DR. STEVEN A. CLARK (NPI# 1386620110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386620110 |
| Entity Type | Individual |
| Full Name | DR. STEVEN A. CLARK |
| Credential | MD |
| Practice Address |
2560 N. Shadeland Avenue Suite A Indianapolis IN 46219-1706 |
| Mailing Address |
14275 Midway Rd Suite 400 Addison TX 75001-3614 |
| Practice Telephone | 3172758022 |
| Practice Fax Number | 3172758124 |
| Mailing Telephone | 2149328029 |
| Mailing Fax Number | 6102714245 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2015-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZC0500X |
Pathology Specialization: Cytopathology |
01029422A | IN | Allopathic & Osteopathic Physicians |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
01029422A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 000000092728 | 01 |
| IN | 100099010A | 05 | |
| IN | MPLAN | 000000013253 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669021564 | Steven Michael Clark | Dentist | 1700 University Blvd Ste 105, Morrilton, AR 72110-8004 | 2019-09-04 |
| 1801079686 | Steven Shia Clark | Social Worker | 223 Gratiot Ct, Saginaw, MI 48602-1865 | 2007-12-14 |
| 1003982489 | Steven Clark | Occupational Therapist | 15311 Vantage Pkwy W Ste 130, Houston, TX 77032-1955 | 2006-11-28 |
| 1124125505 | Steven Lester Clark | Family Medicine | 4586 E Highway 20, Suite B, Niceville, FL 32578-9724 | 2006-09-20 |
| 1023114576 | Steven Donald Clark | Physical Therapist | 2220 Mormon Trek Blvd, Iowa City, IA 52246-4435 | 2006-09-15 |
| 1629172622 | Steven Heyen Clark | Dentist | 801 Newton Ave, Iowa City, IA 52242-1001 | 2006-09-11 |
| 1124036058 | Steven Alan Clark | Chiropractor | 2747 Sunset Ave, Rocky Mount, NC 27804-3751 | 2006-08-04 |
| 1063414464 | Steven R. Clark | Physical Therapist | 330 1st Street, Suite 100, Steven Clark Mfr Physical Therapy, West Des Moines, IA 50265 | 2005-08-15 |
| 1861498859 | Steven D. Clark | Physician Assistant | 14 Mountain Ledge Drive, Wilton, NY 12831-1858 | 2005-06-23 |
| 1881252658 | Steven Douglas Clark | Physician Assistant | 1998 Motel Blvd, Las Cruces, NM 88007 | 2019-06-05 |
| Street Address |
2560 N. SHADELAND AVENUE SUITE A |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46219-1706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306820097 | Bruce W Hughes | Pathology | 2560 N. Shadeland Avenue, Suite A, Indianapolis, IN 46219-1706 | 2005-12-06 |
| 1003074485 | Manan Chandrakant Patel | Pathology | 2560 N. Shadeland Avenue, Suite A, Indianapolis, IN 46219-1706 | 2008-06-02 |
| 1376699199 | Reema Jaffar | Pathology | 2560 N. Shadeland Avenue, Suite A, Indianapolis, IN 46219-1706 | 2007-01-26 |
| 1356308084 | Sheila Roumpf | Pathology | 2560 N. Shadeland Avenue, Suite A, Indianapolis, IN 46219-1706 | 2006-04-27 |
| 1083690960 | Ted Bloch | Pathology | 2560 N. Shadeland Avenue, Suite A, Indianapolis, IN 46219-1706 | 2005-12-21 |
| 1154307049 | Shannon Lee Braun | Pathology | 2560 N. Shadeland Avenue, Suite A, Indianapolis, IN 46219-1706 | 2005-12-21 |
| 1225014111 | Terence J. Cudahy | Pathology | 2560 N. Shadeland Avenue, Suite A, Indianapolis, IN 46219-1706 | 2005-12-21 |
| 1477537165 | Wei Liu | Pathology | 2560 N. Shadeland Avenue, Suite A, Indianapolis, IN 46219-1706 | 2005-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571157 | Kara Kathryn Berning | Dietitian, Registered | 2040 N. Shadeland Ave, Suite 130, Indianapolis, IN 46219 | 2020-09-01 |
| 1780223750 | Erin Cannon | Specialist | 1543 N Post Rd, Indianapolis, IN 46219 | 2019-12-23 |
| 1073151239 | Tanicka Elizabeth Word | Behavior Technician | 6635 E 21st Street, West Building, Indianapolis, IN 46219 | 2019-12-18 |
| 1790322527 | Arlington Westend Dental LLC | Dentist | 5900 E 10th St, Indianapolis, IN 46219 | 2019-11-27 |
| 1336645985 | Lynell Westbrook Gates | Counselor | 1311 N Arlington Ave Ste 102, Indianapolis, IN 46219 | 2018-04-03 |
| 1861991689 | Comfort Dental LLC | Clinic/Center | 8151 E 21st St., Indianapolis, Indianapolis, IN 46219 | 2018-02-07 |
| 1467811570 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6701 E 21st St, Indianapolis, IN 46219 | 2016-02-17 |
| 1992197289 | Casey Baker | Physician Assistant | 1500 N Ritter Ave (medical Associates, LLP), Indianapolis, IN 46219 | 2015-02-24 |
| 1811398407 | Adam Romesser | Pharmacist | 8907 E. 10th St., Indianapolis, IN 46219 | 2014-09-15 |
| 1225448673 | Justin Stauffer | Pharmacist | 5903 E Pleasant Run Parkway North Dr, Indianapolis, IN 46219 | 2014-05-06 |
| Find all providers in zip 46219 | ||||
| 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 |
|---|---|---|---|---|
| 1225558125 | Nichole Landry Lepage | Pathology | 350 West 11th Street, Suite 4083, Indianapolis, IN 46202 | 2017-06-21 |
| 1871904532 | Michael J Hwang | Pathology | 350 W 11th St Rm 4080, Indianapolis, IN 46202-4108 | 2014-05-15 |
| 1720405814 | Jared Cobb | Pathology | 350 W 11th St Rm 4083, Indianapolis, IN 46202-4108 | 2014-03-26 |
| 1629337522 | Christin Hweisi Tsao | Pathology | 350 W 11th St Rm 5034, Indianapolis, IN 46202-4108 | 2012-05-11 |
| 1275779027 | Rick Bains | Pathology | 2560 N. Shadeland Ave., Ste. A, Indianapolis, IN 46219-1706 | 2008-12-29 |
| 1164677423 | Phoenix Clinical Labs Inc | Pathology | 8755 Guion Rd, Indianapolis, IN 46268-3047 | 2008-11-28 |
| 1457502841 | Swarna S Sikdar | Pathology | 430 Indiana Ave, Apt #326, Indianapolis, IN 46202 | 2008-10-04 |
| 1598963696 | Xiaolin Wu | Pathology | Iu Health Pathology Laboratory, 350 N. 11th Street, Hematopathology, Indianapolis, IN 46202 | 2007-07-10 |
| 1386781201 | Mary Louise Forster | Pathology | 9550 Zionsville Rd Ste 200, Indianapolis, IN 46268-1063 | 2007-01-31 |
| 1861419525 | Rebecca A Arora | Pathology | 10291 N Meridian St, Ste 100, Indianapolis, IN 46290-1000 | 2006-07-17 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46219 |
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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.