MR. SANTAGO CLARK (NPI# 1598231011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598231011 |
| Entity Type | Individual |
| Full Name | MR. SANTAGO CLARK |
| Practice Address |
4607 Trial Dr. Addis LA 70710 |
| Practice Telephone | 2259076659 |
| Mailing Telephone | 2259076659 |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2018-10-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172A00000X | Driver | Other Service Providers |
| Street Address |
4607 TRIAL DR. |
| City | ADDIS |
| State | LA |
| Zip Code | 70710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790337632 | West Baton Rouge Dental Associates, LLC | Clinic/Center | 6572 Hwy 1 South, Addis, LA 70710 | 2019-07-11 |
| 1295291854 | Ashley Blanchard | Physical Therapist | 2688 Sugar Plantation, Addis, LA 70710 | 2019-02-19 |
| 1063703122 | Berthelot and Associates, LLC | Clinic/Center | 6711 Highway 1 South, Addis, LA 70710 | 2011-04-25 |
| 1225644388 | Maya B Galathe | Counselor | 3476 Sweetwater Blvd Apt 3104, Addis, LA 70710-0220 | 2020-09-23 |
| 1720575855 | Latonia Nicole Warren | Social Worker | 3210 Rivers Edge Dr, Addis, LA 70710-2096 | 2018-04-14 |
| 1932259868 | Jeanne Fisher | Speech-Language Pathologist | 7523 La Highway 1 S, Addis, LA 70710-2148 | 2007-01-11 |
| 1841243938 | Jennifer Smith Berthelot | Occupational Therapist | 7523 Highway 1 S, Addis, LA 70710-2148 | 2006-05-18 |
| 1619493418 | Kellie Denise Gray | Nurse Practitioner | 3872 Plantation Ridge Dr, Addis, LA 70710-2180 | 2017-08-14 |
| 1053928457 | Neisha James | Non-emergency Medical Transport (VAN) | 4387 Blvd Acadian, Addis, LA 70710-2192 | 2020-09-29 |
| 1609106269 | Delilah A. Anderson-martin | Counselor | 3557 Karen Dr, Addis, LA 70710-2211 | 2010-01-05 |
| Find all providers in zip 70710 | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174452 | Donna Shartil Golman | Driver | 73350 Birdie Street, Abita Springs, LA 70420 | 2020-11-06 |
| 1871193540 | Dudley Paul Malveaux IIi | Driver | 3606 Desire Pkwy, New Orleans, LA 70126 | 2020-10-30 |
| 1699375337 | Donique Parrish | Driver | 5350 La Rochelle Pl, Keithville, LA 71047-7033 | 2020-10-30 |
| 1437758927 | Italy Mitchell | Driver | 10175 English Oaks Dr, Keithville, LA 71047-7561 | 2020-10-26 |
| 1871108456 | Kendrick Dequan White | Driver | 2285 Benton Rd Ste 202, Bossier City, LA 71111-7933 | 2020-09-10 |
| 1134734999 | Antoinette Carter | Driver | 3931 Hillmont Dr, Baton Rouge, LA 70814-4708 | 2020-09-09 |
| 1225642564 | Tonia Burras | Driver | 232 Jeffer Dr, Westwego, LA 70094-2190 | 2020-09-03 |
| 1437763893 | Rachel Stewart | Driver | 1708 Van Arpel Dr, La Place, LA 70068-6331 | 2020-09-03 |
| 1043824238 | Lanetta Lynn Riney | Driver | 5128 Hemingway Dr, Darrow, LA 70725-2501 | 2020-09-03 |
| 1972115137 | April Hurst | Driver | 3849 Cambridge St, Slidell, LA 70458-5205 | 2020-08-19 |
| Find all providers with the same taxonomy | ||||
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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.