DR. MICHAEL JONATHAN CLARK (NPI# 1619134970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619134970 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL JONATHAN CLARK |
| Other Name | DR. M JONATHAN CLARK |
| Credential | M.D. |
| Practice Address |
2401 University Pkwy Ste 102 Sarasota FL 34243 |
| Mailing Address |
2401 University Pkwy Ste 102 Sarasota FL 34243-2894 |
| Practice Telephone | 4135527679 |
| Practice Fax Number | 9413550617 |
| Mailing Telephone | 9413552767 |
| Mailing Fax Number | 9413550617 |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2020-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | MT186642 | PA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 N Academy Ave, Department of Otolaryngology, Danville, PA 178229800 | 5702716427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534227 | Michael Clark | Contractor | 1107 Lavender Shade Court, Houston, TX 77073 | 2020-10-02 |
| 1558858464 | Michael Clark | Optometrist | 990 Medical Dr Ste G3, Brigham City, UT 84302 | 2018-04-16 |
| 1740780006 | Michael Ryan Clark | Pharmacist | 556 Northside Drive, Statesboro, GA 30458 | 2018-02-13 |
| 1942715255 | Michael Clark | Physical Medicine & Rehabilitation | 10600 Riverside Drive, Coral Springs, FL 33071-3307 | 2017-12-08 |
| 1386170348 | Michael Clark | Registered Nurse | 317 E 100 N, Price, UT 84501-2504 | 2017-05-11 |
| 1184163982 | Michael Clark | Specialist/Technologist | 19 Second Ave, Auburn, NY 13021-5113 | 2017-02-14 |
| 1356780837 | Michael Clark | Adult Companion | 8305 Concord Dr, Rowlett, TX 75089-2001 | 2013-06-18 |
| 1417394503 | Michael Ray Clark | Pharmacist | 2661 Valleydale Rd, Hoover, AL 35244-2026 | 2013-05-29 |
| 1407143381 | Michael Jeffery Clark | Orthopaedic Surgery | 5671 Peachtree Dunwoody Ste 700, Atlanta, GA 30342-5047 | 2011-06-29 |
| 1700183993 | Michael Brady Clark | Preventive Medicine | 1400 Mckean Rd, Spring House, PA 19477 | 2011-02-24 |
| Street Address |
2401 UNIVERSITY PKWY STE 102 |
| City | SARASOTA |
| State | FL |
| Zip Code | 34243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043290950 | Paula B Pyle | Otolaryngology | 2401 University Pkwy Ste 102, Sarasota, FL 34243-2894 | 2006-01-18 |
| 1356941371 | Amanda R Mitchell | Physical Therapist | 2401 University Pkwy Ste 102, Sarasota, FL 34243-2894 | 2020-10-28 |
| 1770061566 | Vanessa Marie Price | Physical Therapist | 2401 University Pkwy Ste 102, Sarasota, FL 34243-2894 | 2018-08-02 |
| 1417267600 | Daniel A. Deems Md Phd Pa | Otolaryngology | 2401 University Pkwy Ste 102, Sarasota, FL 34243-2894 | 2010-10-21 |
| 1508184292 | Baljeet Kaur | Physical Therapist | 2401 University Pkwy Ste 102, Sarasota, FL 34243-2894 | 2010-05-05 |
| 1467640771 | Paige E Lindberg | Otolaryngology | 2401 University Pkwy Ste 102, Sarasota, FL 34243-2894 | 2007-10-11 |
| 1235331141 | Viengsouk Phommachanh | Otolaryngology | 2401 University Pkwy Ste 102, Sarasota, FL 34243-2894 | 2007-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033759667 | Justin M. Lampert | Counselor | 2280 Trailmate Drive, Suite 101, Sarasota, FL 34243 | 2020-01-11 |
| 1851879217 | Jesse Lebaron | Dermatology | 8451 Shade Ave Ste 205, Sarasota, FL 34243 | 2018-07-29 |
| 1053839514 | Leslie Schulman | Audiologist | 5837 Carriage Drive, Sarasota, FL 34243 | 2017-09-05 |
| 1841711058 | Gabriela Rocha | Dentist | 1500 Pine Crest Way, North Port, FL 34243 | 2017-06-28 |
| 1386004745 | J&j Shine Corp | Community/Behavioral Health | 8051 N. Tamiami Trail, Suite E2, Box 37, Sarasota, FL 34243 | 2016-02-29 |
| 1023482288 | Comfortable Care Dental Health Professionals, Pa | Dentist | 3315 University Pkwy, 103, Sarasota, FL 34243 | 2015-11-25 |
| 1346626009 | Cora Health Services Inc. | Clinic/Center | 6150 North Lockwood Ridge, Sarasota, FL 34243 | 2015-08-05 |
| 1851682462 | Timothy Clifton Prichard | Speech-Language Pathologist | 5770 Timber Lake Dr, Sarasota, FL 34243 | 2011-04-29 |
| 1548568702 | Eyeglass World | Technician/Technologist | 77 North Cattlemen Road, Sarasota, FL 34243 | 2011-03-11 |
| 1104051978 | Hillstrom Facial Plastic Surgery Pa | Otolaryngology | 5911 N. Honore Ave., Suite 120, Sarasota, FL 34243 | 2009-05-22 |
| Find all providers in zip 34243 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609253178 | Sumeet Bhanot Md Pa | Otolaryngology | 2038 Bee Ridge Road, Suite A, Sarasota, FL 34239 | 2015-05-04 |
| 1881926384 | Jorge Enrique Prieto | Otolaryngology | 3929 Prairie Dunes Dr, Sarasota, FL 34238-2819 | 2010-02-08 |
| 1104051978 | Hillstrom Facial Plastic Surgery Pa | Otolaryngology | 5911 N. Honore Ave., Suite 120, Sarasota, FL 34243 | 2009-05-22 |
| 1811039795 | Matthew D Byers Md Pllc | Otolaryngology | 7447 Paurotis Ct, Sarasota, FL 34241 | 2007-02-13 |
| 1225063548 | Robert P Hillstrom | Otolaryngology | 5911 N Honore Ave Ste 120, Sarasota, FL 34243-2605 | 2006-07-12 |
| 1437111382 | Chad R Marrs | Otolaryngology | 5432 Bee Ridge Rd, Suite 150, Sarasota, FL 34233-1514 | 2006-04-05 |
| 1043290950 | Paula B Pyle | Otolaryngology | 2401 University Pkwy Ste 102, Sarasota, FL 34243-2894 | 2006-01-18 |
| 1750385431 | Ellen D Silkes | Otolaryngology | 3920 Bee Ridge Road, Bldg. C, Ste. B, Sarasota, FL 34233 | 2005-06-09 |
| 1861867467 | Cassandra Santiso | Otolaryngology | 1901 Floyd St, Sarasota, FL 34239 | 2015-12-08 |
| 1467754044 | Richard C. Rehmeyer Mdpa | Otolaryngology | 1880 Arlington St, 206, Sarasota, FL 34239-3524 | 2010-12-02 |
| Find all providers in SARASOTA | ||||
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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.