DR. KEITH TERRILL CLARK


Address: 400 Broadway St, Cincinnati, OH 45202-3312
Phone: 5136291482

DR. KEITH TERRILL CLARK (NPI# 1437167616) 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) 1437167616
Entity Type Individual
Full Name DR. KEITH TERRILL CLARK
Credential M.D.
Practice Address 400 Broadway St
Cincinnati
OH 45202-3312
Practice Telephone 5136291482
Practice Fax Number 5136291711
Mailing Telephone 5136291482
Mailing Fax Number 5136291711
Enumeration Date 2006-08-04
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207P00000X Emergency Medicine 22095 KY Allopathic & Osteopathic Physicians
Y 207P00000X Emergency Medicine 35.058088 OH Allopathic & Osteopathic Physicians

Other Providers KEITH CLARK

NPI Name Taxonomy Address Enumeration
1346739737 Keith Wayne Clark Physical Therapy Assistant 406 S Main St, Winnsboro, TX 75494-3226 2018-05-01
1114453933 Keith Anthony Clark Massage Therapist 11311 N Central Expy, Ste 211, Dallas, TX 75243-6707 2017-05-11
1902201809 Keith R Clark Counselor 601 South Edwin C Moses Blvd, Dayton, OH 45417-3424 2014-11-04
1376811018 Keith Lyle Clark Counselor 1500 Franklin St, San Francisco, CA 94109-4523 2011-12-08
1730262684 Keith Lee Clark Dentist 1116 N Meadows Dr, Granbury, TX 76048-1717 2006-10-23
1376506642 Keith Fredrick Clark Otolaryngology 535 Nw 9th St, Suite 300, Oklahoma City, OK 73102-1070 2006-04-08

Office Location

Street Address 400 BROADWAY ST
City CINCINNATI
State OH
Zip Code 45202-3312

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235145921 Mark Joseph Luebbers Internal Medicine 400 Broadway St, Cincinnati, OH 45202-3312 2006-08-01
1255347928 Steven Alan Wabnitz Internal Medicine 400 Broadway St, Ms26, Cincinnati, OH 45202-3312 2006-08-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811558067 Courtney Stepp Social Worker 907 Vine St, Cincinnati, OH 45202 2019-06-27
1447726427 Mark Kirby Optometrist 2045 Gilbert Avenue, Cincinnati, OH 45202 2018-10-17
1497233100 Michael Mcmanus Specialist/Technologist, Other 8118 Corporate Way Suite 212, Evokes LLC, Cincinnati, OH 45202 2018-08-03
1891293924 Samuel Thomas Tedtman Specialist/Technologist Great American Ball Park, 100 Joe Nuxhall Way, Cincinnati, OH 45202 2018-01-23
1013431006 Shannon Kiniyalocts Social Worker 2208 Reading Road, Cincinnati, OH 45202 2017-08-01
1760937353 Joyce Ann Thieman Social Worker 504 Hiberty Hill, Cincinnati, OH 45202 2016-08-24
1659825156 Alicia Carver Counselor 911 Sycamore St # 400, Cincinnati, OH 45202 2016-08-12
1861836546 Jeffrey Herbert Finke Pharmacist 945 Parkside Place, Apt 5, Cincinnati, OH 45202 2013-04-24
1942597141 Kristin Erin Pletcher Physician Assistant 644 Eden Park Drive, Cincinnati, OH 45202 2011-07-08
1144514654 James A Kirby IIi Pharmacist 555 Race St, Cincinnati, OH 45202 2011-06-01
Find all providers in zip 45202

Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023624251 Chadwick Gordon Rogers Emergency Medicine 6605 Rollymeade Ave, Cincinnati, OH 45243-3019 2020-09-22
1619361052 Nicole Soria Emergency Medicine 231 Albert Sabin Way Msb 1654, Uc Emergency Medicine, Cincinnati, OH 45267 2015-03-24
1538595889 Richard Carl Levy Emergency Medicine 7325 Indian Hill Rd, Cincinnati, OH 45243-4021 2013-09-18
1841580701 Matthew James Stull Emergency Medicine University of Cincinnati Emergency Medicine, 231 Albert Sabin Way, Msb 1654, Ml 0769, Cincinnati, OH 45267-0001 2011-04-13
1396941100 Whitney K Bryant Emergency Medicine 234 Albert Sabin Way, Emergency Medicine Department, Cincinnati, OH 45267-2800 2007-06-27
1659573830 Bryan Keith Stegman Emergency Medicine 6185 Daleview Rd, Cincinnati, OH 45247-5713 2007-06-01
1134268212 Margaret Susan Lohre Emergency Medicine 9549 Montgomery Rd, Suite 100, Cincinnati, OH 45242-7238 2007-02-06
1932290814 Donald Locasto Emergency Medicine 237 Albert Sabin Way, Cincinnati, OH 45267-0001 2006-09-27
1821036062 James Johnson Emergency Medicine The University Hospital, 231 Albert Sabin Way, Cincinnati, OH 45267-0001 2006-06-02
1326095290 Vivien R. Newbold Emergency Medicine 8170 Corporate Park Dr, Suite 150, Cincinnati, OH 45242-3313 2006-05-27
Find all providers in CINCINNATI

Competitor

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City CINCINNATI
Zip Code 45202

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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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