, Harrison, AR 72601 | 2016-06-06 |
| 1689022311 | Eva Laynette Norris | Case Manager/Care Coordinator | 114 E. Crandall, Harrison, AR 72601 | 2016-06-03 |
| 1760830491 | Jana Daniels | Case Manager/Care Coordinator | 9378a Hwy 7 North, Harrison, AR 72601 | 2016-06-03 |
| 1376992016 | Laken Nichole Curtis | Case Manager/Care Coordinator | 5985 James Phifer Ln, Harrison, AR 72601 | 2016-06-03 |
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| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396031936 | Theera Rojanapremsuk Clarke | Pathology | 620 N Main St, Harrison, AR 72601 | 2011-06-22 |
| 1114248879 | Michael Sydenham Clarke | Pathology | 620 N Main St, Harrison, AR 72601-2911 | 2010-06-17 |
| 1043368715 | Robert L Miller Md Pa | Pathology | 620 N Main St, Harrison, AR 72601-2994 | 2007-01-08 |
| 1265414221 | Robert Lawrence Miller Jr. | Pathology | 620 N Willow St, Harrison, AR 72601-2994 | 2005-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245640564 | Aaron Wyble | Pathology | 4301 W Markham St # 503, Little Rock, AR 72205 | 2014-05-08 |
| 1336486430 | William Edward Atkinson Jr. | Pathology | 22 Old Delmonte Drive, Little Rock, AR 72212 | 2013-01-09 |
| 1427303437 | Dalal Farid Jacob | Pathology | 1224 Cherokee Dr, Newport, AR 72112-9998 | 2012-07-16 |
| 1871870782 | Alex Pappas | Pathology | 1624 Mountain Dr, Little Rock, AR 72227-5837 | 2011-11-05 |
| 1740575810 | John Mcconnell | Pathology | 7220 West Ridge Rd., Roland, AR 72135-9595 | 2011-06-16 |
| 1295025492 | Melody Harrison | Pathology | 1 Lile Ct Ste 101, Little Rock, AR 72205-6239 | 2011-04-10 |
| 1710126529 | Johnnie Mack Boyce | Pathology | 104 Harris Lane, Springdale, AR 72764-2530 | 2009-02-18 |
| 1679719017 | Ericka J Olgaard | Pathology | 4301 W. Markham Street, Slot 502, Little Rock, AR 72205 | 2009-01-06 |
| 1285888446 | Dalton Eugene Packmore | Pathology | 3005 Riverbend Rd, Heber Springs, AR 72543-8616 | 2008-11-13 |
| 1144431883 | Adam J Cole | Pathology | 25 Valley Estates Dr, Little Rock, AR 72212-4412 | 2007-05-24 |
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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.