MR. MICHAEL LEE CLARK


Address: 102 Pomona Dr, Greensboro, NC 27407-1616
Phone: 9106397913

MR. MICHAEL LEE CLARK (NPI# 1538537774) 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) 1538537774
Entity Type Individual
Full Name MR. MICHAEL LEE CLARK
Credential PA-C
Practice Address 102 Pomona Dr
Greensboro
NC 27407-1616
Mailing Address 6001 Cole Mill Rd
Durham
NC 27705-9232
Practice Telephone 9106397913
Mailing Telephone 9106397913
Enumeration Date 2015-09-04
Last Update Date 2015-09-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers

Other Providers MICHAEL CLARK

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

Office Location

Street Address 102 POMONA DR
City GREENSBORO
State NC
Zip Code 27407-1616

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922097559 David Hershey Hopper Family Medicine 102 Pomona Dr, Greensboro, NC 27407-1616 2005-10-17
1629627872 Richard Morrow Registered Nurse 102 Pomona Dr, Greensboro, NC 27407-1616 2019-09-10
1467981498 Elizabeth Whitney Mcvey Physician Assistant 102 Pomona Dr, Greensboro, NC 27407-1616 2017-06-04
1053789586 Stephanie English Physician Assistant 102 Pomona Dr, Greensboro, NC 27407-1616 2015-09-15
1235507971 Mario Mani Physician Assistant 102 Pomona Dr, Greensboro, NC 27407-1616 2015-09-11
1598066771 Moses Cone Physician Services, Inc Family Medicine 102 Pomona Dr, Greensboro, NC 27407-1616 2010-11-04
1144538083 Ryan Michael Dunn Physician Assistant 102 Pomona Dr, Greensboro, NC 27407-1616 2010-09-14
1780811448 Thao Phuong Le Family Medicine 102 Pomona Dr, Greensboro, NC 27407-1616 2009-06-19
1184866675 Irma Mariana Santiago Lago Family Medicine 102 Pomona Dr, Greensboro, NC 27407 2009-03-30
1235173766 Robert P Doolittle Internal Medicine 102 Pomona Dr, Greensboro, NC 27407-1616 2006-06-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093326019 Marie Louise Phillips Behavior Technician 111 Domona Dr, Unit 6, Greensboro, NC 27407 2020-08-13
1306472709 Blondine Yvonne Wynn Home Health Aide 2812 Apt 2g Vanstory Street, Greesboro, NC 27407 2020-03-17
1104452994 Monyetta Marie Howell Counselor 2216 W. Meadowview Road, Wilmington Bldg. Suite 207, Greensboro, NC 27407 2020-03-12
1215456769 Tiffany R. Wright Massage Therapist 317 H South Westgate Drive, Greensboro, NC 27407 2017-09-15
1992225676 Kendra Edwards Social Worker 1 Centerview Dr Ste 103, Greensboro, NC 27407 2017-06-22
1477902674 Triad Integrative Wellness Center Inc Acupuncturist 315j South Westgate Dr, Greensboro, NC 27407 2016-06-08
1083098354 Kathryn Theall Counselor 1901 Adams Farm Pkwy, Greensboro, NC 27407 2015-07-16
1962886333 Harris Teeter LLC Durable Medical Equipment & Medical Supplies 5710-w West Gate City Blvd, Greensboro, NC 27407 2015-07-16
1619356177 Lindsey King Registered Nurse 302 Pomona Drive, Greensboro, NC 27407 2015-05-29
1255737664 M.a.p.p.s. Clinic/Center 2216 West Meadowview Road Ste 204, Greensboro, NC 27407 2014-11-12
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497996805 Mark Ellis Hepler Physician Assistant 3625 N Elm St Ste 110a, Greensboro, NC 27455 2009-03-13
1700869856 Arlo C. Lassen Physician Assistant 1309 N Elm St, Greensboro, NC 27401-1005 2005-11-22
1417955410 Matthew Lloyd Strupp Physician Assistant 1000 Spring Garden Street, Anna Gove Student Health Center, Greensboro, NC 27402-6170 2005-07-13
1205450400 Wylder Fondaw Physician Assistant 1126 N Church St, Greensboro, NC 27401-1000 2020-06-03
1255968376 Cadence Hilary Furth Physician Assistant 1126 N Church St Ste 300, Greensboro, NC 27401-1037 2020-03-26
1386284305 Margaux Venter Physician Assistant 1121 N Church St, Greensboro, NC 27401 2020-01-07
1275095499 Brandon Anthony Morelli Physician Assistant 1200 N Elm St, Greensboro, NC 27401-1004 2019-04-05
1952875288 Alexandra Marie Louk Physician Assistant 1331 N Elm St Ste 200, Greensboro, NC 27401-6304 2019-01-21
1932605862 Sophia Caccavale Physician Assistant 1200 N Elm St, Greensboro, NC 27401-1004 2018-03-31
1902348667 Kelly Gekas Physician Assistant 1200 N Elm St, Greensboro, NC 27401-1004 2016-11-12
Find all providers in GREENSBORO

Competitor

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City GREENSBORO
Zip Code 27407

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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