PATRICK CLARK (NPI# 1558301242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558301242 |
| Entity Type | Individual |
| Full Name | PATRICK CLARK |
| Credential | DC |
| Practice Address |
1600 W 38th St Suite 412 Austin TX 78731-6407 |
| Practice Telephone | 5124518682 |
| Practice Fax Number | 5124518686 |
| Mailing Telephone | 5124518682 |
| Mailing Fax Number | 5124518686 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2008-01-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 7976 | TX | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 607014 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164048591 | Patrick Alan Clark | Optometrist | 202 N Mitchell St, Rio Grande City, TX 78582-2509 | 2020-06-22 |
| 1548668346 | Patrick Nikita Clark | Non-emergency Medical Transport (VAN) | 4281 Durango Ln, Memphis, TN 38109-4721 | 2014-12-09 |
| 1235313388 | Patrick Jeremiah Clark | Social Worker | 540 E First St, Waconia, MN 55387-1601 | 2007-12-26 |
| 1598751588 | Patrick A Clark | Family Medicine | 9631 269th St Nw, Stanwood, WA 98292-8071 | 2005-09-23 |
| 1770018459 | Patrick Clark | Behavior Technician | 4020 Folker St, Anchorage, AK 99508-5321 | 2017-05-01 |
| 1336508092 | Patrick J Clark | Dentist | 554 Kelly Street, Bumed, Attn: Credentialing & Privileging Directorate, Jacksonville, FL 32212 | 2016-02-23 |
| 1386941755 | Patrick Andrew Clark | Counselor | 9445 Farnham St, San Diego, CA 92123-1308 | 2011-02-22 |
| 1407036841 | Patrick W. Clark | Anesthesiology | 1800 Medical Center Pkwy, Suite 330, Murfreesboro, TN 37129-2567 | 2007-11-13 |
| 1972609436 | Patrick Timothy Clark | Physician Assistant | 4020 Us Highway 27 N, Sebring, FL 33870-1333 | 2006-09-15 |
| 1285699553 | Patrick James Clark Jr. | Optometrist | 101 Bodin Cir, 60 Mdg/amds Optometry Clinic, Travis Afb, CA 94535-1809 | 2006-04-19 |
| Street Address |
1600 W 38TH ST SUITE 412 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78731-6407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720087331 | Kristen Katherine Ude | Chiropractor | 1600 W 38th St, Suite 412, Austin, TX 78731-6400 | 2005-07-15 |
| 1700344264 | Jane Comer Crockard | Physician Assistant | 1600 W 38th St, Austin, TX 78731-6400 | 2019-03-04 |
| 1114408242 | Excelsior Pain Management Pllc | Anesthesiology | 1600 W 38th St, Austin, TX 78731 | 2018-08-27 |
| 1396224549 | Kelly Skiles | Physician Assistant | 1600 W 38th St, Austin, TX 78731-6400 | 2018-08-08 |
| 1316487911 | Andrew Collentro | Physical Therapist | 1600 W 38th St, Ste 201, Austin, TX 78731-6400 | 2017-03-01 |
| 1225576093 | Kathy Chung Marquez | Physician Assistant | 1600 W 38th St, Suite 200, Austin, TX 78731-6400 | 2017-02-01 |
| 1962948158 | Thomajan Foot Care Pa | Podiatrist | 1600 W 38th St, Suite 318, Austin, TX 78731-6400 | 2017-01-11 |
| 1124563754 | Austin Psychiatric Clinic, Pa | Psychiatry & Neurology | 1600 W 38th St, Suite 421, Austin, TX 78731-6400 | 2017-01-06 |
| 1942757240 | U S Anesthesia Partners of Texas | Anesthesiology | 1600 W 38th St, Suite 306, Austin, TX 78731-6400 | 2016-09-02 |
| 1356707608 | Amber Bullis | Massage Therapist | 1600 W 38th St, Suite 120, Austin, TX 78731-6400 | 2015-12-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710892 | Anew Era Tms & Psychiatry of Texas, Pa | Psychiatry & Neurology | 7514 N Mopac Expressway, Suite 100, Austin, TX 78731 | 2020-11-06 |
| 1962016519 | Jennie Rose Posey | Clinical Nurse Specialist | 6500 N. Mopac Expressway, Building 3, Suite 200, Austin, TX 78731 | 2020-09-01 |
| 1437772373 | Sharon Polackal | Student in an Organized Health Care Education/Training Program | Shoal Creek Hospital, 3501 Mills Avenue, 6th Floor, Austin, TX 78731 | 2020-05-27 |
| 1699309773 | Modern Vision Group, Pllc | Optometrist | 3908 Far W Blvd, Austin, TX 78731 | 2020-02-27 |
| 1235699562 | Catherine Kerrigan | Social Worker | 7514 N Mopac Expy, Suite 100, Austin, TX 78731 | 2019-03-22 |
| 1912474651 | Austin Dental Spa, Pllc | Dentist | 3305 Northland Ste 515, Austin, TX 78731 | 2018-10-31 |
| 1982110938 | Lindsey Sheppard | Dietitian, Registered | 7000 N Mopac Expy, Suite 200, Austin, TX 78731 | 2017-12-28 |
| 1144746066 | Sarah Cotton | Occupational Therapist | 3520 Executive Center Drive, Suite 128, Austin, TX 78731 | 2017-08-22 |
| 1699299792 | Avoia Mia Tapia | Physical Therapist | 3721 Executive Center Drive, Suite 201, Austin, TX 78731 | 2017-07-31 |
| 1265889745 | Home Focus Aba | Behavioral Analyst | 6804 Capital of Tx Hwy N 412, Austin, TX 78731 | 2016-05-16 |
| Find all providers in zip 78731 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326546 | Haydn Storey | Chiropractor | 1807 W Slaughter Ln Ste 450, Austin, TX 78748-6269 | 2020-11-03 |
| 1336748797 | Zachary James Foreman | Chiropractor | 7900 Fm 1826 Ste 100, Austin, TX 78737-1410 | 2020-10-18 |
| 1497371827 | Abbie Lynn Hunt | Chiropractor | 820 Camino Vaquero Pkwy Apt 10106, Austin, TX 78748-3320 | 2020-06-22 |
| 1982237814 | Jared Covarrubias | Chiropractor | 4500 Steiner Ranch Blvd Apt 910, Austin, TX 78732-2313 | 2020-02-19 |
| 1396375606 | Brandon Ramakko | Chiropractor | 827 W 12th St Ste 2, Austin, TX 78701-1701 | 2020-01-26 |
| 1356980296 | Kristin Nicole Paouncic | Chiropractor | 1300 E Riverside Dr Apt D612, Austin, TX 78741-1215 | 2019-12-23 |
| 1962059576 | Gray Ellison Humphries | Chiropractor | 11800 N Interstate 35, Austin, TX 78753-2211 | 2019-08-20 |
| 1659937340 | Vinh Doan | Chiropractor | 12343 Hymeadow Dr Ste 2j, Austin, TX 78750-1830 | 2019-05-17 |
| 1689239212 | Shawn K Small | Chiropractor | 500 N Capital of Texas Hwy Bldg 125, Austin, TX 78746-3359 | 2019-05-09 |
| 1912464082 | Alexis Maire Dobson | Chiropractor | 4419 Frontier Trl Ste 106, Austin, TX 78745-1567 | 2019-02-25 |
| Find all providers in AUSTIN | ||||
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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.