MR. DARYL CLARK (NPI# 1629675236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629675236 |
Entity Type | Individual |
Full Name | MR. DARYL CLARK |
Practice Address |
13 Surrey Ct Ste 200 Columbia SC 29212-3172 |
Practice Telephone | 8035535965 |
Practice Fax Number | 8034510328 |
Mailing Telephone | 8035535965 |
Mailing Fax Number | 8034510328 |
Enumeration Date | 2020-10-06 |
Last Update Date | 2020-10-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171W00000X | Contractor | SC | Other Service Providers |
Street Address |
13 SURREY CT STE 200 |
City | COLUMBIA |
State | SC |
Zip Code | 29212-3172 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245758887 | Amanda Gail Holloman | Pharmacist | 6021 St. Andrews Road, Columbia, SC 29212 | 2017-09-04 |
1578080180 | Alvin Mitchell Jr. | Non-emergency Medical Transport (VAN) | 10 Breezewood Court, Columbia, SC 29212 | 2017-08-24 |
1467975102 | Shelby Clemmer | Behavior Technician | 2 Harbison Way, Columbia, SC 29212 | 2017-07-25 |
1982149019 | Showntellem | Private Vehicle | 336 Foxfire Dr, Columbia, SC 29212 | 2016-12-28 |
1902215296 | Miranda Willis Adult Day Care, LLC | Social Worker | 5932 Mcmillian Circle, Columbia, SC 29212 | 2014-08-12 |
1013342591 | Robert Glendon Long | Pediatrics | 15 Woodpine Ct, Columbia, SC 29212 | 2013-09-04 |
1174969638 | Melinda Dumas Crenshaw | Psychologist | 2800 Ashland Rd., Columbia, SC 29212 | 2013-05-10 |
1417209982 | Physician Services LLC | Internal Medicine | 214 Lake Front Drive, Physician Services, Cola, SC 29212 | 2012-10-09 |
1306131800 | Rocky Mountain Holdings LLC | Ambulance | 6015 Saint Andrews Rd, Columbia, SC 29212 | 2011-06-13 |
1023262839 | Candace Anne Aguiar | Nurse Anesthetist, Certified Registered | 400 Palmetto Health Pkwy, Palmetto Health Baptist Parkridge, Columbia, SC 29212 | 2008-11-06 |
Find all providers in zip 29212 |
Taxonomy Code | 171W00000X |
Grouping | Other Service Providers |
Classification | Contractor |
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275142630 | Jennifer Dawn Feltner | Contractor | 303 N Stadium Blvd Ste 227, Columbia, MO 65203-1493 | 2020-07-30 |
1174184766 | Augustine B Nwabueze | Contractor | 5454 Harpers Farm Rd Apt B3, Columbia, MD 21044-1396 | 2019-06-24 |
1770053449 | Shaunda L Hamilton | Contractor | 3109 Jenne Hill Dr, Columbia, MO 65202-4060 | 2018-11-26 |
1861923559 | Mary Johns | Contractor | 5130 Durham Rd E, Columbia, MD 21044-1423 | 2017-03-23 |
1538513494 | Wanda Campbell | Contractor | 6156 Saint Andrews Rd, Columbia, SC 29212-3147 | 2016-04-18 |
1285006015 | Racquell Scott | Contractor | 1612 Marion St Ste 209, Columbia, SC 29201-2939 | 2015-10-20 |
1467842443 | Universal Screen,inc | Contractor | 2516 Hospitality Ln, Columbia, TN 38401-0216 | 2015-01-29 |
1366853756 | Tamara Peterson | Contractor | 220 Clive St, Columbia, SC 29204-3021 | 2014-05-19 |
1962744003 | Michael Cleveland Thomas | Contractor | 5915 Northridge Rd, Columbia, SC 29206-4335 | 2013-03-26 |
1861734725 | The Far Group LLC | Contractor | 37 Mallet Hill Rd, Columbia, SC 29223-3221 | 2013-03-19 |
Find all providers in COLUMBIA |
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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.