TYLER CLARK


Address: 7785 Keswick Pl, Saint Louis, MO 63119
Phone: 5733447009

TYLER CLARK (NPI# 1407308018) 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) 1407308018
Entity Type Individual
Full Name TYLER CLARK
Practice Address 7785 Keswick Pl
Saint Louis
MO 63119
Mailing Address 1900 Mcnatt Dr Apt 1
Brookland
AR 72417-9024
Practice Telephone 5733447009
Mailing Telephone 5733447009
Enumeration Date 2016-10-30
Last Update Date 2018-06-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers TYLER CLARK

NPI Name Taxonomy Address Enumeration
1730540295 Tyler Keith Clark Chiropractor 819 N Harbor Dr Ste 100, Redondo Beach, CA 90277-2086 2016-03-11
1629685698 Tyler Todd Clark Pharmacist 1130 W Frontage Rd, Owatonna, MN 55060-5662 2020-09-24
1568087039 Tyler S Clark Physical Therapist 11015 Warwick Blvd, Newport News, VA 23601-3225 2020-06-10
1952866576 Tyler Clark Physician Assistant 12650 W 64th Ave Unit E501, Arvada, CO 80004-3893 2019-02-07
1346712767 Tyler A Clark Occupational Therapy Assistant 552 Golf Links Rd, Hot Springs, AR 71901-7917 2018-12-24
1649772120 Tyler Eugene Clark Behavior Technician 8951 Morro Rd, Atascadero, CA 93422-3984 2018-03-01
1831623826 Tyler Scott Clark Student in an Organized Health Care Education/Training Program 7703 Floyd Curl Dr, Mc 7798, San Antonio, TX 78229-3901 2017-04-17
1124414305 Tyler Clark Family Medicine 307 Saint Johns Way Ste 11, Lewiston, ID 83501-2435 2015-04-14
1467843607 Tyler E Clark Student in an Organized Health Care Education/Training Program 2151 College Ave, Bakersfield, CA 93305-4113 2015-02-10
1649689142 Tyler Clark Counselor 602 N Walton Blvd, Bentonville, AR 72712-4576 2014-08-08

Office Location

Street Address 7785 KESWICK PL
City SAINT LOUIS
State MO
Zip Code 63119

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114525631 Kaylen A Howard Specialist/Technologist No, No, MO 63119 2020-10-16
1053887612 St. Gianna Pediatrics, LLC Pediatrics 7387 Watson Road, Shrewsbury, MO 63119 2018-10-22
1982140265 Forefront Dermatology, S.c. Dermatology 8567 Watson Rd, Webster Groves, MO 63119 2017-01-11
1396109880 Ritesh Gandhi Family Medicine 7345 Watson Rd Ste 203, Saint Louis, MO 63119 2016-04-11
1568834489 Antonio Robinson Counselor 330 N. Gore, Great Circle, Saint Louis, MO 63119 2015-10-30
1922484039 Odessa Baker X Dietary Manager 525 N. Laclede Station Road, St. Louis, MO 63119 2015-07-31
1194114694 Laura Maher Social Worker 201 W. Lockwood Ave, Suite 201, St. Louis, MO 63119 2015-01-21
1427314046 Dick (richard) Ralph Brummett Family Medicine 711 S Laclede Sta Rd, # 2111, St Louis, MO 63119 2012-04-09
1972872935 Dolliene A. Raabe Social Worker 8050 Watson Road, Suite 201, St. Louis, MO 63119 2011-12-21
1083934889 L'arche St. Louis Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 17 Selma Ave, Webster Groves, MO 63119 2010-06-03
Find all providers in zip 63119

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245845908 Ali Hamzehloo Student in an Organized Health Care Education/Training Program 1155 Appleseed Ln Unit D, Saint Louis, MO 63132-3239 2020-09-10
1114539137 Brooke Marissa Tubbs Student in an Organized Health Care Education/Training Program 5135 Redstone Rd, Saint Louis, MI 48880-9602 2020-08-20
1508475245 Irfan Yasin Student in an Organized Health Care Education/Training Program 1402 S Grand Blvd Dept Of, Saint Louis, MO 63104-1004 2020-07-29
1457978231 Katherine Coates Student in an Organized Health Care Education/Training Program 4534 Olive St Apt 306, Saint Louis, MO 63108-1869 2020-06-29
1184248437 Catherine Gaines Student in an Organized Health Care Education/Training Program 362 S Maple Ave, Saint Louis, MO 63119-3824 2020-06-02
1922620947 Nicole Werner Student in an Organized Health Care Education/Training Program 9669 Amona Ct, Saint Louis, MO 63123-6535 2020-05-13
1043831787 Reed Welch Student in an Organized Health Care Education/Training Program 1501 Fairmount Ave, Saint Louis, MO 63139-3628 2020-05-05
1437779097 Victoria Emanuelson Student in an Organized Health Care Education/Training Program 4048 Cleveland Ave Apt 3w, Saint Louis, MO 63110-3958 2020-04-23
1831727502 Kiran Ashok Patel Student in an Organized Health Care Education/Training Program 4050 W Pine Blvd Apt 3311b, Saint Louis, MO 63108-3294 2020-03-30
1699301507 Morgann Madill Student in an Organized Health Care Education/Training Program 4144 De Tonty St Apt 1d, Saint Louis, MO 63110-2511 2020-03-23
Find all providers in SAINT LOUIS

Competitor

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City SAINT LOUIS
Zip Code 63119

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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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