DOUGLAS A CLARK (NPI# 1396892907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396892907 |
| Entity Type | Individual |
| Full Name | DOUGLAS A CLARK |
| Credential | MD |
| Practice Address |
2055 E Southern Ave Suite G Tempe AZ 85282-7507 |
| Practice Telephone | 4808390008 |
| Practice Fax Number | 4808383333 |
| Mailing Telephone | 4808390008 |
| Mailing Fax Number | 4808383333 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 14762 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487008603 | Douglas Robert Clark | Optometrist | 446 N State Road 198, Salem, UT 84653 | 2016-04-14 |
| 1760735328 | Douglas Lee Clark | Pharmacist | 9750 Highway 70, Minocqua, WI 54548-9753 | 2012-10-19 |
| 1821308974 | Douglas Owen Clark | Obstetrics & Gynecology | 21010 Black Walnut Ln, A, Brookfield, WI 53045-4062 | 2010-10-07 |
| 1427135185 | Douglas James Clark | Social Worker | Brockton Va Medical Center, 940 Belmont St., Brockton, MA 02301 | 2006-11-01 |
| 1487682498 | Douglas Marley Clark | Physician Assistant | 2317 S Roane St, Community Care Walk In Clinic, Harriman, TN 37748-8653 | 2006-06-29 |
| 1326038035 | Douglas A. Clark | Physician Assistant | 9601 Baptist Health Dr Ste 860, Little Rock, AR 72205-6375 | 2005-10-25 |
| 1780688572 | Douglas George Clark | Internal Medicine | 12665 Garden Grove Blvd, Suite 301, Garden Grove, CA 92843-1901 | 2005-06-09 |
| 1114920238 | Douglas A. Clark | Internal Medicine | 4901 Lang Ave Ne, Albuquerque, NM 87109-4397 | 2005-05-23 |
| 1528211786 | Douglas Craig Clark | Dentist | 118 W 5th St, Covington, KY 41011-1481 | 2008-10-30 |
| 1568592186 | Douglas E Clark | Pharmacist | 129 Gill St, Alcoa, TN 37701-2656 | 2007-03-06 |
| Street Address |
2055 E SOUTHERN AVE SUITE G |
| City | TEMPE |
| State | AZ |
| Zip Code | 85282-7507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003815705 | Thomas Glendon Moody | Ophthalmology | 2055 E Southern Ave, Suite A, Tempe, AZ 85282-7507 | 2005-07-15 |
| 1780952259 | Douglas A Clark Md PC | Orthopaedic Surgery | 2055 E Southern Ave, Suite G, Tempe, AZ 85282-7507 | 2011-12-12 |
| 1518130491 | Zebra Medicine, Pllc | Family Medicine | 2055 E Southern Ave, Suite H, Tempe, AZ 85282-7507 | 2008-04-11 |
| 1730375866 | Charles R. Breed Md PC | Specialist | 2055 E Southern Ave, Suite F, Tempe, AZ 85282-7507 | 2007-09-21 |
| 1689891244 | Occupational Diagnostics, Inc. | Occupational Therapist | 2055 E Southern Ave, Suite C, Tempe, AZ 85282-7507 | 2007-04-18 |
| 1922119270 | Monaliza Setudehnia Md Pllc | Internal Medicine | 2055 E Southern Ave, Suite D, Tempe, AZ 85282-7507 | 2006-08-31 |
| 1124084280 | M. Firas Joudeh | Internal Medicine | 2055 E Southern Ave, Suite C, Tempe, AZ 85282 | 2006-04-25 |
| 1043287170 | Monaliza Setudehnia | Internal Medicine | 2055 E Southern Ave, Suite D, Tempe, AZ 85282-7507 | 2006-03-08 |
| 1154318665 | Laurel Retay | Internal Medicine | 2055 E Southern Ave, Suite D, Tempe, AZ 85282-7507 | 2005-09-29 |
| 1104813872 | Charles Redmond Breed | Specialist | 2055 E Southern Ave, Suite F, Tempe, AZ 85282-7507 | 2005-09-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346893575 | Cactus Canyon Dental | Dentist | 2043 E Southern Ave, Ste. C, Tempe, AZ 85282 | 2019-07-17 |
| 1023679644 | Donna Cooks | Registered Nurse | 233 E. Sourthern Ave #27702, Tempe, AZ 85282 | 2019-06-25 |
| 1841854932 | Lynn Stafford | Registered Nurse | 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-04-24 |
| 1598227340 | Jane Ramenofsky Ramenofsky Stewart | Registered Nurse | 4041 So. Mcclintock Suite 302, Tempe, AZ 85282 | 2019-04-02 |
| 1588129902 | Mary K Wheeler Mcfarland | Registered Nurse | Adobe Care and Wellness LLC, Address Is 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-02-11 |
| 1669949780 | Crestview Pharmacy Services LLC | Pharmacy | 3225 South Hardy Dr., Ste 100, Tempe, AZ 85282 | 2018-10-26 |
| 1275018715 | Berlin Wright | Naturopath | 2164 E. Broadway Rd., Tempe, AZ 85282 | 2018-10-01 |
| 1043701543 | Lakeshore Interventional Treatment Center LLC | Surgery | 4765 S Lakeshore Dr, Tempe, AZ 85282 | 2018-05-21 |
| 1427553940 | The Bridge Counseling, Consulting and Mediation LLC | Counselor | 4625 S. Lakeshore Dr., 302, Tempe, AZ 85282 | 2018-03-27 |
| 1346741501 | Coraesthetics Pllc | Physician Assistant | 2008 E Laguna Dr, Tempe, AZ 85282 | 2018-02-23 |
| Find all providers in zip 85282 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780163030 | Larry J. Sanders, M.d., Pllc. | Orthopaedic Surgery | 8235 S Pecan Grove Cir, Tempe, AZ 85284-2311 | 2018-08-08 |
| 1033444070 | Gary Louis Busenkell | Orthopaedic Surgery | 2088 E Ranch Rd, Tempe, AZ 85284-3517 | 2009-10-08 |
| 1992937189 | Michael John Sumko | Orthopaedic Surgery | 1492 S Mill Ave Ste 113, Tempe, AZ 85281-5660 | 2009-08-20 |
| 1952531022 | Robert Waldrop IIi | Orthopaedic Surgery | 1255 W Rio Salado Pkwy, Suite 107, Tempe, AZ 85281-2816 | 2009-07-22 |
| 1619093192 | The Orthopedic Clinic Association PC | Orthopaedic Surgery | 1492 S Mill, Suite 113, Tempe, AZ 85281 | 2007-03-22 |
| 1508910944 | Adam Jason Farber | Orthopaedic Surgery | 1215 W Rio Salado Pkwy, Suite 105, Tempe, AZ 85281-2891 | 2007-01-23 |
| 1043261720 | Arizona Orthopedic & Spine Center PC | Orthopaedic Surgery | 5125 S Rural Rd, Tempe, AZ 85282-7008 | 2006-05-15 |
| 1659995249 | Toca At Banner Health LLC | Orthopaedic Surgery | 5002 S Mill Ave, Tempe, AZ 85282-6828 | 2020-05-30 |
| 1467092130 | Physician Group of Arizona Inc | Orthopaedic Surgery | 1492 S Mill Ave, Suite 113, Tempe, AZ 85281-5660 | 2020-01-10 |
| 1780952259 | Douglas A Clark Md PC | Orthopaedic Surgery | 2055 E Southern Ave, Suite G, Tempe, AZ 85282-7507 | 2011-12-12 |
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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.