DR. HOWARD BRENT CLARK (NPI# 1568490662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568490662 |
Entity Type | Individual |
Full Name | DR. HOWARD BRENT CLARK |
Credential | M.D. |
Practice Address |
University of Minnesota Physicians 420 Delaware Street Se, 760 Mayo Memorial Building Minneapolis MN 55455 |
Mailing Address |
University of Minnesota Physicians 420 Delaware Street Se, Mmc 609 Minneapolis MN 55455 |
Practice Telephone | 6126260622 |
Practice Fax Number | 6126262696 |
Mailing Telephone | 6126260622 |
Mailing Fax Number | 6126262696 |
Enumeration Date | 2006-06-28 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ZN0500X |
Pathology Specialization: Neuropathology |
33386 | MN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | MEDICA PRIMARY | 11-74537 | 01 |
MN | PREFERRED ONE | 1009073 | 01 |
WI | 32008600 | 05 | |
MN | HEALTHPARTNERS | HP22280 | 01 |
MN | MEDICA CHOICE | 11-22542 | 01 |
MN | ARAZ | 768064 | 01 |
MN | 876505700 | 05 | |
MN | UCARE | 101350 | 01 |
MN | BCBS | 2T209CL | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407142524 | Howard Russell Clark | Pharmacist | 3625 S College Rd, Wilmington, NC 28412-2003 | 2011-06-27 |
1689696064 | Howard D Clark | Emergency Medicine | 321 Highway 13 S, Morton, MS 39117-3353 | 2006-07-24 |
1598748196 | Howard Sherman Clark | Anesthesiology | 400 E Pioneer, Ste 208, Puyallup, WA 98372-3255 | 2005-11-29 |
Street Address |
UNIVERSITY OF MINNESOTA PHYSICIANS 420 DELAWARE STREET SE, 760 MAYO MEMORIAL BUILDING |
City | MINNEAPOLIS |
State | MN |
Zip Code | 55455 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679528830 | Sarah A Cooley | Internal Medicine | University of Minnesota Physicians, 420 Delaware St Se, Mmc 136, Minneapolis, MN 55455 | 2006-05-24 |
1659877181 | Massimo Griselli | Pediatrics | University of Minnesota Physicians, 500 Harvard Street Se, Minneapolis, MN 55455-0363 | 2018-04-03 |
1902201221 | Seena Susan George | Nurse Practitioner | University of Minnesota Physicians, Clinics and Surgery Center, 909 Fulton Street Se, Minneapolis, MN 55455 | 2014-10-29 |
1508087511 | Tereza Marta Cervenka | Internal Medicine | University of Minnesota Physicians, 516 Delaware St Se, Clinic 2a, Minneapolis, MN 55455 | 2007-05-01 |
1346469970 | Stuart Trent Guthrie | Orthopaedic Surgery | University of Minnesota Physicians, 2512 South 7th St, Suite R102, Minneapolis, MN 55454 | 2007-04-24 |
1376668251 | Donavon John Hess | Surgery | University of Minnesota Physicians, 516 Delaware St Se, Room 4-100, Minneapolis, MN 55455 | 2007-03-20 |
1891836607 | Leon D Sabath | Internal Medicine | University of Minnesota Physicians, 516 Delaware Street Se Clinic 6b, Minneapolis, MN 55455 | 2007-02-12 |
1508907882 | Melanie Jean Hanlon | Nurse Practitioner | University of Minnesota Physicians, 516 Delaware St Se 4-100 Pwb, Clinic 4a, Minneapolis, MN 55455 | 2007-02-09 |
1912054214 | Muhammad Fareed Khan Suri | Psychiatry & Neurology | University of Minnesota Physicians, 516 Delaware St Se, Clinic 1a, Minneapolis, MN 55455 | 2007-01-05 |
1356404503 | Sue V Petzel | Psychologist | University of Minnesota Physicians, 606 24th Ave S, Suite 300, Minneapolis, MN 55455-5545 | 2006-12-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932715679 | Kara Biscobing | Nurse Anesthetist, Certified Registered | M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 | 2020-09-18 |
1982213237 | Yue Hu | Dentist | 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 | 2020-07-23 |
1952922148 | Jacob Laurence Tigner | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-29 |
1710507538 | Rachael Grundman | Student in an Organized Health Care Education/Training Program | 420 Delaware St, Mmc 395, Minneapolis, MN 55455 | 2020-04-22 |
1497375240 | Sanjay Dhawan | Student in an Organized Health Care Education/Training Program | 420 Delaware St. Se, Mmc 195, Minneapolis, MN 55455 | 2020-04-22 |
1508486549 | Dariel Andres Diaz | Student in an Organized Health Care Education/Training Program | 420 Se Delaware Street, Mmc 195, Minneapolis, MN 55455 | 2020-04-20 |
1275186280 | Kerem Ozturk | Radiology | B-226 Mayo Memorial Building, Mmc 292 420 Delaware Street S.e., Minneapolis, MN 55455 | 2019-07-18 |
1275194631 | Andres Jose Gonzalez Coba | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se Mmc 284, Minneapolis, MN 55455 | 2019-06-26 |
1841850278 | Brendan Andrew Schleyer | Dentist | 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 | 2019-06-18 |
1932767399 | Claire-audrey Y Bayan | Student in an Organized Health Care Education/Training Program | 420 Delaware Street, Mmc 98, Minneapolis, MN 55455 | 2019-05-31 |
Find all providers in zip 55455 |
Taxonomy Code | 207ZN0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pathology |
Specialization | Neuropathology |
A neuropathologist is expert in the diagnosis of diseases of the nervous system and skeletal muscles and functions as a consultant primarily to neurologists and neurosurgeons. The neuropathologist is knowledgeable in the infirmities of humans as they affect the nervous and neuromuscular systems, be they degenerative, infectious, metabolic, immunologic, neoplastic, vascular or physical in nature. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pathology. The Certification is NO longer provided. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720269251 | William Robert Bell IIi | Pathology | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2007-11-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124435011 | Michael Paolini II | Pathology | 200 1st St Sw, Rochester, MN 55905-0001 | 2014-07-13 |
1992140982 | Rachael A Vaubel | Pathology | 200 1st St Sw, Rochester, MN 55905 | 2013-05-03 |
1407299407 | Matthew Karl Ball | Pathology | 200 1st St Sw, Rochester, MN 55905 | 2013-04-10 |
1831451327 | Melissa M Blessing | Pathology | 200 1st St Sw, Rochester, MN 55905-0001 | 2012-06-12 |
City | MINNEAPOLIS |
Zip Code | 55455 |
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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.