DR. JOHN MIRRELL CLARK (NPI# 1609815786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609815786 |
| Entity Type | Individual |
| Full Name | DR. JOHN MIRRELL CLARK |
| Credential | MD |
| Practice Address |
3860 Teays Valley Rd Suite 4 Hurricane WV 25526-9772 |
| Mailing Address |
4023 Farmington Dr Hurricane WV 25526-8756 |
| Practice Telephone | 3042012545 |
| Mailing Telephone | 3048814225 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 21953 | WV | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245890672 | John Douglas Clark Jr. | Family Medicine | 54 Meadowbrook Cir, Brevard, NC 28712-8543 | 2019-06-18 |
| 1063072973 | John Riley Clark | Physician Assistant | 2700 Light Rd Apt 102, Oswego, IL 60543-9231 | 2019-06-13 |
| 1871909986 | John Clark | Internal Medicine | 740 Bethlehem Pike, Flourtown, PA 19031-1318 | 2014-07-09 |
| 1831444017 | John Arnot Clark | Dermatology | 1849 Mission Ridge Road, Santa Barbara, CA 93103-1857 | 2012-07-13 |
| 1427327428 | John Jacob Clark | Pharmacist | 1312 Northland Drive, Mendota Heights, MN 55120 | 2011-12-20 |
| 1841580586 | John Alan Clark | Pharmacist | 1900 Argillite Rd, Flatwoods, KY 41139-1616 | 2011-04-14 |
| 1740586932 | John Casey Clark | Occupational Therapist | 448 Lewis Hargett Cir, Suite 100, Lexington, KY 40503-3594 | 2011-02-04 |
| 1023327921 | John M Clark | Social Worker | 3528 Manchester Rd, Wantagh, NY 11793-3010 | 2010-09-27 |
| 1831417922 | John Russell Clark | Speech-Language Pathologist | 7811 Cobden Rd, Laverock, PA 19038-7257 | 2010-05-13 |
| 1518151513 | John M Clark | Physical Therapist | 1202 Se 6th St, Wagoner, OK 74467-6316 | 2007-09-02 |
| Street Address |
3860 TEAYS VALLEY RD SUITE 4 |
| City | HURRICANE |
| State | WV |
| Zip Code | 25526-9772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215923495 | John Bowman White IIi | Podiatrist | 3860 Teays Valley Rd, Suite 1, Hurricane, WV 25526-9772 | 2005-09-23 |
| 1821471319 | Medtest Laboratories LLC | Clinical Medical Laboratory | 3860 Teays Valley Rd, Suite 2, Hurricane, WV 25526-9772 | 2015-07-02 |
| 1700201027 | Integrated Health Care Providers, Inc. | Internal Medicine | 3860 Teays Valley Rd, Suite 5, Hurricane, WV 25526-9772 | 2014-02-24 |
| 1801069042 | Teays Dental Care | Dentist | 3860 Teays Valley Rd, Suite 5, Hurricane, WV 25526-9772 | 2008-04-09 |
| 1093865305 | Craig Smolder | Dentist | 3860 Teays Valley Rd, Suite 5, Hurricane, WV 25526-9772 | 2007-01-11 |
| 1053408674 | West Virginia Foot Care Specialists, Pllc | Podiatrist | 3860 Teays Valley Rd, Suite 1, Hurricane, WV 25526-9772 | 2006-10-06 |
| 1346269339 | John M Clark Md & Associates Pllc | Internal Medicine | 3860 Teays Valley Rd, Suite 4, Hurricane, WV 25526-9772 | 2006-07-19 |
| 1306826508 | J Michael Muto II | Dentist | 3860 Teays Valley Rd, Suite 5, Hurricane, WV 25526-9772 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081707 | Paige E Walroth | Technician | 51 Overlook Dr, Hurricane, WV 25526 | 2020-10-21 |
| 1770195778 | Marilyn Sue Shank | Technician | 168 Willow Tree Way, Apt 313, Hurricane, WV 25526 | 2020-08-20 |
| 1275150351 | Wv Wellness and Recovery LLC | Clinic/Center | 4 Putnam Village Drive, Hurricane, WV 25526 | 2020-07-06 |
