AMY MARIE CLARK


Address: 260 Barnes Rd, Suffolk, VA 23437
Phone: 7576521981

AMY MARIE CLARK (NPI# 1558707984) 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) 1558707984
Entity Type Individual
Full Name AMY MARIE CLARK
Credential IDC
Practice Address 260 Barnes Rd
Suffolk
VA 23437
Practice Telephone 7576521981
Mailing Telephone 7576521981
Enumeration Date 2013-05-13
Last Update Date 2013-05-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1002X Military Health Care Provider
Specialization: Independent Duty Corpsman
Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IDC 1710-1002X 01

Other Providers AMY CLARK

NPI Name Taxonomy Address Enumeration
1245640085 Amy Clark Nurse Practitioner 1641 Highway 19e Byp, Elizabethton, TN 37643-4646 2014-05-01
1386988194 Amy J. Clark Registered Nurse 731 18th Ave, San Francisco, CA 94121-3824 2012-11-16
1104121318 Amy Beth Clark Nurse Practitioner 5197 Georgetown Rd, Franklin, PA 16323-4807 2011-01-19
1568766756 Amy Sue Clark Speech-Language Pathologist 6 Erica Ct, Pueblo, CO 81001-1074 2011-01-02
1124328570 Amy Leigh Clark Social Worker 1950 Trenton St, #412, Denver, CO 80220-2064 2010-11-01
1437461191 Amy J Clark Speech-Language Pathologist 3609 Western Ave, Mattoon, IL 61938-2040 2010-07-10
1215257498 Amy Clark Occupational Therapy Assistant 2770 Juniper Dr, Batesville, AR 72501-7801 2010-06-10
1881818656 Amy Elizabeth Clark Speech-Language Pathologist 1027 Hiland St, Monticello, KY 42633-1370 2007-04-12
1023188018 Amy Clark Physical Therapist 9381 East Stockton Blvd, Ste 108, Elk Grove, CA 95624 2006-11-08
1134236631 Amy Clark Physical Therapist 506 Ne State Route 291, Lees Summit, MO 64086-2533 2006-08-23

Office Location

Street Address 260 BARNES RD
City SUFFOLK
State VA
Zip Code 23437

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962984328 Box Elder Behavioral Health LLC Clinic/Center 1795 Box Elder Road, Suffolk, VA 23437 2018-09-02
1548463185 Mckenney Medical Group, Pllc Family Medicine 6712a S Quay Rd, Suffolk, VA 23437-8697 2007-06-11
1659897213 Everett Service Provider Multi Medical Group Durable Medical Equipment & Medical Supplies 7296 Quaker Dr, Suffolk, VA 23437-8903 2017-08-16
1184111502 John R Paige Home Health 7296 Quaker Dr, Suffolk, VA 23437-8903 2018-04-20
1073069399 Gertrude Homes LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 7566 Quaker Dr, Suffolk, VA 23437-8906 2016-08-28
1780238105 Lora Faulk Hunter Non-emergency Medical Transport (VAN) 6425 Okelly Dr, Suffolk, VA 23437-8978 2019-07-25
1629613526 Riding With My Angels, LLC Non-emergency Medical Transport (VAN) 6425 Okelly Dr, Suffolk, VA 23437-8978 2019-11-14
1396915195 Independent Senior Home Services Home Health 4599 Quaker Dr, Suffolk, VA 23437-9026 2008-03-07
1760572994 A and R Healthcare, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 6020 Holy Neck Rd, Suffolk, VA 23437-9227 2006-10-16
1386132363 Branchaud Behavioral Therapy Behavioral Analyst 5776 Greenwood Rd, Suffolk, VA 23437-9252 2018-04-25
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Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427281229 Christopher Andrew Dejesus Military Health Care Provider 401 Locust Ct, Suffolk, VA 23434-6415 2009-08-26
1649428525 Alexander Richard Misiunas Military Health Care Provider 2833 Heritage Dr, Suffolk, VA 23435-1637 2008-09-03
1972791218 Theodore Harrison Jr. Military Health Care Provider 3020 Silver Charm Cir, Suffolk, VA 23435-3343 2007-10-11
1659451748 Kimberly Helen Mcqueen Military Health Care Provider 3000 Kempton Park Rd, Suffolk, VA 23435-2553 2006-10-16
1912968488 Aaron Donald Johnson Military Health Care Provider 519 Catapult Ct, Suffolk, VA 23434-8164 2006-03-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1306455522 Kevin Bradley Military Health Care Provider 903 13th St, Virginia Beach, VA 23451-4476 2020-07-23
1851900088 Seth Walter Military Health Care Provider 1825 Olympic Dr, Virginia Beach, VA 23453-3720 2020-07-23
1912545534 Ashton Neal Burnett Military Health Care Provider 1875 Cove Rd Bldg 3806, Virginia Beach, VA 23459-8911 2019-12-13
1447814090 Francis Anthony Edquid Military Health Care Provider 9560 Farragut Ave, Norfolk, VA 23511-2715 2019-04-30
1215591888 Nash Richard Galvan Military Health Care Provider 456-462 Pocahontas St, Norfolk, VA 23511 2019-04-29
1639655376 Brian D Blincoe Military Health Care Provider 7207 Masonville Drive, Annandale, VA 22003 2018-07-16
1578056743 Elis Bojaxhi Military Health Care Provider 3044 Ashlawn Ter, Virginia Beach, VA 23452-6508 2018-06-12
1801307327 Michael Wesley Dixon Military Health Care Provider 4008 Buchanan Dr, Hampton, VA 23669-4608 2017-10-24
1942719380 Clinton James Barton Military Health Care Provider 1016 Norwyk Ln, Williamsburg, VA 23188-3500 2017-09-28
1215463104 Markeece Oneale Military Health Care Provider 13020 Amesbury St, Woodbridge, VA 22192-3702 2017-05-11
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Competitor

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City SUFFOLK
Zip Code 23437

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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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