DR. RODNEY LEE CLARK JR. (NPI# 1649590886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649590886 |
| Entity Type | Individual |
| Full Name | DR. RODNEY LEE CLARK JR. |
| Credential | MD |
| Practice Address |
4800 E Johnson Ave Jonesboro AR 72401 |
| Mailing Address |
Po Box 1960 Jonesboro AR 72403-1960 |
| Practice Telephone | 8709361000 |
| Practice Fax Number | 8709362038 |
| Mailing Telephone | 8709368000 |
| Mailing Fax Number | 8709343676 |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2018-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | E-8118 | AR | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | E-8118 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 201987001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417443953 | Rodney James Clark | Nurse Practitioner | 26 S 1st Ave Ste 100, Marshalltown, IA 50158-5032 | 2018-07-09 |
| 1285854919 | Rodney Keith Clark | Dentist | 1918 Forsyth Street, Macon, GA 31201 | 2007-04-26 |
| 1932756970 | Rodney Aaron Clark | Counselor | 6860 Brockton Ave Ste 9, Riverside, CA 92506-3816 | 2019-08-23 |
| 1487102851 | Rodney Dale Clark | Counselor | 9015 Murray Ave, Suite 100, Gilroy, CA 95020-3617 | 2016-09-14 |
| 1790716041 | Rodney Duane Clark | Anesthesiology | 2425 Samaritan Dr, San Jose, CA 95124-3908 | 2006-07-05 |
| Street Address |
4800 E JOHNSON AVE |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538134200 | Brock F Harris | Hospitalist | 4800 E Johnson Ave, Jonesboro, AR 72401-8413 | 2006-02-17 |
| 1780205740 | Andrea Duchow | Student in an Organized Health Care Education/Training Program | 4800 E Johnson Ave, Jonesboro, AR 72405-8413 | 2020-04-30 |
| 1255950069 | Jackson Benjamin Troxel | Student in an Organized Health Care Education/Training Program | 4800 E Johnson Ave, Jonesboro, AR 72405-8413 | 2020-04-11 |
| 1225657125 | Edwin Roy Mathews | Student in an Organized Health Care Education/Training Program | 4800 E Johnson Ave, Jonesboro, AR 72405-8413 | 2020-04-10 |
| 1063031086 | Muaamar Baldawi | Student in an Organized Health Care Education/Training Program | 4800 E Johnson Ave, Jonesboro, AR 72405-8413 | 2020-04-09 |
| 1003435108 | Refayat Ahsen | Student in an Organized Health Care Education/Training Program | 4800 E Johnson Ave, Jonesboro, AR 72405-8413 | 2020-04-09 |
| 1770112377 | Julia Bottoni | Student in an Organized Health Care Education/Training Program | 4800 E Johnson Ave, Jonesboro, AR 72405-8413 | 2020-04-06 |
| 1538797709 | Christian Paige Parnell | Student in an Organized Health Care Education/Training Program | 4800 E Johnson Ave, Jonesboro, AR 72405-8413 | 2020-04-01 |
| 1013564525 | Jarryd A Dempsey | Physical Therapist | 4800 E Johnson Ave, Jonesboro, AR 72405-8413 | 2019-08-20 |
| 1437705910 | Tiffany Gail Kauffman | Clinical Nurse Specialist | 4800 E Johnson Ave, Jonesboro, AR 72405-8413 | 2019-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821282526 | Abhijit Shivkumar | Hospitalist | 225 E Jackson, St Bernards Medical Center, Jonesboro, AR 72401-3119 | 2007-09-05 |
| 1538134200 | Brock F Harris | Hospitalist | 4800 E Johnson Ave, Jonesboro, AR 72401-8413 | 2006-02-17 |
| 1699312009 | Acch Physician Group Pllc | Hospitalist | 3024 Red Wolf Blvd, Jonesboro, AR 72401-7415 | 2019-12-04 |
| 1780065599 | Amr El-aawar | Hospitalist | 225 E Washington Ave, Jonesboro, AR 72401-3111 | 2015-06-17 |
| 1811287857 | Tyler Anderson Clark King | Hospitalist | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2011-04-11 |
| 1902052863 | Hongjiang Chen | Hospitalist | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2008-08-12 |
| 1376739854 | Matthew A. Quick | Hospitalist | 4800 E Johnson Ave, Jonesboro, AR 72401-8413 | 2007-09-19 |
| 1932166501 | Robert B White | Hospitalist | 4800 E Johnson Ave, Jonesboro, AR 72401-8413 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588690 | Premier Hospitalists of Nwa, Pllc | Hospitalist | 4313 S Pleasant Crossing Blvd, Rogers, AR 72758 | 2020-01-28 |
| 1043865082 | Sean Luke Davidson | Hospitalist | 3305 Malloy St, Little Rock, AR 72204-4480 | 2019-08-06 |
| 1932520764 | South Arkansas Emergency Physicians, LLP | Hospitalist | 4301 Johnson Mill Blvd, Johnson, AR 72741-0001 | 2013-12-20 |
| 1447671490 | South Arkansas Emergency Physicians, LLP | Hospitalist | 3000 Se Medical Center Pkwy, Bentonville, AR 72712-3217 | 2013-12-18 |
| 1033454723 | Prime Physicians LLC | Hospitalist | 5808 Callaway Ln, Fort Smith, AR 72916-8437 | 2012-12-06 |
| 1316204746 | Stephanie Michelle Henkel | Hospitalist | 2710s Rife Medical Ln, Rogers, AR 72758-1452 | 2012-04-23 |
| 1629366471 | Chandra Shekhar Dasari | Hospitalist | 4301 W Markham St # 795, Little Rock, AR 72205-7101 | 2011-07-14 |
| 1316230816 | Joe David May | Hospitalist | 8072 Ironstone Dr, Alexander, AR 72002-5007 | 2011-05-17 |
| 1740411511 | Chandra S Lingisetty | Hospitalist | College Avenue, 2302 Conway Regional Medical Center, Conway, AR 72034 | 2009-07-28 |
| 1821292319 | Abul Kamal | Hospitalist | 2, Saint Vincent Circle, Saint Vincent Hospital, Hospitalist Office, Little Rock, AR 72205 | 2007-06-11 |
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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.