CURTIS E CLARK JR.


Address: 610 19th St, Columbus, GA 31901-1528
Phone: 7063227884

CURTIS E CLARK JR. (NPI# 1538117528) 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) 1538117528
Entity Type Individual
Full Name CURTIS E CLARK JR.
Credential DO
Practice Address 610 19th St
Columbus
GA 31901-1528
Mailing Address 330 Seven Springs Way
Brentwood
TN 37027-5098
Practice Telephone 7063227884
Practice Fax Number 7066602142
Mailing Telephone 6159207000
Mailing Fax Number 6159208775
Enumeration Date 2006-05-04
Last Update Date 2019-05-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 047068 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA 000893538L 05

Other Providers CURTIS CLARK

NPI Name Taxonomy Address Enumeration
1962806786 Curtis Clark Nurse Practitioner 175 North Medical Drive, Salt Lake City, UT 84132 2014-10-22
1922386069 Curtis Basil Clark Family Medicine 1512 West Center Street, Sheridan, AR 72150-0417 2011-07-22
1629067418 Curtis M Clark Dentist 1767 Nw Kings Blvd, Corvallis, OR 97330-1905 2005-10-14
1225591878 Curtis Anthony Clark Student in an Organized Health Care Education/Training Program 833 Princeton Ave Sw, Birmingham, AL 35211-1323 2019-04-10
1710459367 Curtis Clark Occupational Therapist 851 Penniman Ave, Plymouth, MI 48170-1621 2018-12-20
1346403227 Curtis J Clark Urology 215 W Bowery St, Suite 3500, Akron, OH 44308-1069 2008-07-09
1104841345 Curtis Robert Clark Physical Therapist 1611 Nw 12th Ave, Miami, FL 33136-1005 2006-07-12
1134169360 Curtis Carl Clark Family Medicine 1405 S 8th Ave, Suite 103, Sterling, CO 80751-4563 2006-06-07
1962449017 Curtis R Clark II Anesthesiology 800 Wheeling Ave, Glen Dale, WV 26038-3357 2006-05-31

Office Location

Street Address 610 19TH ST
City COLUMBUS
State GA
Zip Code 31901-1528

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609863133 Columbus Clinic, P.C. Clinic/Center 610 19th St, Columbus, GA 31901-1528 2005-09-30
1679034110 Holly Jordan Nurse Practitioner 610 19th St, Columbus, GA 31901-1528 2019-03-27
1700378668 Michelle Echevers Buchanan Nurse Practitioner 610 19th St, Columbus, GA 31901-1528 2018-06-05
1407364631 Kimberly A Hill Nurse Practitioner 610 19th St, Columbus, GA 31901-1528 2018-01-23
1457715401 Starr Lucy Whittaker Family Medicine 610 19th St, Columbus, GA 31901-1528 2016-04-06
1912371220 St Francis Affiliated Services LLC Dermatology 610 19th St, Columbus, GA 31901-1528 2015-11-24
1720464225 Deidre Mills Nurse Practitioner 610 19th St, Columbus, GA 31901-1528 2015-08-06
1295159143 St Francis Columbus Clinic LLC Dermatology 610 19th St, Columbus, GA 31901-1528 2014-02-13
1588003859 David A Theobald Nurse Practitioner 610 19th St, Columbus, GA 31901-1528 2013-06-20
1891134672 Kanika R White Nurse Practitioner 610 19th St, Columbus, GA 31901-1528 2013-06-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790396984 Chisholm Trail Urgent Care Pllc Emergency Medicine 11 Tsys Way, Columbus, GA 31901 2020-08-12
1770040099 Columbus Ga Homecare, LLC In Home Supportive Care 1501 13th Street., Suite G, Columbus, GA 31901 2019-02-22
1750868782 Health Matters, Inc. Clinic/Center 1124 13th St, Columbus, GA 31901 2018-07-23
1447754197 Charles Chacha Maroa Babere Student in an Organized Health Care Education/Training Program Columbus Regional Health, Midtown Medical Center, 1900 10th Avenue, Suit 100, Columbus, GA 31901 2018-03-19
1861912867 Demetria Laprel Mcgruder Community Health Worker 1230 2nd Ave., Columbus, GA 31901 2017-06-21
1679932016 Crystal Gayle Passmore Counselor 233 12th St Ste 334, Columbus, GA 31901 2016-02-13
1700256344 Kendra Ward Community Health Worker 1230 2nd Avenue, Columbus, GA 31901 2015-09-25
1437556701 Wendy Denise Thomas Adult Companion 1501 13th Street Suite F, Columbus, GA 31901 2014-12-02
1134523996 Danielle Elaine Berry General Practice Tree of Life Healthcare, 1968 North Avenue, Columbus, GA 31901 2014-10-22
1710239330 Kati Michelle Turner Pharmacist 1800 10th Avenue, Columbus, GA 31901 2012-10-05
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386252757 Eventus Wholehealth Midwest Inc Family Medicine 2100 Midway St # 3722, Columbus, IN 47201-3722 2020-07-21
1699320705 Kelly Cephas-hill Family Medicine 2339 Linden Ave, Columbus, OH 43211-1631 2019-08-06
1043877962 1 On 1 Staffing and Wellness Clinic Family Medicine 1315 Delauney Ave Ste 201-a, Columbus, GA 31901-2367 2019-05-27
1952893950 Midland Medical Group, LLC Family Medicine 1000 Georgesville Rd, Columbus, OH 43228 2018-06-05
1134635105 138 Med Family Medicine 30 Lakeridge Ct, Columbus, GA 31904-1800 2017-12-28
1689193922 Timothy John Moore Family Medicine 180 Reinhard Ave, Columbus, OH 43206-2635 2017-09-19
1013437532 Mission Medical Associates, Inc. Family Medicine 589 Peniel Rd, Columbus, NC 28722 2017-06-26
1942735287 Dean Fordham Family Medicine 6886 Shadybrook Trl, Columbus, GA 31904-3802 2017-04-24
1487188587 Steven Hanrahan Family Medicine 2000 10th Ave Ste 380, Columbus, GA 31901-3709 2017-04-14
1962935866 Alexandra Blood Family Medicine 5868 N Hamilton Rd Ste 200, Columbus, OH 43230-1328 2017-04-07
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Competitor

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City COLUMBUS
Zip Code 31901

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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