ELLIOTT CLARK


Address: 1622 E Turkeyfoot Lake Rd Ste 200, Akron, OH 44312-5277
Phone: 3306447436

ELLIOTT CLARK (NPI# 1386152049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
18901 Lake Shore Blvd, Cleveland, OH 441191078 2165319000
6780 Mayfield Rd, Mayfield Heights, OH 441242203 4404494633

Office Location

Street Address 1622 E TURKEYFOOT LAKE RD STE 200
City AKRON
State OH
Zip Code 44312-5277

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City AKRON
Zip Code 44312

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Dataset Information

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.

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