MICHAEL CLARK (NPI# 1477102903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477102903 |
Entity Type | Individual |
Full Name | MICHAEL CLARK |
Practice Address |
2346 S Lynhurst Dr Ste 200 Indianapolis IN 46241-5135 |
Practice Telephone | 3175021456 |
Mailing Telephone | 3175021456 |
Enumeration Date | 2019-09-07 |
Last Update Date | 2019-09-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171W00000X | Contractor | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215534227 | Michael Clark | Contractor | 1107 Lavender Shade Court, Houston, TX 77073 | 2020-10-02 |
1558858464 | Michael Clark | Optometrist | 990 Medical Dr Ste G3, Brigham City, UT 84302 | 2018-04-16 |
1740780006 | Michael Ryan Clark | Pharmacist | 556 Northside Drive, Statesboro, GA 30458 | 2018-02-13 |
1942715255 | Michael Clark | Physical Medicine & Rehabilitation | 10600 Riverside Drive, Coral Springs, FL 33071-3307 | 2017-12-08 |
1386170348 | Michael Clark | Registered Nurse | 317 E 100 N, Price, UT 84501-2504 | 2017-05-11 |
1184163982 | Michael Clark | Specialist/Technologist | 19 Second Ave, Auburn, NY 13021-5113 | 2017-02-14 |
1356780837 | Michael Clark | Adult Companion | 8305 Concord Dr, Rowlett, TX 75089-2001 | 2013-06-18 |
1417394503 | Michael Ray Clark | Pharmacist | 2661 Valleydale Rd, Hoover, AL 35244-2026 | 2013-05-29 |
1407143381 | Michael Jeffery Clark | Orthopaedic Surgery | 5671 Peachtree Dunwoody Ste 700, Atlanta, GA 30342-5047 | 2011-06-29 |
1700183993 | Michael Brady Clark | Preventive Medicine | 1400 Mckean Rd, Spring House, PA 19477 | 2011-02-24 |
Street Address |
2346 S LYNHURST DR STE 200 |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46241-5135 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811546344 | Sherron Marie Washington | Contractor | 2346 S Lynhurst Dr Ste 200, Indianapolis, IN 46241-5135 | 2019-09-07 |
1225635733 | Monique Roberts | Case Manager/Care Coordinator | 2346 S Lynhurst Dr Ste 200, Indianapolis, IN 46241-5135 | 2020-10-07 |
1770180291 | Kenneth Lloyd | Case Manager/Care Coordinator | 2346 S Lynhurst Dr Ste 200, Indianapolis, IN 46241-5135 | 2020-10-07 |
1003413519 | Deandra Elliott | Case Manager/Care Coordinator | 2346 S Lynhurst Dr Ste 200, Indianapolis, IN 46241-5135 | 2020-10-07 |
1174120695 | Kyle Henderson | Contractor | 2346 S Lynhurst Dr Ste 200, Indianapolis, IN 46241-5135 | 2020-10-07 |
1164029674 | Marcus Reynolds | Case Manager/Care Coordinator | 2346 S Lynhurst Dr Ste 200, Indianapolis, IN 46241-5135 | 2020-10-07 |
1073145017 | Angela Rogers | Contractor | 2346 S Lynhurst Dr Ste 200, Indianapolis, IN 46241-5135 | 2020-02-07 |
1063044006 | Tamara Mayo | Contractor | 2346 S Lynhurst Dr Ste 200, Indianapolis, IN 46241-5135 | 2020-02-07 |
1265064281 | Steffen Jackson | Contractor | 2346 S Lynhurst Dr Ste 200, Indianapolis, IN 46241-5135 | 2020-02-07 |
1912539958 | Richard Njeri | Contractor | 2346 S Lynhurst Dr Ste 200, Indianapolis, IN 46241-5135 | 2020-02-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568062511 | Indy Medical Trans LLC | Non-emergency Medical Transport (VAN) | 4948 W Washington St, Indianapolis, IN 46241 | 2020-10-29 |
1760081525 | After Action Medical and Dental Supply, LLC | Durable Medical Equipment & Medical Supplies | 4444 Decatur Blvd., Suite 100, Indianapolis, IN 46241 | 2020-10-22 |
1659841880 | Dependency Medical Holdings Corporation | Family Medicine | 5600 W Bradbury Ave, Indianapolis, IN 46241 | 2018-11-30 |
1255872073 | Phoenix Family and Community Services, LLC | Case Management | 2346 S. Lynhurst Dr. Suite 601, Indianapolis, IN 46241 | 2017-03-13 |
1811022114 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 6920 Gatwick Drive, Suite 100, Indianapolis, IN 46241 | 2007-02-23 |
1912073107 | Kathryn Charlotte Gregor | Occupational Therapy Assistant | 5603 W Raymond St, Indianapolis, IN 46241 | 2006-11-28 |
1184790347 | Sandee Jo Schultheis | Physical Therapy Assistant | 5603 West Raymond St, Suite A, Indianapolis, IN 46241 | 2006-11-28 |
1346899077 | Lori Heusel | Counselor | 5638 Professional Cir, Indianapolis, IN 46241 | 2019-09-05 |
1720632227 | Nicole Anne Murphy | Counselor | 5638 Professional Cir, Indianapolis, IN 46241 | 2019-08-01 |
1073173209 | Kaylee Posson | Social Worker | 5638 Professional Cir, Indianapolis, IN 46241 | 2019-06-19 |
Find all providers in zip 46241 |
Taxonomy Code | 171W00000X |
Grouping | Other Service Providers |
Classification | Contractor |
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780207951 | Jillian Willis | Contractor | 2 N Meridian St Fl 2nd, Indianapolis, IN 46204-3006 | 2020-05-22 |
1396370466 | Tony Langston | Contractor | 3618 Dawnwood Dr, Indianapolis, IN 46227-7971 | 2020-03-09 |
1811546344 | Sherron Marie Washington | Contractor | 2346 S Lynhurst Dr Ste 200, Indianapolis, IN 46241-5135 | 2019-09-07 |
1831750835 | Danita Johnson | Contractor | 5569 Bracken Dr, Indianapolis, IN 46239-6876 | 2019-06-21 |
1811555089 | Robin Cartwright | Contractor | 2731 Manlove Ave, Indianapolis, IN 46218-2637 | 2019-06-03 |
1407325376 | April Beverly Bartlett | Contractor | 5205 E Washington St, Indianapolis, IN 46219-6325 | 2018-11-20 |
1508349648 | Maria A St. Clair | Contractor | 5506 Dollar Hide South Dr, Indianapolis, IN 46221-4113 | 2018-09-14 |
1831604123 | Ashley Williamson | Contractor | 10715 Broadway St, Indianapolis, IN 46280-1059 | 2017-12-07 |
1457876575 | Alyssia Hawthorne | Contractor | 810 N Bosart, Indianapolis, IN 46201 | 2017-08-09 |
1952851529 | Jeffrey Hughes | Contractor | 1050 E 86th St, Suite 55d, Indianapolis, IN 46240-1864 | 2016-10-07 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46241 |
Please comment or provide details below to improve the information on MICHAEL CLARK.
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.