DR. JASON S. CLARK (NPI# 1548695489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548695489 |
| Entity Type | Individual |
| Full Name | DR. JASON S. CLARK |
| Credential | D.V.M. |
| Practice Address |
11800 Capital Way Louisville KY 40299-6332 |
| Practice Telephone | 5022667007 |
| Practice Fax Number | 5022667375 |
| Mailing Telephone | 5022667007 |
| Mailing Fax Number | 5022667375 |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2014-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174M00000X | Veterinarian | NS-KY-3276 | KY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033727425 | Jason Clark | Counselor | 2451 N Lincoln Ave Side 2, Chicago, IL 60614-4170 | 2020-07-21 |
| 1346201431 | Jason Drew Clark | Dentist | 7810 Providence Rd, Suite 100, Charlotte, NC 28226-2987 | 2006-03-29 |
| 1306197348 | Jason Clark | Nurse Anesthetist, Certified Registered | 620 Skyline Drive, Jackson, TN 38301 | 2012-10-01 |
| 1568711513 | Jason E Clark | Case Management | 4615 Philips Highway, Jacksonville, FL 32207-7265 | 2012-09-06 |
| 1699024695 | Jason M Clark | Optometrist | 101 Conley Rd, Columbia, MO 65201-6465 | 2012-09-05 |
| 1457632705 | Jason Clark | Physical Therapy Assistant | 1001 Giesau Dr, Ontonagon, MI 49953-1454 | 2011-08-31 |
| 1184912883 | Jason Clark | Pharmacist | 3021 Reidville Rd, Spartanburg, SC 29301-5643 | 2011-07-14 |
| 1508150301 | Jason Clark | Occupational Therapist | 140 Technology Ln, Johnson City, TN 37604-2004 | 2011-06-09 |
| 1902101959 | Jason Andrew Clark | Nurse Anesthetist, Certified Registered | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2011-01-24 |
| 1134448525 | Jason D Clark | Orthopaedic Surgery | 480 E Jefferson St, Suite B, Butler, PA 16001-4780 | 2010-05-25 |
| Street Address |
11800 CAPITAL WAY |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40299-6332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477050144 | Jolanta Staniszewska | Social Worker | 1700 Cargo St, Louisville, KY 40299 | 2018-04-10 |
| 1780192302 | Chris Mcclain | Pharmacist | 1901 Campus Place, Suite 100, Louisville, KY 40299 | 2018-01-17 |
| 1669984209 | Bluegrass Allergy Asthma and Immunology Psc | Internal Medicine | 11900 Plantside Dr Ste 9, Louisville, KY 40299 | 2017-11-03 |
| 1588182109 | Hollie Marie Wheeler | Speech-Language Pathologist | Paragon Rehabilitation 2701 Chesnut Station Court, Louisville, KY 40299 | 2017-09-04 |
| 1790206464 | Farrah Hill Rodgers | Occupational Therapy Assistant | 2701 Chestnut Station Court., Paragon Rehabilitation, Louisville, KY 40299 | 2017-07-03 |
| 1871972620 | Jag Medical LLC | Pharmacy | 9813 Merioneth Dr, Louisville, KY 40299 | 2015-05-27 |
| 1023496205 | Scotty Ray Newcomer | Family Medicine | 8511 Watterson Trl, Louisville, KY 40299 | 2015-05-08 |
| 1386048262 | Daniel Gerhard Eschenbach | Dentist | 12613 Taylorsville Rd., Suite #17, Louisville, KY 40299 | 2014-10-21 |
| 1740616192 | Alyse C Martin | Nurse Practitioner | 9569 Taylorsville Road Suite 109, Louisville, KY 40299 | 2013-09-17 |
| 1407104128 | Tammy Rowland Reddington | Nurse Practitioner | 4004 Hurstbroune Woods Drive, Louisville, KY 40299 | 2012-08-28 |
| Find all providers in zip 40299 | ||||
| Taxonomy Code | 174M00000X |
| Grouping | Other Service Providers |
| Classification | Veterinarian |
| A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |
| Notes: Source: Dorland’s Illustrated Medical Dictionary. 28th edition. Philadelphia: W.B. Saunders Company, 1994, p. 1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750777009 | Grace Clark | Veterinarian | 13160 Magisterial Dr, Louisville, KY 40223-4102 | 2015-04-14 |
| 1235563552 | Donna Habig-sachleben | Veterinarian | 1311 Durrett Ln, Louisville, KY 40213-2009 | 2013-08-22 |
| 1750714481 | Catherine A Metry | Veterinarian | 3014 Eleanor Ave, Louisville, KY 40205-2906 | 2013-08-16 |
| 1881031052 | Brian L. Tripp | Veterinarian | 2401 Dixie Highway, Louisville, KY 40216 | 2013-05-29 |
| 1881031284 | Dan E Moore | Veterinarian | 14601 Pauleys Gap Rd, Louisville, KY 40272-1543 | 2013-05-28 |
| 1902241771 | Patricia Kennedy Arrington | Veterinarian | 4504 Outer Loop, Louisville, KY 40219-3857 | 2013-05-06 |
| 1629413596 | Steven Eugene Dill | Veterinarian | 4609 Haeringdon Dr, Louisville, KY 40299-1110 | 2013-05-06 |
| 1457795973 | Linda Gries | Veterinarian | 4158 Westport Rd, Louisville, KY 40207-2723 | 2013-04-26 |
| 1649440462 | Michele Ann Zehnder | Veterinarian | 2226 Richland Ave, Louisville, KY 40218-3228 | 2008-03-07 |
| 1508237009 | Kimberley Edens | Veterinarian | 1311 Durrett Ln, Louisville, KY 40213-2009 | 2015-10-10 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40299 |
Please comment or provide details below to improve the information on DR. JASON S. 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.