DR. LOUIS PHILLIP CLARK JR. (NPI# 1598739682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598739682 |
| Entity Type | Individual |
| Full Name | DR. LOUIS PHILLIP CLARK JR. |
| Credential | M.D. |
| Practice Address |
4140 Ferncreek Dr Suite 801 Fayetteville NC 28314-2563 |
| Practice Telephone | 9104842171 |
| Practice Fax Number | 9104844568 |
| Mailing Telephone | 9104842171 |
| Mailing Fax Number | 9104844568 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2012-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 27779 | NC | Allopathic & Osteopathic Physicians |
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
27779 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS INDIVIDUAL ID NUMBER | 22718 | 01 |
| NC | 8922718 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083279418 | Louis Clark | Counselor | 1406 Esplanade Ave, New Orleans, LA 70116-1803 | 2019-05-01 |
| Street Address |
4140 FERNCREEK DR SUITE 801 |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28314-2563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366447757 | Paul Eric Szwejbka | Psychiatry & Neurology | 4140 Ferncreek Dr, Ste 401, Fayetteville, NC 28314-2563 | 2005-06-14 |
| 1619438819 | Amber June Gendron | Physician Assistant | 4140 Ferncreek Dr, Fayetteville, NC 28314-2563 | 2019-03-29 |
| 1336657428 | Carey Lennon | Orthopaedic Surgery | 4140 Ferncreek Dr, Fayetteville, NC 28314-2563 | 2018-01-11 |
| 1497297451 | Zachary John Collins | Physical Therapist | 4140 Ferncreek Dr, Suite 801, Fayetteville, NC 28314-2563 | 2016-11-08 |
| 1932657798 | Jared Kenneth Casazza | Physical Therapist | 4140 Ferncreek Dr, Suite 801, Fayetteville, NC 28314-2563 | 2016-09-21 |
| 1821545005 | Wendy T Bartley | Physical Therapist | 4140 Ferncreek Dr, Suite 801, Fayetteville, NC 28314-2563 | 2016-09-06 |
| 1477941367 | Sarah Busbin | Physician Assistant | 4140 Ferncreek Dr, Suite 801, Fayetteville, NC 28314-2563 | 2014-12-31 |
| 1265820260 | Ashley Ronk | Physician Assistant | 4140 Ferncreek Dr, Suite 801, Fayetteville, NC 28314-2563 | 2014-12-30 |
| 1689071458 | Abighail Castro | Physical Therapist | 4140 Ferncreek Dr, Suite 801, Fayetteville, NC 28314-2563 | 2014-11-22 |
| 1942647300 | Le-ann Mancio | Physical Therapist | 4140 Ferncreek Dr, Fayetteville, NC 28314-2563 | 2013-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528677812 | Lamonica Laveta Greene | Massage Therapist | 7804 Loxley Drive, Fayetteville, NC 28314 | 2020-07-23 |
| 1467086496 | The Pair Center for Couples Counseling Pllc | Counselor | 5085 Morganton Road, Suite 300, Fayetteville, NC 28314 | 2020-02-28 |
| 1346898335 | Chaitanya Joopally Dds Pllc | Dentist | 2050 Skibo Rd. Ste 104, Fayetteville, NC 28314 | 2019-09-03 |
| 1780231894 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 2360 Williamwood Lane, Fayetteville, NC 28314 | 2019-08-22 |
| 1164075982 | A Touch of Grace Inc | Day Training/Habilitation Specialist | 2153 Heathcote Drive, Fayetteville, NC 28314 | 2019-07-21 |
| 1093284465 | Candice Gorremans | Physician Assistant | 108th Air Defense Artillery Brigade, Fort Bragg, NC 28314 | 2018-11-15 |
| 1861983439 | Jessica Lynne Smith | Counselor | 6885 Cliffdale Rd Ste 2002, Fayetteville, NC 28314 | 2018-05-19 |
| 1073003752 | Gooden Mobile Pod Nc Pllc | Podiatrist | 311 Mcfadyen Dr, Fayetteville, NC 28314 | 2018-05-17 |
| 1093222101 | Lauren Bonneau | Behavioral Analyst | 6985 Nexus Ct, Suite 107, Fayetteville, NC 28314 | 2018-01-10 |
| 1760900153 | Elali Alisha Marie Moukwa | Dentist | 1916 Skibo Rd Ste C3, Fayetteville, NC 28314 | 2017-09-06 |
| Find all providers in zip 28314 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023138948 | Orthoatlanta, LLC | Orthopaedic Surgery | 1265 Highway 54 W, Suite 102 / 308, Fayetteville, GA 30214-4548 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669581559 | Lacy Eugene Thornburg | Orthopaedic Surgery | 18 Medical Park Dr, Carolina Hand and Sports Medicine, Pa, Asheville, NC 28803-2493 | 2006-08-30 |
| 1275642159 | Ronald Jay Neimkin | Orthopaedic Surgery | 20 Mcdowell Street, Asheville, NC 28801-4104 | 2006-08-30 |
| 1619912466 | Eagen Gene Deune | Orthopaedic Surgery | Unc School of Medicine/plastic Surgery, 101 Manning/burnett Womack, Chapel Hill, NC 27514 | 2006-06-17 |
| 1730181223 | Jeffrey Alan Baker | Orthopaedic Surgery | 1809 Brenner Ave, Ste 102, Salisbury, NC 28144 | 2005-08-15 |
| 1740846393 | Dr. Sonya M Clark P.C. | Orthopaedic Surgery | 89 W Mills St, Columbus, NC 28722-9450 | 2019-05-18 |
| 1417512690 | Wakemed Specialists Group LLC | Orthopaedic Surgery | 3009 New Bern Ave, Raleigh, NC 27610-1214 | 2019-05-03 |
| 1265095863 | Orthocarolina, Pa | Orthopaedic Surgery | 441 Mcalister Rd Ste 1100a, Lincolnton, NC 28092-4127 | 2019-04-18 |
| 1811432727 | Fiesky Alejandro Nunez Sr. | Orthopaedic Surgery | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2017-01-01 |
| 1851748040 | Highlands-cashiers Hospital, Inc. | Orthopaedic Surgery | 57 White Owl Ln, Cashiers, NC 28717 | 2016-05-18 |
| 1235473802 | Haywood Regional Medical Center | Orthopaedic Surgery | 581 Leroy George Dr, Suite 300, Clyde, NC 28721-8084 | 2012-11-20 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 28314 |
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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.