MARK S CLEM


Address: 9125 Cross Park Dr, Suite 200, Knoxville, TN 37923-4505
Phone: 8656325900

MARK S CLEM (NPI# 1417942657) 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) 1417942657
Entity Type Individual
Full Name MARK S CLEM
Credential PA-C
Practice Address 9125 Cross Park Dr
Suite 200
Knoxville
TN 37923-4505
Mailing Address 304 Wright St
Suite 200
Sweetwater
TN 37874-1181
Practice Telephone 8656325900
Practice Fax Number 8655465227
Mailing Telephone 8656325900
Mailing Fax Number 8655465227
Enumeration Date 2005-09-14
Last Update Date 2016-08-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant 110001634 VA Physician Assistants & Advanced Practice Nursing Providers
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA1617 TN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA 010184487 05

Office Location

Street Address 9125 CROSS PARK DR
SUITE 200
City KNOXVILLE
State TN
Zip Code 37923-4505

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689126096 Lauren Wicker Physician Assistant 9125 Cross Park Dr, Suite 200, Knoxville, TN 37923-4564 2016-11-02
1285184580 Hannah C Royer Nurse Practitioner 9125 Cross Park Dr, Ste 200, Knoxville, TN 37923-4564 2016-10-11
1922556679 Kathryn Lea Cousins Nurse Practitioner 9125 Cross Park Dr, Suite 200, Knoxville, TN 37923-4564 2016-09-12
1801341854 Ashley Wade Nurse Practitioner 9125 Cross Park Dr, Suite 200, Knoxville, TN 37923-4564 2016-08-19
1548521859 Associated Home Care Inc Home Health 9125 Cross Park Dr, 100, Knoxville, TN 37923 2012-06-04
1861624868 Zachary Swanson Physician Assistant 9125 Cross Park Dr, Suite 200, Knoxville, TN 37923-4564 2009-08-10
1134354822 Henry F Todd IIi Surgery 9125 Cross Park Dr, Suite 200, Knoxville, TN 37923-4564 2009-05-25
1457535379 Carlo O. Martinez Torres Thoracic Surgery (Cardiothoracic Vascular Surgery) 9125 Cross Park Dr, Suite 200, Knoxville, TN 37923-4564 2007-12-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114541240 Chloe Morgan Registered Nurse Parkwest Blvd, Knoxville, TN 37923 2020-06-04
1215551346 Kaylee Huskey Registered Nurse Park West Blvd, Knoxville, TN 37923 2020-06-04
1942849914 American Brace & Limb Enterprise, LLC Prosthetic/Orthotic Supplier 9333 Parkwest Blvd., 103, Knoxville, TN 37923 2019-12-23
1619510690 Stacia Working Speech-Language Pathologist 310 Corporate Dr, Ste 101, Knoxville, TN 37923 2019-10-23
1497242903 Mary Ensminger Loomis Speech-Language Pathologist 118 N Peters Rd Ste 174, Knoxville, TN 37923 2018-04-19
1831699602 Shaun Elizabeth Hoffman Counselor 311 Directors Dr, Knoxville, TN 37923 2018-02-17
1962948737 East Tennessee Binocular Vision Center Pllc Optometrist 9051 Executive Park Dr., Ste. 400, Knoxvville, TN 37923 2017-01-17
1467815761 Hearing Conservation Associates Inc Audiologist 9301 Parkwest Blvd B-3, Knoxville, TN 37923 2016-04-04
1710354725 Independent Physical Therapy, LLC Occupational Therapist 8905 Town and Country Cir Ste 9, Knoxville, TN 37923 2015-08-25
1568863553 Kathryn Faye Ledbetter Registered Nurse 9352 Park W Blvd, Knoxville, TN 37923 2014-09-09
Find all providers in zip 37923

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932450301 Martha Pamela Guel Physician Assistant 2681 Honey Hill Rd, Knoxville, TN 37924-1159 2012-09-26
1952498420 Charles Phillip Brandt Physician Assistant 101 E Blount Ave Ste 800, Knoxville, TN 37920-1669 2006-10-06
1184694713 Melissa S Napier Physician Assistant 4713 Papermill Dr Ste 100, Knoxville, TN 37909-1924 2006-01-25
1407329923 Sara Kaniper Physician Assistant 10810 Parkside Dr Ste 208, Knoxville, TN 37934-1981 2019-01-08
1689126096 Lauren Wicker Physician Assistant 9125 Cross Park Dr, Suite 200, Knoxville, TN 37923-4564 2016-11-02
1952793135 Mary Kathryn Massaro Physician Assistant 1934 Alcoa Hwy, Ste 362, Knoxville, TN 37920-1524 2015-02-25
1518239474 Brian S. Powell Physician Assistant 1932 Alcoa Hwy Ste 360, Knoxville, TN 37920-1509 2012-02-07
1902128812 Stephanie Kelley Lezatte Physician Assistant 1932 Alcoa Hwy, Building C Suite 255, Knoxville, TN 37920-1527 2010-02-18
1366764276 Nicholas Mark Baloga Physician Assistant 1932 Alcoa Hwy, Ste 360, Knoxville, TN 37920-1509 2010-02-18
1871640722 Steven L Zurlinden Physician Assistant 10810 Parkside Dr Ste 208, Knoxville, TN 37934-1981 2007-01-04
Find all providers in KNOXVILLE

Competitor

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City KNOXVILLE
Zip Code 37923

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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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