DR. GREGORY D CLARKE


Address: 4522 Maccorkle Ave, Se, Suite 3, Charleston, WV 25314
Phone: 3047207305

DR. GREGORY D CLARKE (NPI# 1568569895) 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) 1568569895
Entity Type Individual
Full Name DR. GREGORY D CLARKE
Credential M.D.
Practice Address 4522 Maccorkle Ave, Se
Suite 3
Charleston
WV 25314
Mailing Address Po Box 7000
Morgantown
WV 26507-7000
Practice Telephone 3047207305
Practice Fax Number 3047207310
Mailing Telephone 3043471290
Mailing Fax Number 3043471397
Enumeration Date 2006-09-20
Last Update Date 2014-10-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine 16242 WV Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine 16242 WV Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WV 0110526000 05

Other Providers GREGORY CLARKE

NPI Name Taxonomy Address Enumeration
1851353007 Gregory R Clarke Optometrist 4109 W Genesee Street, Empire Vision Centers, Syracuse, NY 13219 2006-04-04
1609996420 Gregory Clarke Internal Medicine 333 N Michigan Ave, Suite 2014, Chicago, IL 60601-3901 2007-03-29
1881671766 Gregory Clarke Internal Medicine 2123 Auburn Ave, Suite 138, Cincinnati, OH 45219-2906 2005-12-30

Office Location

Street Address 4522 MACCORKLE AVE, SE
SUITE 3
City CHARLESTON
State WV
Zip Code 25314

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265033559 Nancy Galvan Technician 4587 Kanawha State Forrest Dr., Charleston, WV 25314 2020-11-04
1093316424 Emma Mccloud Technician 710 Colony Dr., Charleston, WV 25314 2020-11-03
1699376137 Amanda Gail Evans Technician 11 Happy Hl, Charleston, WV 25314 2020-11-02
1457879074 Samantha Pennington Pharmacist 1100 Fledderjohn Rd Kroger #785, Charleston, WV 25314 2017-09-04
1992180335 John Anthony Palmer IIi Dentist 867 Oakwood Road, Charleston, WV 25314 2015-07-28
1285039727 West Virginia Cvs Pharmacy, L.L.C. Durable Medical Equipment & Medical Supplies 885 Oakwood Rd., Charleston, WV 25314 2014-10-27
1386980381 Miranda L Broyles Nurse Practitioner 3200 Maccorkle Avenue Southwest, Charleston, WV 25314 2012-12-19
1548482896 Christina M. Arco, Phd Pllc Psychologist 1013 B Oakhurst Drive, Charleston, WV 25314 2007-05-03
1578780359 S & W Meeks Inc Eyewear Supplier (Equipment, not the service) 426 Division Street, South Charleston, WV 25314 2007-04-20
1669511853 Gregory Alan Simmerman Audiologist 1105 Fledderjohn Road, Charleston, WV 25314 2007-02-05
Find all providers in zip 25314

Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023628898 Gary L. Rose Emergency Medicine 1755 Ashley Hall Rd Apt E2, Charleston, SC 29407-3815 2020-08-05
1962061747 Nathan Barr Emergency Medicine Musc Emergency Department 171 Ashley Ave, Charleston, SC 29425-0001 2019-06-06
1629561089 John Brenton Bushkar Emergency Medicine 169 Ashley Ave Rm Nt265, Charleston, SC 29425 2018-06-11
1306201215 Medexpress Urgent Care, Inc - West Virginia Emergency Medicine 301 R H L Blvd Ste 3, Charleston, WV 25309-8275 2015-12-18
1356737738 Sabrina Pope Emergency Medicine 316 Calhoun St., Charleston, SC 29401-1113 2015-04-12
1417397902 Jason J Crumpler Emergency Medicine 169 Ashley Ave # Msc300, Charleston, SC 29425-8905 2013-06-27
1972866168 Rachel A Scott Emergency Medicine Musc Division of Emergency Medicine, 169 Ashley Avenue, Msc 300, Charleston, SC 29425-0001 2012-06-21
1942437843 Harvey Dean West Emergency Medicine 3131 Conservancy Ln, Charleston, SC 29414-8111 2009-06-18
1033371117 Patrick Gene Shen Emergency Medicine 9330 Medical Center Plaza Dr, Charleston, SC 29406-9195 2008-06-30
1881856144 Steven David Hollosi Emergency Medicine 501 Morris St., Charleston, WV 25301 2008-06-27
Find all providers in CHARLESTON

Competitor

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City CHARLESTON
Zip Code 25314

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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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