MR. ALAN R CLARK (NPI# 1619026119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619026119 |
| Entity Type | Individual |
| Full Name | MR. ALAN R CLARK |
| Credential | PA-C |
| Practice Address |
4601 W Market St Greensboro NC 27408 |
| Mailing Address |
4149 Corbin Rd Greensboro NC 27405-2918 |
| Practice Telephone | 3365479091 |
| Practice Fax Number | 3365479092 |
| Mailing Telephone | 3364026301 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2012-03-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 103660 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114197456 | Alan A Clark | Dentist | 15898 Bush Rd, Nevada City, CA 95959-9201 | 2008-03-03 |
| 1912121955 | Alan E Clark | Perfusionist | 3061 Massasoit Ave, San Diego, CA 92117-2522 | 2007-04-12 |
| 1275689689 | Alan Clark | Optometrist | 644 San Antonio Rd, Mountain View, CA 94040-1304 | 2007-01-26 |
| 1619985884 | Alan Douglas Clark | Dentist | 745 E. Joyce, Ste 221, Fayetteville, AR 72703 | 2006-08-04 |
| 1659363539 | Alan James Clark | Ophthalmology | 133 Marion Oaks Blvd, Ocala, FL 34473-2211 | 2005-08-17 |
| 1104442300 | Alan Keith Clark | Case Manager/Care Coordinator | 420 Sw 10th St, Oklahoma City, OK 73109-5610 | 2020-06-23 |
| 1366500712 | Alan B. Clark | Psychiatry & Neurology | 240 Central Ave, East Orange, NJ 07018-3313 | 2006-12-05 |
| 1841206109 | Alan E. Clark | Psychologist | 2730 Wilshire Blvd, Santa Monica, CA 90403-4743 | 2006-07-31 |
| 1538196134 | Alan W Clark | Physician Assistant | 1401 S Laventure Rd, Mount Vernon, WA 98274-6033 | 2006-06-27 |
| 1053351254 | Alan S Clark | Emergency Medicine | 1612 S Henderson Blvd, Kilgore, TX 75662-3518 | 2006-06-07 |
| Street Address |
4601 W MARKET ST |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417499252 | Starmount Pharmacy LLC | Pharmacy | 4601 W Market St, Greensboro, NC 27407-1231 | 2016-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702216 | Nova Home Health LLC | Registered Nurse | 18418 Banking Street Num 9141, Greensboro, NC 27408 | 2020-08-26 |
| 1801410394 | Rachel Lynn Harmon | Behavior Technician | 717 Green Valley Road, Suite 200, Greensboro, NC 27408 | 2020-06-01 |
| 1013551605 | Paige August Becker | Physical Therapist | Southeastern Orthopaedic Specialists, 1915 Lendew Street, Greensboro, NC 27408 | 2019-11-06 |
| 1174164057 | Regenerative Medical Institute,pllc | Anesthesiology | 1305 W. Wendover Ave., Ste A, Greensboro, NC 27408 | 2019-10-02 |
| 1154979912 | Adrian Wilkins | Behavior Technician | 717 Green Valley Rd., Suite 200 Office 231, Greensboro, NC 27408 | 2019-08-26 |
| 1902392723 | Monaca Johnson | Counselor | 1515 W Cornwallis Dr G105, Greensboro, NC 27408 | 2018-07-04 |
| 1801395850 | Germaine Nichols | Behavioral Analyst | 2311 West Cone Boulevard, Studio 110 A, Greensboro, NC 27408 | 2018-02-06 |
| 1790283844 | Naomi Lane, D.d.s., P.a. | Dentist | 2600-a Oakcrest Ave, Greensboro, NC 27408 | 2018-01-24 |
| 1578084034 | Cone Health Connected Care, LLC | Nurse Practitioner | 2800 Lawndale Dr Ste 109, Greensboro, NC 27408 | 2017-07-05 |
| 1598204315 | The Pleasants Group, Pllc | Social Worker | 1400 Battleground Ave Suite 112 A & B, Greensboro, NC 27408 | 2017-02-13 |
| Find all providers in zip 27408 | ||||
| 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 |
|---|---|---|---|---|
| 1548873433 | Olivia Mustin Clelland | Physician Assistant | 301 E Wendover Ave Ste 200, Greensboro, NC 27401-1232 | 2020-08-28 |
| 1316574718 | Garrett Green | Physician Assistant | 1121 N Church St., Greensboro, NC 27401 | 2020-03-25 |
| 1336790278 | Kaitlyn Albrizze | Physician Assistant | 1921 New Garden Rd Apt E304, Greensboro, NC 27410-2387 | 2019-09-23 |
| 1902462146 | Alix Rothbart | Physician Assistant | 310 Waverly Way, Greensboro, NC 27403-1658 | 2019-05-14 |
| 1013482033 | Taylor Mackenzie Dale | Physician Assistant | 1313 Carolina St Ste 101, Greensboro, NC 27401-6002 | 2018-10-05 |
| 1598148900 | Jonathan Lichtenstein | Physician Assistant | 4012 Battleground Ave Ste B, Ste 1020, Greensboro, NC 27410-8592 | 2015-07-02 |
| 1346637964 | Anne Mack Herion | Physician Assistant | 301 Ridgeway Dr, Greensboro, NC 27403-1528 | 2015-04-21 |
| 1639583552 | Joy Mauney Peterson | Physician Assistant | 516 Lausanne Dr, Greensboro, NC 27410-5243 | 2014-06-18 |
| 1508288168 | Hao Meng | Physician Assistant | 1126 N Church St Ste 300, Greensboro, NC 27401-1037 | 2014-01-15 |
| 1679903819 | Kelly Humes | Physician Assistant | 1200 N. Elm Street, Greensboro, NC 27404-0467 | 2013-11-26 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27408 |
Please comment or provide details below to improve the information on MR. ALAN R CLARK.
| 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.