| 1538645718 | Patsy Samples | Technician | 3067 State Rt 34s, Hurricane, WV 25526 | 2018-07-11 |
| 1528550274 | Sarah Marie Jackson | Occupational Therapist | Genesis-putnam Center, 300 Seville Road, Hurricane, WV 25526 | 2018-05-30 |
| 1619466463 | Mh Psychological Services, Pllc | Psychologist | 125 Morris Ct, Hurricane, WV 25526 | 2018-05-08 |
| 1023510740 | William Riddle | Technician | 157 Washington Cirlce, Hurricane, WV 25526 | 2018-03-08 |
| 1942702303 | Natalie Whitman | Technician | 2933 State Route 34 South, Hurricane, WV 25526 | 2018-03-01 |
| 1972002681 | Dianna Roberts | Technician | 550 Dudding Avenue, Hurricane, WV 25526 | 2018-02-08 |
| 1174022875 | Nancy Adams | Technician | 1 Western Hills Drive, Hurricane, WV 25526 | 2018-02-08 |
| Find all providers in zip 25526 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548867997 | Sean Patrick Marshall Riley | Internal Medicine | 1044 Marina Dr, Hurricane, WV 25526-9754 | 2020-10-07 |
| 1093935199 | Putnam Medical Group Inc | Internal Medicine | 3701 Suite B Teays Valley Rd, Hurricane, WV 25526 | 2007-04-30 |
| 1477665768 | Emery Brad Mccoy | Internal Medicine | 3761a Teays Valley Road, Hurricane, WV 25526-9705 | 2006-08-31 |
| 1457306300 | Ricky L. Houdersheldt | Internal Medicine | 3705 Teays Valley Rd, Ste 202, Hurricane, WV 25526-8757 | 2006-05-22 |
| 1023387636 | Valley Health Systems, Inc. | Internal Medicine | 3729 Teays Valley Rd, Suite 100, Hurricane, WV 25526 | 2011-12-28 |
| 1346269339 | John M Clark Md & Associates Pllc | Internal Medicine | 3860 Teays Valley Rd, Suite 4, Hurricane, WV 25526-9772 | 2006-07-19 |
| 1649231606 | Christopher Edward Bowman | Internal Medicine | 3752 Teays Valley Rd, Hurricane, WV 25526-9705 | 2006-03-30 |
| 1982665329 | Jeffrey Scott Holmes | Internal Medicine | 3752 Teays Valley Rd, Hurricane, WV 25526-9705 | 2006-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285277434 | Absolute Care Clinic of South Charleston | Internal Medicine | 428 Division St Ste 3b, South Charleston, WV 25309-1469 | 2019-10-21 |
| 1780158873 | Clinicians In Telemedicine LLC | Internal Medicine | 1678 Beeman Rd, Washington, WV 26181-5360 | 2019-01-11 |
| 1013489541 | War Memorial Hospital, Inc. | Internal Medicine | 3774 Valley Road, Berkeley Springs, WV 25411 | 2018-12-21 |
| 1346736758 | Recover Together, Inc. | Internal Medicine | 4421 Emerson Ave, Parkersburg, WV 26104 | 2018-07-09 |
| 1306349485 | City Hospital, Inc. | Internal Medicine | 2010 Doctor Oates Dr Ste 103, Martinsburg, WV 25401-8896 | 2018-03-14 |
| 1093221103 | Potomac Valley Hospital of Wv, Inc. | Internal Medicine | 390 Carskadon Ln, Keyser, WV 26726-2123 | 2017-12-27 |
| 1386168391 | Maria Cristina Steriu | Internal Medicine | 800 Garfield Ave Rm G102, Parkersburg, WV 26101 | 2017-08-01 |
| 1083162739 | Heartnexus Inc | Internal Medicine | 3950 Eastlake Dr, Morgantown, WV 26508-8673 | 2016-09-12 |
| 1215380753 | Andrea Marie Stark | Internal Medicine | 3200 Maccorkle Ave Southeast, Robert C. Bird Clinical Training Center, 4th Floor, Charleston, WV 25304 | 2016-07-20 |
| 1962854661 | Christopher C Skaggs | Internal Medicine | 43 Wildrose Ln, Scott Depot, WV 25560-7670 | 2016-07-06 |
| 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.