DR. JOSHUA MAXSON CLARK (NPI# 1639127772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639127772 |
| Entity Type | Individual |
| Full Name | DR. JOSHUA MAXSON CLARK |
| Credential | MD |
| Practice Address |
645 E State Highway 121 Suite 600 Coppell TX 75019-7942 |
| Mailing Address |
Po Box 9101 Coppell TX 75019-9494 |
| Practice Telephone | 9727457500 |
| Practice Fax Number | 9727454336 |
| Mailing Telephone | 9727457500 |
| Mailing Fax Number | 9727454336 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2014-05-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | L8652 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245641794 | Joshua Miles Clark | Contractor | 1050 S Dahlia St Apt C19, Glendale, CO 80246-2829 | 2014-05-17 |
| 1497008486 | Joshua Scott Clark | Occupational Therapist | 303 N. Hurstbourne Pkwy, Suite 200, Louisville, KY 40222 | 2012-10-16 |
| 1184913493 | Joshua Rai Clark | Family Medicine | 4463 La Highway 1 South, Suite A, Port Allen, LA 70767 | 2011-04-07 |
| 1568785459 | Joshua James Clark | Pharmacist | 131 Columbia Avenue, Berwick, PA 18603-2001 | 2010-03-05 |
| 1235792342 | Joshua Michael Clark | Student in an Organized Health Care Education/Training Program | 170 Manning Dr, Chapel Hill, NC 27514-4221 | 2019-04-16 |
| 1174085955 | Joshua Cody Clark | Student in an Organized Health Care Education/Training Program | 920 Madison Ave Ste 447, Memphis, TN 38103-3438 | 2019-04-02 |
| 1720564834 | Joshua Lee Clark | Physical Therapist | 5900 College Rd, Key West, FL 33040-4342 | 2018-07-12 |
| 1134651987 | Joshua Michael Clark | Physician Assistant | 720 Rollingbrook St, Baytown, TX 77521-4059 | 2017-03-31 |
| 1013451095 | Joshua Clark | Specialist/Technologist | 170 School St, Watertown, MA 02472-4149 | 2016-12-11 |
| 1457701336 | Joshua Clark | Psychologist | 3710 Sw Us Veterans Hospital Rd, East Mh, Portland, OR 97239-2964 | 2016-06-21 |
| Street Address |
645 E STATE HIGHWAY 121 SUITE 600 |
| City | COPPELL |
| State | TX |
| Zip Code | 75019-7942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326401001 | Sadaf Aliya Jamil | Physician Assistant | 645 E State Highway 121, Suite 600, Coppell, TX 75019-7942 | 2016-03-31 |
| 1487080222 | Kandace O Tulk | Physician Assistant | 645 E State Highway 121, Suite 600, Coppell, TX 75019-7942 | 2013-09-25 |
| 1316299589 | Lisa Mojezati | Physician Assistant | 645 E State Highway 121, Suite 600, Coppell, TX 75019-7942 | 2012-10-11 |
| 1306062997 | Mini Thomas | Family Medicine | 645 E State Highway 121, Suite 600, Coppell, TX 75019-7942 | 2007-04-18 |
| 1093834962 | Bonnie S Gore | Physical Therapist | 645 E State Highway 121, Suite 600, Coppell, TX 75019-7942 | 2007-03-29 |
| 1225101934 | William Taylor | Family Medicine | 645 E State Highway 121, Suite 600, Coppell, TX 75019-7942 | 2006-11-17 |
| 1144307844 | Marc Anduss | Family Medicine | 645 E State Highway 121, Coppell, TX 75019-7942 | 2006-11-01 |
| 1316969355 | George Rodney Petry | Family Medicine | 645 E State Highway 121, Suite 600, Coppell, TX 75019-7942 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366065997 | Siai, Pllc | Pain Medicine | 149 E State Highway 121, Suite 105, Coppell, TX 75019 | 2020-05-18 |
| 1609498146 | Carie Medical Group (de), P.a. | Internal Medicine | 8951 Cypress Waters Blvd., Suite 160-1045, Dallas, TX 75019 | 2020-05-07 |
| 1154981983 | Coe Dentistry Pllc | Dentist | 137 Sh 121, Ste 110, Coppell, TX 75019 | 2019-06-14 |
| 1831655695 | Nicole Erhart | Physical Therapist | 3100 Olympus Blvd, Suite 500, Dallas, TX 75019 | 2019-02-18 |
| 1780140467 | Leah Faith Fifelski | Physical Therapist | 3100 Olympus Blvd. Suite 500, Dallas, TX 75019 | 2019-02-18 |
| 1780140988 | Living Euphoria, LLC | Community/Behavioral Health | 106 N Denton Tap Rd Ste 210 #151, Coppell, TX 75019 | 2019-02-13 |
| 1982176954 | Katie Cunningham | Physical Therapist | 3100 Olympus Blvd Ste 500, Coppell, TX 75019 | 2019-01-01 |
| 1659853000 | Shelley Kniss | Licensed Vocational Nurse | 1717 E Beltline Rd Apt 1323, Coppell, TX 75019 | 2018-09-02 |
| 1881197705 | Natasha Paulina Boylan | Speech-Language Pathologist | 370 W Highway 121, Ste. 105, Coppell, TX 75019 | 2018-03-16 |
| 1407354392 | Mahvash Roya Soltani | Nurse Practitioner | 1323 Barrington Dr., Coppell, TX 75019 | 2018-01-25 |
| Find all providers in zip 75019 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003356759 | Dr. Murphy Medical Care P.a. | Family Medicine | 897 N Macarthur Blvd, Suite 110, Coppell, TX 75019-2705 | 2017-02-28 |
| 1336572759 | Questcare Medical Clinics Pllc | Family Medicine | 215 Denton Tap Road, Suite 170, Coppell, TX 75019-5066 | 2013-08-21 |
| 1194064519 | Jaiswal LLC | Family Medicine | 765 Chalais Ct, Coppell, TX 75019-4589 | 2013-02-05 |
| 1932463403 | Gail Renee Killion-lawson | Family Medicine | 651 N. Denton Tap Road, #100, Coppell, TX 75019 | 2012-06-29 |
| 1801152913 | Kiet Tuan Truong | Family Medicine | 645 E St Hwy 121, Coppell, TX 75019-7942 | 2012-04-03 |
| 1407094543 | Las Colinas Primary Care Pllc | Family Medicine | 215 S Denton Tap Rd, Suite 170, Coppell, TX 75019-3229 | 2009-01-28 |
| 1699959031 | Neighborhood Medical Care | Family Medicine | 171 N Denton Tap Rd Ste 200, Coppell, TX 75019-2916 | 2007-12-20 |
| 1972703957 | Sharlene Selvaratnam | Family Medicine | 1234 Lakeshore Dr Ste 400, Coppell, TX 75019-4971 | 2007-07-19 |
| 1285851865 | Victor Burgos | Family Medicine | 601 Canyon Drive Suite 100, Coppell, TX 75019 | 2007-04-18 |
| 1952401358 | Sandra Peyton | Family Medicine | 546 E Sandy Lake Rd Ste 210, Coppell, TX 75019-5786 | 2006-09-25 |
| Find all providers in COPPELL | ||||
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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.