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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
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 |
Street Address |
102 POMONA DR |
City | GREENSBORO |
State | NC |
Zip Code | 27407-1616 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 27407 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
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 |
City | GREENSBORO |
Zip Code | 27407 |
Please comment or provide details below to improve the information on MR. MICHAEL LEE 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.