SEAN CLARK (NPI# 1528034147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528034147 |
| Entity Type | Individual |
| Full Name | SEAN CLARK |
| Credential | HS1 |
| Practice Address |
15 Mohegan Ave Uscg Academy - Michel Hall New London CT 06320-8100 |
| Practice Telephone | 8607016904 |
| Practice Fax Number | 8604448413 |
| Mailing Telephone | 8607016904 |
| Mailing Fax Number | 8604448413 |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247000000X | Technician, Health Information | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235681966 | Sean Clark | Pharmacist | 2407 Stringer Gap Rd, Grants Pass, OR 97527-9573 | 2016-10-28 |
| 1801126487 | Sean Clark | Podiatrist | 8757 Sharmead Way, Fair Oaks, CA 95628-6337 | 2010-01-05 |
| 1497979298 | Sean Clark | Specialist | 151 S College Ave, Suite A4, Fort Collins, CO 80524-2864 | 2007-04-12 |
| 1730283169 | Sean Paul Clark | Chiropractor | 3900 Campus Dr, Newport Beach, CA 92660-2206 | 2006-09-07 |
| 1457864605 | Sean Hoban Clark | Counselor | 2495 Maplewood Dr Ste 312, Maplewood, MN 55109-1985 | 2017-11-09 |
| 1194249029 | Sean William Clark | Pharmacist | 237 William Howard Taft Rd, Cincinnati, OH 45219-2610 | 2017-08-02 |
| 1689078271 | Sean Clark | Counselor | 707 Ne Couch St, Portland, OR 97232-2922 | 2014-10-10 |
| 1669682092 | Sean Joseph Clark | Student in an Organized Health Care Education/Training Program | 619 19th St S, Birmingham, AL 35249-1900 | 2007-05-23 |
| Street Address |
15 MOHEGAN AVE USCG ACADEMY - MICHEL HALL |
| City | NEW LONDON |
| State | CT |
| Zip Code | 06320-8100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114913316 | Christopher Bellizzi | Massage Therapist | 15 Mohegan Ave, New London, CT 06320-8100 | 2005-09-22 |
| 1689204919 | Colleen Mccue | Physician Assistant | 15 Mohegan Ave, New London, CT 06320-8100 | 2020-01-26 |
| 1184146029 | Elizabeth A Fitch | Registered Nurse | 15 Mohegan Ave, Michel Hall, New London, CT 06320 | 2017-07-12 |
| 1295181709 | Katrina Rochester | Registered Nurse | 15 Mohegan Ave, New London, CT 06320-8100 | 2016-05-13 |
| 1568863843 | Micah Gentile | Physician Assistant | 15 Mohegan Ave, New London, CT 06320-8100 | 2014-09-05 |
| 1174960223 | Karen Louise Robertson | Dental Hygienist | 15 Mohegan Ave, New London, CT 06320-8100 | 2013-05-30 |
| 1124274816 | Eugene Francis Pereira | Spec/Tech, Pathology | 15 Mohegan Ave, Uscga Medical, New London, CT 06320-4195 | 2008-08-13 |
| 1912161969 | Mark S Jadofsky | Technician, Other | 15 Mohegan Ave, U.S. Caost Guard Academy, New London, CT 06320-0052 | 2008-07-17 |
| 1275700403 | Mary Lathrop | Specialist/Technologist | 15 Mohegan Ave, Michel Hall, New London, CT 06320-8100 | 2008-05-16 |
| 1366619512 | Reina Carolina Garcia | Dental Assistant | 15 Mohegan Ave, Uscgacademy (m), New London, CT 06320-8100 | 2008-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942824891 | Shilpi Jain | Physical Therapist | 31 Vauxhall Street, Beechwood Post Accute, Transitional, New London, CT 06320 | 2020-06-05 |
| 1174009641 | Catherine Hinojosa | Nurse Practitioner | 1 Shaws Cove, New London, CT 06320 | 2018-07-17 |
| 1043668320 | Cultivate & Grow Inc. | Counselor | 302 State St Suite 307, New London, CT 06320 | 2016-05-27 |
| 1295137263 | Jacqueline Durnell | Registered Nurse | 15 Mohegan Drive, Us Coast Guard Academy Regional Clinic, New London, CT 06320 | 2014-09-22 |
| 1922427541 | Corina Vendetto | Registered Nurse | 245 Shaw St., New London, CT 06320 | 2014-04-10 |
| 1912329962 | Janelle Posey-green | Social Worker | 302 State St., Suite 201, New London, CT 06320 | 2014-01-10 |
| 1750622692 | Cynthia Mitchell | Social Worker | 65b Michael Rd, New London, CT 06320 | 2013-03-01 |
| 1518254507 | Simon J Shapiro | Physical Medicine & Rehabilitation | 190 Howard Avenue, New London, CT 06320 | 2011-06-29 |
| 1184876708 | Jane P Genido-trujillo | Nurse Practitioner | 270 Mohegan Ave., Student Health Services, New London, CT 06320 | 2008-10-14 |
| 1932356284 | Gerard Joseph Ventura | Dentist | 21 Montauk Ave., Suite 102, New London, CT 06320 | 2008-08-19 |
| Find all providers in zip 06320 | ||||
| Taxonomy Code | 247000000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Health Information |
| Preferred term for an Accredited Record Technician who is an individual with an associate’s degree from an accredited college or independent study program who is skilled in analyzing health information and in examination of medical records for accuracy, reporting of patient data for reimbursement, and creation of disease registries for researchers. |
| Notes: Source: American Health Information Management Association, Chicago, IL, 1996. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356319255 | John Francis Mainella | Technician, Health Information | 15 Mohegan Ave, New London, CT 06320-8100 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063931285 | Blue Laurel, Inc. | Technician, Health Information | 102 Shelley Ln, Glastonbury, CT 06033-1135 | 2017-09-19 |
| 1043830789 | Joshua A Longiaru | Technician, Health Information | 1007 N Main St, Dayville, CT 06241-2170 | 2020-04-23 |
| City | NEW LONDON |
| Zip Code | 06320 |
Please comment or provide details below to improve the information on SEAN 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.