DR. MARC L. CLARK (NPI# 1609982081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609982081 |
| Entity Type | Individual |
| Full Name | DR. MARC L. CLARK |
| Credential | M.D. |
| Practice Address |
870 State Farm Rd Ste 102 Boone NC 28607-4861 |
| Practice Telephone | 8282640029 |
| Practice Fax Number | 8282653305 |
| Mailing Telephone | 8282640029 |
| Mailing Fax Number | 8282653305 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2010-01-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
16869 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE GROUP NUMBER | 3702765 | 01 | |
| TAX ID | 62-1482379 | 01 |
| Street Address |
870 STATE FARM RD STE 102 |
| City | BOONE |
| State | NC |
| Zip Code | 28607-4861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164406054 | R R Reed | Dentist | 870 State Farm Rd, Suite 103 B, Boone, NC 28607-4861 | 2005-12-04 |
| 1841719994 | Jaclyn Honeycutt | Physician Assistant | 870 State Farm Rd, Boone, NC 28607-4861 | 2017-09-10 |
| 1033551502 | Brian James Robinson | Physician Assistant | 870 State Farm Rd, Suite 101, Boone, NC 28607-4861 | 2013-07-24 |
| 1225471980 | Appalachian Regional Medical Associates, Inc | Physical Medicine & Rehabilitation | 870 State Farm Rd, Suite 100, Boone, NC 28607-4861 | 2013-04-12 |
| 1902199789 | Susan Lee Hopkins | Physician Assistant | 870 State Farm Rd, Suite 102, Boone, NC 28607-4861 | 2011-05-26 |
| 1699905315 | Andrew Thomas Voglewede | Otolaryngology | 870 State Farm Rd, Suite 101, Boone, NC 28607-4861 | 2009-07-15 |
| 1639385321 | Gloria Dent Woodie | Dental Hygienist | 870 State Farm Rd, Suite 103-a, Boone, NC 28607-4861 | 2007-05-16 |
| 1285846493 | Blue Ridge Ear, Nose and Throat, Inc. | Otolaryngology | 870 State Farm Rd, Suite 101, Boone, NC 28607-4861 | 2007-05-03 |
| 1245354356 | Appalachian Gastroenterology Pa | Clinic/Center | 870 State Farm Rd, Suite 102, Boone, NC 28607-4861 | 2007-03-16 |
| 1447394721 | Michael Kemp Taylor | Dentist | 870 State Farm Rd, Suite 103a, Boone, NC 28607-4861 | 2007-02-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184261232 | Blaire E. Warren, Dds, Pllc | Clinic/Center | 142 Doctors Drive, Boone, NC 28607 | 2019-12-09 |
| 1073176871 | Whitney B Van Sant | Psychologist | 719-a Greenway Rd., Boone, NC 28607 | 2019-04-17 |
| 1710489273 | Appalachian Regional Medical Associates Inc | Internal Medicine | Appgastro - Asc, 870 State Farm Rd, Ste 102, Boone, NC 28607 | 2018-03-01 |
| 1891234019 | Laura Kacere | Counselor | 895 State Farm Rd Ste 507-5, Boone, NC 28607 | 2017-02-21 |
| 1902357320 | Innate Chiropractic - Pllc | Chiropractor | 838 State Farm Road, Ste 1, Boone, NC 28607 | 2016-10-20 |
| 1437519501 | David Hale Johnson | Nurse Practitioner | 169 Doctors Drive, Boone, NC 28607 | 2016-03-02 |
| 1639538895 | Lara Mele | Lactation Consultant, Non-RN | 180 Pine Hill Road, Boone, NC 28607 | 2016-02-16 |
| 1659749927 | Rachel Arledge | Counselor | 895 State Farm Rd. Bldg. 500, Ste. 505, Boone, NC 28607 | 2015-09-03 |
| 1346625431 | Kelly Walsh Whiteley | Dentist | 450 New Market Blvd Ste 2, Boone, NC 28607 | 2015-07-30 |
| 1184000234 | Ruby Amanda Stipe Blaylock | Physician Assistant | 2146 Blowing Rock Road - App Urgent Care, Boone, NC 28607 | 2015-07-30 |
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| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1710489273 | Appalachian Regional Medical Associates Inc | Internal Medicine | Appgastro - Asc, 870 State Farm Rd, Ste 102, Boone, NC 28607 | 2018-03-01 |
| 1669971826 | Appalachian Regional Medical Associates Inc | Internal Medicine | 870 State Farm Rd Ste 2, Boone, NC 28607-4861 | 2018-02-02 |
| 1477531242 | Douglas Michael Trate | Internal Medicine | 870 State Farm Rd, Suite 102, Boone, NC 28607-4861 | 2006-01-03 |
| 1205814084 | Appalachian Gastroenterology Pa | Internal Medicine | 870 State Farm Rd, Suite 102, Boone, NC 28607-4861 | 2006-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346889292 | Park Gastroenterology, Pllc | Internal Medicine | 7560 Carpenter Fire Station Rd Ste 303, Cary, NC 27519-9637 | 2019-12-24 |
| 1528625399 | Rowan Endoscopy Center, Pllc | Internal Medicine | 1809 Brenner Ave, Suite 102, Salisbury, NC 28144-2558 | 2019-05-28 |
| 1073091088 | Gastroenterology Associates of The Piedmont, P.a. | Internal Medicine | 445 Pineview Dr Ste 200b, Kernersville, NC 27284 | 2018-08-01 |
| 1437556594 | Novant Medical Group Inc | Internal Medicine | 13 Medical Campus, Suite 102, Supply, NC 28462-4093 | 2014-12-04 |
| 1275930968 | Digestive Health Specialists, Pa | Internal Medicine | 434 Kirby Rd, Lower Level Suite 6, King, NC 27021-9494 | 2014-11-25 |
| 1326454174 | Daniel Dillon | Internal Medicine | 1045 25th Avenue Dr Nw, Hickory, NC 28601-9077 | 2014-07-01 |
| 1841610300 | Shelly Gurwara | Internal Medicine | Medical Ctr Blvd, Winston Salem, NC 27157-2358 | 2014-04-23 |
| 1518386457 | Silpa Yalamanchili | Internal Medicine | 781 Avent Ferry Rd Ste 204, Holly Springs, NC 27540-7776 | 2014-04-08 |
| 1043648546 | Mission Medical Associates | Internal Medicine | 2695 Hendersonville Rd., Suite 206, Arden, NC 28704-8576 | 2013-10-18 |
| 1356778567 | The Charlotte-mecklenburg Hospital Authority | Internal Medicine | 101 E W T Harris Blvd Bldg 3000, Ste 3301e, Charlotte, NC 28262-3485 | 2013-10-02 |
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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.