DR. JEFFREY SCOTT CLARKE (NPI# 1629075494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629075494 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY SCOTT CLARKE |
| Credential | MD |
| Practice Address |
1920 Broadway St Paducah KY 42001-7106 |
| Practice Telephone | 2704423647 |
| Practice Fax Number | 2704423777 |
| Mailing Telephone | 2704423647 |
| Mailing Fax Number | 2704423777 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2010-03-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
22854 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64228547 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154410744 | Jeffrey Jason Clarke | Social Worker | 336 E 96th St, New York, NY 10128-3805 | 2006-10-12 |
| 1336148956 | Jeffrey Paul Clarke | Radiology | 801 S Stevens St, Spokane, WA 99204 | 2005-07-15 |
| 1194207944 | Jeffrey Richard Clarke | Technician/Technologist | 349 Piney Forest Rd Ste A, Danville, VA 24540-4121 | 2018-08-29 |
| 1295909034 | Jeffrey Melson Clarke | Student in an Organized Health Care Education/Training Program | Dumc, Box 3951, Durham, NC 27710-0001 | 2008-04-14 |
| 1013139096 | Jeffrey Clarke | Physician Assistant | 619 Jefferson St, Whiteville, NC 28472-3707 | 2007-05-02 |
| Street Address |
1920 BROADWAY ST |
| City | PADUCAH |
| State | KY |
| Zip Code | 42001-7106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447557160 | Michele Carbonell-smith | Nurse Practitioner | 1920 Broadway St, Paducah, KY 42001-7106 | 2011-02-15 |
| 1689786279 | Respiratory Disease Clinic | Nurse Practitioner | 1920 Broadway St, Paducah, KY 42001-7106 | 2006-08-31 |
| 1396856746 | Keith Edward Kelly | Internal Medicine | 1920 Broadway St, Paducah, KY 42001-7106 | 2006-08-31 |
| 1083673180 | Frederick Jay Rosenblum | Family Medicine | 1920 Broadway St, Paducah, KY 42001-7106 | 2006-03-20 |
| 1750388534 | William Hunter Culbertson Jr. | Internal Medicine | 1920 Broadway St, Paducah, KY 42001-7106 | 2005-07-07 |
| 1407853294 | William H Bedwell | Internal Medicine | 1920 Broadway St, Paducah, KY 42001-7106 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811512957 | Kelsey Brooks Powell | Dentist | 467 Jordan Drive, Suite A, Paducah, KY 42001 | 2020-06-15 |
| 1689236473 | Heath Bryan Coleman Dds of Kentucky Pllc | Dentist | 467 Jordan Dr, Ste 105, Paducah, KY 42001 | 2019-07-02 |
| 1477079333 | Ellen Louise Erwin | Speech-Language Pathologist | 5050b Village Square Drive, Paducah, KY 42001 | 2017-08-22 |
| 1225571391 | Jackie Powers | Counselor | 725 Broadway, Paducah, KY 42001 | 2016-11-22 |
| 1730544388 | Jackie Doublin | Counselor | 4625 Falconcrest Dr., Suite A, Paducah, KY 42001 | 2015-12-28 |
| 1861876997 | Adio Chiropractic Inc | Chiropractor | 2405 Lone Oak Rd, Suite B, Paducah, KY 42001 | 2015-07-18 |
| 1134530546 | Katherine Williamson | Obstetrics & Gynecology | 3927 Primrose Place, Paducah, KY 42001 | 2014-05-20 |
| 1679991061 | Kimberly Faith Wiggins | Social Worker | 425 Broadawy, Paducah, KY 42001 | 2014-04-02 |
| 1013251131 | Rxk Pharmacy | Pharmacy | 3526 Park Plaza Road, Paducah, KY 42001 | 2012-11-15 |
| 1134480098 | William Devin Hinson | Chiropractor | 2405 Lone Oak Road, Suite B, Paducah, KY 42001 | 2012-06-06 |
| Find all providers in zip 42001 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1396856746 | Keith Edward Kelly | Internal Medicine | 1920 Broadway St, Paducah, KY 42001-7106 | 2006-08-31 |
| 1750388534 | William Hunter Culbertson Jr. | Internal Medicine | 1920 Broadway St, Paducah, KY 42001-7106 | 2005-07-07 |
| 1407853294 | William H Bedwell | Internal Medicine | 1920 Broadway St, Paducah, KY 42001-7106 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437700754 | Yasinmd Pllc | Internal Medicine | 13304 Ridgemoor Dr, Prospect, KY 40059-7139 | 2019-09-27 |
| 1689232258 | Methodist Health, Inc. | Internal Medicine | 4604 Us Highway 60 W Ste E, Morganfield, KY 42437-6515 | 2019-05-30 |
| 1841661410 | Sleep Care Specialist of Louisville | Internal Medicine | 250 E Liberty St Ste 902, Louisville, KY 40202-1538 | 2015-10-08 |
| 1780926279 | Inspired Medical Services, LLC | Internal Medicine | 9805 Brownsboro Rd, Suite 101, Louisville, KY 40241-1125 | 2013-03-22 |
| 1902146277 | Ephraim Mcdowell Health Resource, Inc | Internal Medicine | 470 Linden Ave Ste 7, Harrodsburg, KY 40330 | 2013-02-25 |
| 1518275379 | Matthew James Craig | Internal Medicine | 1225 S Broadway Ste 201, Lexington, KY 40504-2701 | 2010-09-15 |
| 1992969604 | William Benjamin Cundiff | Internal Medicine | 110 Layman Ln, Elizabethtown, KY 42701-2523 | 2008-07-11 |
| 1124297361 | Rejmon Dedaj | Internal Medicine | 2609 New Hartford Rd, Owensboro, KY 42303-1316 | 2008-02-21 |
| 1689758799 | Srinivas M Ammisetty | Internal Medicine | 9350 Us Hwy 23 South, Suite 104, Stanville, KY 41659 | 2006-10-25 |
| 1790888683 | Firas A Koura | Internal Medicine | 1138 Lexington Rd Ste 230, Georgetown, KY 40324-9672 | 2006-09-06 |
| 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.