KARA M CLARK (NPI# 1609247444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609247444 |
| Entity Type | Individual |
| Full Name | KARA M CLARK |
| Credential | PA-C |
| Practice Address |
304 Federal Rd Suite 201 Brookfield CT 06804-2418 |
| Mailing Address |
124 Wynwood Dr New Milford CT 06776-4231 |
| Practice Telephone | 2037402593 |
| Practice Fax Number | 2037408250 |
| Mailing Telephone | 2037402593 |
| Mailing Fax Number | 2037408250 |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2015-11-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 003391 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
003391 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588132229 | Kara Elizabeth Clark | Social Worker | 5106 Henry Bieber Rd, Eunice, LA 70535-7539 | 2018-11-12 |
| 1548617848 | Kara Ann Clark | Occupational Therapist | 219 S State St, Prairie Du Chien, WI 53821-1822 | 2016-05-17 |
| 1811242084 | Kara Elizabeth Clark | Dentist | 619 Ridge Rd, Munster, IN 46321-1645 | 2012-07-13 |
| 1326073487 | Kara G. Clark | Nurse Anesthetist, Certified Registered | 1912 Palmgren Dr, Glenview, IL 60025-4216 | 2006-07-11 |
| 1144889809 | Kara Elizabeth Clark | Optometrist | 18 Erin Office Park, 2400 Bellevue Road, Dublin, GA 31021-2885 | 2019-06-06 |
| 1629545173 | Kara Clark | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2018-11-01 |
| 1679088827 | Kara Joy Clark | Licensed Practical Nurse | 2005 Ashland Ave, Toledo, OH 43620-1703 | 2017-12-11 |
| 1013365139 | Kara Elaine Clark | Speech-Language Pathologist | 4700 Massillon Rd, North Canton, OH 44720 | 2016-05-31 |
| 1619389558 | Kara Clark | Counselor | 117 S Olive St, Maquoketa, IA 52060-3015 | 2014-05-27 |
| 1710147145 | Kara Anne Clark | Nurse Practitioner | 11601 Iron Bridge Rd, Suite 207, Chester, VA 23831-1466 | 2008-06-10 |
| Street Address |
304 FEDERAL RD SUITE 201 |
| City | BROOKFIELD |
| State | CT |
| Zip Code | 06804-2418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730185331 | Richard Brian Fisher | Dentist | 304 Federal Rd, Ste 215, Brookfield, CT 06804-2418 | 2005-06-28 |
| 1376829077 | Brookfield Health & Injury LLC | Clinic/Center | 304 Federal Rd, Suite 109, Brookfield, CT 06804-2418 | 2011-10-25 |
| 1407139181 | Brookfield Center for Chiropractic LLC | Chiropractor | 304 Federal Rd, Suite 109, Brookfield, CT 06804-2418 | 2011-09-20 |
| 1831323187 | Ivette Diaz, Md LLC | Internal Medicine | 304 Federal Rd, Suite 201, Brookfield, CT 06804-2418 | 2009-05-14 |
| 1962673376 | Brookfield Center for Chiropractic and Wellness PC | Chiropractor | 304 Federal Rd, Suite 109, Brookfield, CT 06804-2418 | 2008-03-13 |
| 1447429014 | Quality Hearing Aid Center, L.L.C. | Hearing Aid Equipment | 304 Federal Rd, Suite 114, Brookfield, CT 06804-2418 | 2008-02-27 |
| 1063626026 | Robert Stephen Gadoci | Chiropractor | 304 Federal Rd, Suite 210, Brookfield, CT 06804-2418 | 2007-05-09 |
| 1033277736 | Jaime Gutierrez | Dentist | 304 Federal Rd, Suite 217, Brookfield, CT 06804-2418 | 2006-12-05 |
| 1720186034 | Edilia Gualdron | Physical Therapist | 304 Federal Rd, Suite 109, Brookfield, CT 06804-2418 | 2006-09-20 |
| 1437162823 | Patrick Lydon Queenan | Psychologist | 304 Federal Rd, Suite 319, Brookfield, CT 06804-2418 | 2006-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306366620 | Tara Hanlon | Nurse Practitioner | 14 Shamrock Drive, Brookfield, CT 06804 | 2017-06-27 |
| 1558804617 | Total Assurance Home Healthcare | Respite Care | 6 Oak Branch Dr, Brookfield, CT 06804 | 2016-11-22 |
| 1154878619 | Regional Young Men's Christian Association of Western Connecticut, Inc | Health Educator | 241 Federal Road, Unit B21, Brookfield, CT 06804 | 2016-09-01 |
| 1285048330 | Altagracia Trinidad | Counselor | 40 Laurel Hill Rd Unit 308, Brookfield, CT 06804 | 2014-06-17 |
| 1619380276 | Benjamin Burke Clippinger | Orthopaedic Surgery | Greenknoll Professional Center, 60 Old New Milford Road, Suite 3e, Brookfield, CT 06804 | 2014-06-11 |
| 1801140371 | Christina M Muggeo | Physical Therapist | 60 Old New Milford Rd Ste 3a, Brookfield, CT 06804 | 2012-11-05 |
| 1952549099 | Joan P Draper | Ophthalmology | 17 Cove Rd, Brookfield, CT 06804 | 2009-01-28 |
| 1588822035 | Jillian Delorme | Psychologist | 828 Federal Rd Fl 2, Brookfield, CT 06804 | 2008-05-30 |
| 1740488212 | Nicholas Rutigliano | Physical Therapist | 3 Federal Rd Ste 100, Brookfield, CT 06804 | 2007-07-06 |
| 1851431373 | Arnold Stuart Zentner | Psychiatry & Neurology | 4 Twin Rocks Road, Brookfield, CT 06804 | 2007-02-07 |
| Find all providers in zip 06804 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386277838 | Nicholas Edward Graunke | Physician Assistant | 21125 Enterprise Ave, Brookfield, WI 53045-5229 | 2020-02-12 |
| 1104300987 | Chelsea Ann Clemens | Physician Assistant | 304 Federal Rd Ste 201, Brookfield, CT 06804-2421 | 2018-09-18 |
| 1982085874 | Daniel Neis | Physician Assistant | 2455 Whipple Tree Ln, Brookfield, WI 53045-4225 | 2015-06-16 |
| 1720215353 | Laura M Ozimek | Physician Assistant | 13800 W North Ave Ste 100, Brookfield, WI 53005-4977 | 2009-06-22 |
| 1154581064 | Taylor Marie Honnold | Physician Assistant | 2085 N Calhoun Rd Ste 203, Brookfield, WI 53005-5003 | 2008-06-13 |
| 1730130253 | Summer J Kimble | Physician Assistant | 150 S Sunny Slope Rd, Suite 136, Brookfield, WI 53005-6461 | 2006-05-12 |
| 1326098328 | Robert L Paxton | Physician Assistant | 150 Sunnyslope Road Suite 136, Brookfield, WI 53005-4858 | 2006-05-11 |
| 1477199271 | Jayne Eslinger | Physician Assistant | 19333 W North Ave, Brookfield, WI 53045-4132 | 2019-11-27 |
| 1023671112 | Lauren Elizabeth Wanie | Physician Assistant | 16650 W Bluemound Rd Ste 200, Brookfield, WI 53005-5959 | 2019-04-15 |
| 1558849166 | Jodie Magyari | Physician Assistant | 60 Old New Milford Rd Ste 3e, Brookfield, CT 06804 | 2018-08-06 |
| Find all providers in BROOKFIELD | ||||
| City | BROOKFIELD |
| Zip Code | 06804 |
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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.