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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 047068 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000893538L | 05 |
| 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 |
| Street Address |
610 19TH ST |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31901-1528 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 31901 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| 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 |
| Find all providers in COLUMBUS | ||||
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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.