DR. JACOB DANIEL CLARKE


Address: 1717 S Cypress St Apt 1514, Wichita, KS 67207-5554
Phone: 3162498596

DR. JACOB DANIEL CLARKE (NPI# 1467926865) 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) 1467926865
Entity Type Individual
Full Name DR. JACOB DANIEL CLARKE
Credential MD
Practice Address 1717 S Cypress St Apt 1514
Wichita
KS 67207-5554
Practice Telephone 3162498596
Mailing Telephone 3162498596
Enumeration Date 2019-01-18
Last Update Date 2019-01-18
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

Office Location

Street Address 1717 S CYPRESS ST APT 1514
City WICHITA
State KS
Zip Code 67207-5554

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225527518 Transition Adult Home Day Training, Developmentally Disabled Services 7422 E Lincoln St, Wichita, KS 67207 2018-05-02
1558734012 Sonnya Natria Adams Point of Service 8722 Longlake Circle, Wichita, KS 67207 2015-11-05
1245623677 Costco Wholesale Corporation Pharmacy 9700 E. Kellogg, Wichita, KS 67207 2015-03-10
1528468105 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 9415 East Harry Street, Bldg 800, Suite P, Wichita, KS 67207 2014-09-02
1962819110 Lauren Carrillo Marriage & Family Therapist 111 S Whittier St Ste 1500, Wichita, KS 67207 2014-07-21
1962827170 Providence Home Health & Hospice LLC. Home Health 9415 E Harry St Ste 703, Wichita, KS 67207 2014-02-25
1396089892 Christina Rhinesmith Speech-Language Pathologist 12618 E Willowgreen Circle, Wichita, KS 67207 2012-11-21
1528360047 Compassionate Care Home Health Agency Home Health 9152 Funston Ct., Wichita, KS 67207 2010-12-04
1477769503 Patricia Marie Sloop Social Worker 1950 S. Webb Rd., Unit #121, Wichita, KS 67207 2007-05-15
1174738298 Jarrod S Steffan Psychologist 9920 East Harry, Wichita, KS 67207 2007-05-11
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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
1992328678 Madison Breanne Nigus Student in an Organized Health Care Education/Training Program 12526 E Central Ave Apt 2125, Wichita, KS 67206-2860 2020-05-28
1336762228 Natalie Mae White Student in an Organized Health Care Education/Training Program 1613 S Triple Crown St, Wichita, KS 67230-7527 2020-05-26
1154944411 Katty Gabriela Regalado Pastor Student in an Organized Health Care Education/Training Program 2549 S Maize Ct, Wichita, KS 67215-8902 2020-05-21
1245852839 Katherine Gamble Flores-bailey Student in an Organized Health Care Education/Training Program 7450 E 32nd St N Apt 901, Wichita, KS 67226-1297 2020-05-18
1164050191 Uyen Adrianne Tran Student in an Organized Health Care Education/Training Program 3823 N Estancia Ct, Wichita, KS 67205-8710 2020-03-27
1396305546 Elijah White Student in an Organized Health Care Education/Training Program 1051 S Clifton Ave, Wichita, KS 67218-2910 2019-06-19
1932767332 Benjamin John Lagaly Student in an Organized Health Care Education/Training Program 6401 W 34th St N, Wichita, KS 67205-2542 2019-05-31
1477110138 Katelyn Elizabeth Gochenour Student in an Organized Health Care Education/Training Program 3431 E Pine St, Wichita, KS 67208-3275 2019-05-28
1912562869 Sindi Vishaj Student in an Organized Health Care Education/Training Program North Oliver Avenue, Wichita, KS 67220 2019-05-07
1750862512 Kelsi Wenger Student in an Organized Health Care Education/Training Program 5500 E Kellog Dr, Wichita, KS 67218 2018-08-28
Find all providers in WICHITA

Competitor

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City WICHITA
Zip Code 67207

Improve Information

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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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