CLARK L CARROL (NPI# 1629267224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629267224 |
Entity Type | Individual |
Full Name | CLARK L CARROL |
Credential | M.D. |
Practice Address |
Box 1020665 Sioux Falls SD 57186-0001 |
Practice Telephone | 4156323166 |
Enumeration Date | 2007-10-18 |
Last Update Date | 2009-06-30 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
C40567 | CA | Allopathic & Osteopathic Physicians |
Street Address |
BOX 1020665 |
City | SIOUX FALLS |
State | SD |
Zip Code | 57186-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710588025 | Lexy S Kacmarynski | Speech-Language Pathologist | 5800 S Bahnson Ave, Sioux Falls, SD 57108-2754 | 2020-11-03 |
1790384345 | Cody Havermann | Behavior Technician | 209 W Anchor Ln, Sioux Falls, SD 57108-3019 | 2020-10-23 |
1124627898 | Mikaela Theobald | Physician Assistant | 6101 E Quartzite Dr, Sioux Falls, SD 57110-3988 | 2020-10-22 |
1700483740 | Sanford Healthcare Accessories, LLC | Durable Medical Equipment & Medical Supplies | 4405 E 26th St Ste 2, Sioux Falls, SD 57103-4188 | 2020-10-02 |
1982201992 | Sanford Healthcare Accessories, LLC | Durable Medical Equipment & Medical Supplies | 1210 W 18th St Ste Ll02, Sioux Falls, SD 57104-4649 | 2020-10-02 |
1588261697 | Sanford Healthcare Accessories, LLC | Durable Medical Equipment & Medical Supplies | 1205 S Grange Ave Ste 101, Sioux Falls, SD 57105-0407 | 2020-10-02 |
1669089116 | Brigitta Bly | Dietitian, Registered | 6500 E Steamboat Trl, Sioux Falls, SD 57110-8541 | 2020-09-29 |
1366059057 | Minx Damron Fite | Nurse Practitioner | 701 S Cloudas Ave, Sioux Falls, SD 57103-2421 | 2020-09-26 |
1962019976 | Breakthrough Counseling, LLC | Counselor | 1701 E 69th St Ste A, Sioux Falls, SD 57108-8317 | 2020-09-24 |
1174139349 | Hannah Cathleen Klinkhammer | Physical Therapist | 405 W 69th St, Sioux Falls, SD 57108-3824 | 2020-09-22 |
Find all providers in SIOUX FALLS |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720421381 | Jamie Catherine Williams | Radiology | 1309 W 17th St Ste G01, Sioux Falls, SD 57104-4663 | 2013-04-14 |
1841430162 | Martin Frank Petereit | Radiology | 1600 E. Cedar Lane, Retired Radiologist, Sioux Falls, SD 57103 | 2009-02-26 |
1194865394 | Midwest Regional Imaging Services LLC | Radiology | 6001 S Sharon, Suite 2, Sioux Falls, SD 57108 | 2007-02-07 |
1245250356 | Christopher K Johansen | Radiology | 1210 W 18th St Ste Ll03, Sioux Falls, SD 57104 | 2006-07-20 |
1831143015 | Sioux Falls Open Mri, LLC | Radiology | 6001 S Sharon Ave, Suite 1, Sioux Falls, SD 57108-5746 | 2006-05-20 |
1821050212 | Christopher Gregory | Radiology | 1325 S. Cliff Ave, Sioux Falls, SD 57105-3762 | 2006-04-03 |
1013334911 | Megan E Albertson | Radiology | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2014-03-28 |
1013356781 | Andrew Jay Erie | Radiology | 1210 W 18th St Ste Ll03, Sioux Falls, SD 57104 | 2013-06-17 |
1609213453 | Kevin K Casper | Radiology | 1325 S Cliff Ave, Sioux Falls, SD 57105 | 2013-06-03 |
1558627760 | Anders Steven Grinde | Radiology | 1325 S Cliff Ave, Sioux Falls, SD 57105 | 2012-04-02 |
Find all providers in SIOUX FALLS |
City | SIOUX FALLS |
Zip Code | 57186 |
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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.