SCOTT RANDALL CLARK (NPI# 1518528868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518528868 |
| Entity Type | Individual |
| Full Name | SCOTT RANDALL CLARK |
| Credential | NP |
| Practice Address |
809 W Randol Mill Rd Arlington TX 76012-2507 |
| Practice Telephone | 8174600257 |
| Practice Fax Number | 8175480607 |
| Mailing Telephone | 8174600257 |
| Mailing Fax Number | 8175480607 |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2019-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP142011 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275650657 | Scott C Clark | Chiropractor | 1540 N Arlington Heights Rd, Arlington Heights, IL 60004-3906 | 2007-03-23 |
| 1205903754 | Scott Clark | Optometrist | 491 Rantoul St, Beverly, MA 01915-3231 | 2006-11-29 |
| 1225119191 | Scott Earl Clark | Physician Assistant | 6 Fountain Plaza, Buffalo, NY 14202 | 2006-10-18 |
| 1255440475 | Scott Clark | Physician Assistant | 1503 Buenos Aires Blvd Ste 100, The Villages, FL 32159-6825 | 2006-08-30 |
| 1265490734 | Scott Matthew Clark | Chiropractor | 8000 Dallas St, Fort Smith, AR 72903-4277 | 2006-05-03 |
| 1700865748 | Scott A Clark | Podiatrist | 24 S 1100 E Ste 210, Salt Lake City, UT 84102 | 2006-01-10 |
| 1336752286 | Scott Clark | Behavior Technician | 5457 Sw Canyon Ct, Portland, OR 97221-2401 | 2020-08-28 |
| 1487163002 | Scott Thomas Clark | Counselor | 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2017-09-26 |
| 1710432984 | Scott Clark | Pharmacist | 100 W Riverside Dr, Parker, AZ 85344-5205 | 2016-08-17 |
| 1316331994 | Scott Clark Jr. | Registered Nurse | 2250 Wehrle Dr, Suite 1, Williamsville, NY 14221-7034 | 2015-03-23 |
| Street Address |
809 W RANDOL MILL RD |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76012-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093766701 | Carlos Mcclellan Kier | Internal Medicine | 809 W Randol Mill Rd, Arlington, TX 76012-2507 | 2006-05-15 |
| 1891218228 | Merin Sara Babu | Physician Assistant | 809 W Randol Mill Rd, Arlington, TX 76012-2507 | 2017-07-18 |
| 1659567758 | Hedieh Davanloo | Internal Medicine | 809 W Randol Mill Rd, Arlington, TX 76012-2507 | 2007-09-21 |
| 1710900816 | Colleen Sam | Internal Medicine | 809 W Randol Mill Rd, Arlington, TX 76012-2507 | 2006-07-26 |
| 1144263575 | David Dee Russell | Obstetrics & Gynecology | 809 W Randol Mill Rd, Arlington, TX 76012-2507 | 2006-06-14 |
| 1962444026 | Robin Lynn Johnston | Obstetrics & Gynecology | 809 W Randol Mill Rd, Arlington, TX 76012-2507 | 2006-06-12 |
| 1972543502 | Robert Alexander Buschow | Internal Medicine | 809 W Randol Mill Rd, Arlington, TX 76012-2507 | 2006-06-08 |
| 1417995093 | G Byron Kallam | Obstetrics & Gynecology | 809 W Randol Mill Rd, Arlington, TX 76012-2507 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366073736 | Britney Beard | Counselor | 715 N Fielder Rd Ste A, Arlington, TX 76012 | 2020-02-04 |
| 1932762531 | Devin Austin Deloe | Speech-Language Pathologist | Arlington Villas, 2601 W Randol Mill Rd., Arlington, TX 76012 | 2019-04-18 |
| 1275000135 | Soh of Texas Samson Liu Pllc | Dentist | 1625 Pecan Dr, Arlington, TX 76012 | 2018-10-30 |
| 1295200749 | Eness, Inc. | In Home Supportive Care | 1321 West Randol Mill Road, #108, Arlington, TX 76012 | 2018-10-11 |
| 1073967626 | Maya Alex Kuriakose | Obstetrics & Gynecology | 1001 N. Waldrop, Suite 505, Arlington, TX 76012 | 2016-04-20 |
| 1710359971 | Amir Izaddoust | Dentist | 723 N. Fielder Rd, Suite E, Dallas, TX 76012 | 2015-10-28 |
| 1639553738 | Alicia Rider | Specialist/Technologist | 1507 Cherokee Szt, Arlington, TX 76012 | 2015-07-17 |
| 1508274614 | Neurodiagnostic Consultants, L.L.C. | Specialist | 1102 Orchard Drive, Arlington, TX 76012 | 2014-08-01 |
| 1578974663 | Lan Ngoc Nguyen, Pharm.d.,,llc | Pharmacy | 1102 Orchard Dr., Suite B, Arlington, TX 76012 | 2014-05-12 |
| 1871854471 | Takeisha Jones | Occupational Therapy Assistant | 532 Claire Ct, Arlington, TX 76012 | 2012-05-31 |
| Find all providers in zip 76012 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912576 | Elizabeth Ngoc Pham | Nurse Practitioner | 1502 Grey Willow Ln, Arlington, TX 76002-4631 | 2020-11-02 |
| 1609474063 | Donica West | Nurse Practitioner | 1301 E Bardin Rd Unit 181591, Arlington, TX 76096-4263 | 2020-10-16 |
| 1487268108 | Celyn Iyoke | Nurse Practitioner | 8124 Stowe Springs Ln, Arlington, TX 76002-3775 | 2020-08-31 |
| 1225641558 | Nadia Winston | Nurse Practitioner | 616 Matlock Centre Cir, Arlington, TX 76015-2536 | 2020-08-26 |
| 1205453958 | Lewis Nchoga Nyantika | Nurse Practitioner | 715 N Fielder Rd Ste C, Arlington, TX 76012-4695 | 2020-06-29 |
| 1447874102 | Friday Uhunoma Aigbedion | Nurse Practitioner | 1201 N Watson Rd Ste 268, Arlington, TX 76006-6222 | 2020-05-29 |
| 1063049625 | Mission Metroplex, Inc. | Nurse Practitioner | 212 W South St, Arlington, TX 76010-7134 | 2020-03-24 |
| 1427688381 | Rebecca Baker | Nurse Practitioner | 103 S Mesquite St Ste B, Arlington, TX 76010-1132 | 2020-01-20 |
| 1891325023 | Qutavia Shanay Winding | Nurse Practitioner | 3211 W Division St Trlr 73, Arlington, TX 76012-3478 | 2020-01-15 |
| 1730728403 | Weight Away Health and Wellness | Nurse Practitioner | 1015 Gibbins Rd Ste C, Arlington, TX 76011-5615 | 2019-12-30 |
| Find all providers in ARLINGTON | ||||
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| 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.