ELLIOTT CLARK (NPI# 1386152049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386152049 |
Entity Type | Individual |
Full Name | ELLIOTT CLARK |
Credential | PA-C |
Practice Address |
1622 E Turkeyfoot Lake Rd Ste 200 Akron OH 44312-5277 |
Mailing Address |
5705 Skyline Dr Seven Hills OH 44131-1952 |
Practice Telephone | 3306447436 |
Practice Fax Number | 3306440167 |
Mailing Telephone | 8609338265 |
Enumeration Date | 2018-01-16 |
Last Update Date | 2020-07-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
50.005394RX | OH | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
18901 Lake Shore Blvd, Cleveland, OH 441191078 | 2165319000 | |
6780 Mayfield Rd, Mayfield Heights, OH 441242203 | 4404494633 |
Street Address |
1622 E TURKEYFOOT LAKE RD STE 200 |
City | AKRON |
State | OH |
Zip Code | 44312-5277 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376748087 | Jovan Riste Laskovski | Orthopaedic Surgery | 1622 E Turkeyfoot Lake Rd Ste 200, Akron, OH 44312-5277 | 2007-06-21 |
1417216136 | Ryan James Urchek | Orthopaedic Surgery | 1622 E Turkeyfoot Lake Rd Ste 200, Akron, OH 44312 | 2012-05-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114536604 | Taryn Maureen Bell | Contractor | 2727 Rapids Way, Akron, OH 44312 | 2020-07-30 |
1497378350 | Modern Hearing Solutions of Akron Inc. | Audiologist-Hearing Aid Fitter | 2745 S. Arlington Road #b, Akron, OH 44312 | 2020-05-26 |
1790349819 | Christine Lynn Cannell | Nurse Practitioner | 3593 S Arlington Road, Suite D, Akron, OH 44312 | 2019-04-24 |
1780122168 | Compass Counseling Services, LLC | Counselor | 1033 E Turkeyfoot Lake Rd Ste 104, Akron, OH 44312 | 2017-02-06 |
1306204052 | Detra Antoine | Nurse's Aide | 3095 Forest Pk Blvd, Akron, OH 44312 | 2016-02-09 |
1154731164 | Barbara Simione | Licensed Practical Nurse | 500 James Avenue, Akron, OH 44312 | 2014-04-29 |
1891099479 | Maxwell Medical Supplies and Healthcare | Durable Medical Equipment & Medical Supplies | 1474 Manchester Road, Akron, OH 44312 | 2010-12-22 |
1972751204 | Rem Ohio, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3155 Pickle Road, Akron, OH 44312 | 2008-08-28 |
1326233487 | Lisa Jean Foster | Nurse Practitioner | 4125 Medina Road, Suite 104, The Surgery Center, Akron, OH 44312 | 2007-09-12 |
1639362825 | Rachelle De Ann Taylor | Nurse's Aide | 1920 N Garden Ct, Apt 1b, Akron, OH 44312 | 2007-08-22 |
Find all providers in zip 44312 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760891501 | James Schalmo | Physician Assistant | 575 E Market St, Akron, OH 44304 | 2014-08-06 |
1053885624 | Audrey Hoffmann | Physician Assistant | 75 Arch St Ste 301, Akron, OH 44304-1429 | 2019-01-17 |
1801308531 | Quinn M Repp | Physician Assistant | 880 Mull Ave Ste 100, Akron, OH 44313-7522 | 2017-11-03 |
1518486760 | Megan Elizabeth Brook | Physician Assistant | 1 Akron General Ave, Akron, OH 44307-2432 | 2017-09-19 |
1275073793 | Nicholas James Tuttle | Physician Assistant | 1 Akron General Ave, Akron, OH 44307-2432 | 2017-03-02 |
1437608353 | Paige Hanchulak | Physician Assistant | 1 Akron General Ave, Akron, OH 44307 | 2016-10-04 |
1326418278 | Lauren Parsons | Physician Assistant | 1450 Firestone Pkwy, Akron, OH 44301 | 2015-10-05 |
1285043356 | Samuel C Donnelly | Physician Assistant | 525 E Market St, Akron, OH 44304-1619 | 2014-08-04 |
1962830315 | Danielle Curran | Physician Assistant | 300 Locust St, Suite 560, Akron, OH 44302 | 2013-10-23 |
1023358751 | Lara Renee Young | Physician Assistant | 150 Cross St, Akron, OH 44311-1026 | 2013-02-16 |
Find all providers in AKRON |
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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.