MR. DAVID ALLEN CLEM (NPI# 1427154681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427154681 |
| Entity Type | Individual |
| Full Name | MR. DAVID ALLEN CLEM |
| Credential | P.A. |
| Practice Address |
1515 Ne Lawrie Tatum Rd Lawton OK 73507-3002 |
| Practice Telephone | 5803530350 |
| Mailing Telephone | 5803530350 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2016-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2413 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245745140 | David Eldon Clem | Social Worker | 206 Wall St, Port Jefferson, OH 45360-1003 | 2017-12-13 |
| Street Address |
1515 NE LAWRIE TATUM RD |
| City | LAWTON |
| State | OK |
| Zip Code | 73507-3002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710982160 | Greg Alan Ketcher | Optometrist | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 | 2005-06-14 |
| 1295332765 | Dean Thompson | Case Manager/Care Coordinator | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3099 | 2020-10-07 |
| 1447863832 | Susan Browning | Registered Nurse | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3099 | 2020-08-26 |
| 1144831983 | Christopher Anthony | Radiologic Technologist | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3099 | 2020-08-14 |
| 1851914782 | Emily Jean Mcintosh | Registered Nurse | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3099 | 2020-05-27 |
| 1215559828 | Miaka Huynh | Pharmacist | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3099 | 2020-05-18 |
| 1568084671 | Janet Laura Tippeconnic | Technician, Other | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3099 | 2020-05-12 |
| 1598387698 | Edward Jerome Tahhahwah IIi | Technician, Other | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3099 | 2020-05-12 |
| 1861014961 | Amber Karty | Technician, Other | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3099 | 2020-05-12 |
| 1689293227 | Stephanie Young | Registered Nurse | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3099 | 2020-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720619935 | Kori Wren Wiegmann | Registered Nurse | 1515 Nw Lawrie Tatum Road, Lawton, OK 73507 | 2020-01-28 |
| 1013424027 | Liane Jacobson | Registered Nurse | 1515 Laurie Tatum Road, Adult Care Clinic 2, Lawton, OK 73507 | 2017-12-29 |
| 1649727041 | Rachel Ayala | Dietitian, Registered | 2811 Nw Hilltop Dr, Lawton, OK 73507 | 2016-09-02 |
| 1811370471 | William S, Davies, M.d., Inc. | Psychiatric Residential Treatment Facility | 1302 N, W, Lake Ave, Lawton, OK 73507 | 2015-07-01 |
| 1538554894 | Ashlee A Haugen-lewis | Behavioral Analyst | 4121 W Gore, Lawton, OK 73507 | 2015-04-03 |
| 1003188970 | Jenny Rae Mohon | Registered Nurse | 1515 North East Lawrie Tatum Road, Usphs Lawton Indian Hospital, Lawton, OK 73507 | 2012-02-07 |
| 1558548578 | Dawn M Griffith | Registered Nurse | 1515 Lawrie Tatum Dr., Lawton, OK 73507 | 2008-01-22 |
| 1275605172 | Judy Weiss | Pharmacist | 524 Lawrie Tatum Rd, Lawton, OK 73507 | 2006-11-15 |
| 1790895894 | William Spalding Davies | Psychiatry & Neurology | 1302 Lake Ave, Lawton, OK 73507 | 2006-08-30 |
| 1275646374 | Phillip Lynn Aday | Dentist | 1116 Nw Arlington, Lawton, OK 73507 | 2006-08-16 |
| Find all providers in zip 73507 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558382846 | Frank Williams | Physician Assistant | 642 Ne Valley View Rd, Lawton, OK 73507-8010 | 2006-07-21 |
| 1477060457 | Dustin Corey Brooks | Physician Assistant | 6744 Nw Cache Rd, Lawton, OK 73505-2702 | 2017-12-29 |
| 1699220368 | Sarah Viscarra | Physician Assistant | 110 Nw 31st St, 2nd Floor, Lawton, OK 73505 | 2016-08-23 |
| 1730554338 | Amy Hannington | Physician Assistant | 1202 Nw Arlington Ave, Lawton, OK 73507-6537 | 2015-12-08 |
| 1568629863 | Sandra Louise Johnson | Physician Assistant | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 | 2008-05-22 |
| 1467642538 | Crystal Michelle Coe | Physician Assistant | 1301 Nw 40th St, Lawton, OK 73505-3656 | 2007-07-25 |
| 1184745697 | Marolyn Jean Pearson | Physician Assistant | 4411 W Gore Blvd, Suite A2, Lawton, OK 73505 | 2007-04-02 |
| 1518003656 | Lawton Emergency Group LLC | Physician Assistant | 5602 Sw Lee Blvd, Lawton, OK 73505-9635 | 2007-01-29 |
| 1578551412 | Westley A Carter | Physician Assistant | 3201 W Gore Blvd, Suite 201, Lawton, OK 73505 | 2005-10-13 |
| 1942295779 | Doyle G Stark Jr. | Physician Assistant | 3401 W Gore Blvd, Lawton, OK 73505 | 2005-09-19 |
| Find all providers in LAWTON | ||||
Please comment or provide details below to improve the information on MR. DAVID ALLEN CLEM.
| 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.