DR. EMILY GRACE CLARK (NPI# 1386902435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386902435 |
Entity Type | Individual |
Full Name | DR. EMILY GRACE CLARK |
Credential | M.D. |
Practice Address |
115 N Sumter St Ste 115 Sumter SC 29150-4968 |
Mailing Address |
Po Box 743904 Atlanta GA 30374-3904 |
Practice Telephone | 8037747546 |
Practice Fax Number | 8037749455 |
Mailing Telephone | 8032967320 |
Mailing Fax Number | 8032967330 |
Enumeration Date | 2012-04-26 |
Last Update Date | 2018-11-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208200000X | Plastic Surgery | 61282 | SC | Allopathic & Osteopathic Physicians |
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
61282 | SC | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699376798 | Emily Anne Clark | Occupational Therapist | 3579 Bayview St, Seaford, NY 11783-3316 | 2020-11-04 |
1114428794 | Emily Rose Clark | Behavioral Analyst | 936b Station Ave, Yarmouth, MA 02664 | 2018-02-28 |
1619365392 | Emily Clark | Acupuncturist | 616 S 3rd St, Minneapolis, MN 55415-1139 | 2015-01-02 |
1295154342 | Emily Clark | Counselor | 1160 N High St, Columbus, OH 43201-2411 | 2014-04-15 |
1134560147 | Emily Lauren Clark | Physician Assistant | 11 E 29th St Apt 43a, New York, NY 10016-7518 | 2013-07-08 |
1780972174 | Emily Burzynski Clark | Speech-Language Pathologist | 210 S. Park St, Friendship, WI 53934 | 2011-07-19 |
1124632062 | Emily Ann Clark | Dentist | 2423 Schillinger Rd S Ste 104, Mobile, AL 36695-4142 | 2020-09-08 |
1528671419 | Emily Christine Clark | Behavior Technician | 1704 W Industrial Dr, Rogers, AR 72756-2492 | 2020-08-28 |
1356954622 | Emily Maria Clark | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2020-08-26 |
1235786088 | Emily Jane Clark | Physical Therapist | 1160 Van Voorhis Rd, Morgantown, WV 26505-3437 | 2019-08-26 |
Street Address |
115 N SUMTER ST STE 115 |
City | SUMTER |
State | SC |
Zip Code | 29150-4968 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447749510 | Prisma Health Medical Group-midlands | Family Medicine | 115 N Sumter St Ste 115, Sumter, SC 29150 | 2018-05-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174152557 | Stacey Delene Mcconico | Adult Companion | 201 East Liberty Street, Sumter, SC 29150 | 2020-04-07 |
1780227942 | Add Light Home Care LLC | In Home Supportive Care | 698-s Bultman Dr, Suite C-8, Sumter, SC 29150 | 2019-10-21 |
1770044075 | Kimberly A Weeks | Technician, Other | 5 E Liberty Street, Sumter, SC 29150 | 2019-03-28 |
1689155103 | Chrishena E Craig | Social Worker | 801 N. Pike West, Sumter, SC 29150 | 2018-08-23 |
1093200735 | Michael B Coseo | Dietitian, Registered | 1278 N. Lafayette Drive, Sumter, SC 29150 | 2018-06-26 |
1790287258 | Keever Murdaugh | Physical Therapy Assistant | 1018 North Guignard Drive, Sumter, SC 29150 | 2018-03-01 |
1679094643 | James D Pearson | Emergency Medical Technician, Basic | 9b Willow Drive, Sumter, SC 29150 | 2017-06-29 |
1245771781 | Shanekia Littles | In Home Supportive Care | 251 Rast St Unit D-1, Sumter, SC 29150 | 2017-03-16 |
1326590415 | Believe In Faith Home Care | In Home Supportive Care | 410 W Liberty St Suite 102, Sumter, SC 29150 | 2016-10-25 |
1912368457 | Urology Clinic, Inc. | Urology | 1285 Wilson Hall Rd, Sumter, SC 29150 | 2016-03-11 |
Find all providers in zip 29150 |
Taxonomy Code | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
A surgeon who specializes in plastic and reconstructive surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831796150 | Lexington Health Inc | Surgery | 2728 Sunset Blvd Ste 105, West Columbia, SC 29169-4839 | 2020-10-09 |
1407472251 | Paulina Bao Tran Le | Surgery | Prisma Health Medical Group Plastic Surgery, 2 Medical Park, Ste 302, Columbia, SC 29203 | 2020-06-17 |
1366788580 | John Jacob Keyser | Surgery | 4094 Spring Is, Okatie, SC 29909-4053 | 2012-12-15 |
1780971135 | Paul Diegidio | Surgery | 1721 Ebenezer Rd Ste 115, Rock Hill, SC 29732-1119 | 2011-07-06 |
1184757288 | Ted R Vaughn | Surgery | 305a W Alexander Ave, Greenwood, SC 29646-4009 | 2007-03-14 |
1568535847 | Griffin Plastic Surgery PC | Surgery | 513 S Dargan St, Florence, SC 29506-2549 | 2006-11-16 |
1881786820 | Kimberley B Goh | Surgery | 4610 Oleander Drive, 101, Myrtle Beach, SC 29577 | 2006-09-28 |
1780797449 | Marcelo L. Hochman | Surgery | 2097 Henry Techlenburg Dr, Suite 212 West, Charleston, SC 29416-5739 | 2006-08-16 |
1750304333 | Patrick O'neill | Surgery | 245 Seven Farms Dr, Suite 210, Daniel Island, SC 29492-8500 | 2006-07-25 |
1659325371 | Steven K White | Surgery | 1275 21st Ave N, Myrtle Beach, SC 29577-7429 | 2006-05-19 |
Find all providers with the same taxonomy |
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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.