CARLTON K CLARKE M.D., P.A, (NPI# 1659689982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659689982 |
| Entity Type | Organization |
| Organization Name | CARLTON K CLARKE M.D., P.A, |
| Practice Address |
407 W Interstate 30 Garland TX 75043-5912 |
| Practice Telephone | 9722408539 |
| Practice Fax Number | 9723031994 |
| Mailing Telephone | 9722408539 |
| Mailing Fax Number | 9723031994 |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2010-09-21 |
| Authorized Official Name | DR. CARLTON K. CLARKE (PHYSICIAN) |
| Authorized Official Telephone | 9722408539 |
| Authorized Official Credential | M.D., P.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | F0154 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
407 W INTERSTATE 30 |
| City | GARLAND |
| State | TX |
| Zip Code | 75043-5912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073520177 | Vijaya Nama Md Pa | Clinic/Center | 407 W Interstate 30, Garland, TX 75043-5912 | 2006-08-02 |
| 1346870938 | Shini Robin | Nurse Practitioner | 407 W Interstate 30, Garland, TX 75043-2669 | 2020-01-22 |
| 1316463862 | Texas Bone and Joint Center | Orthopaedic Surgery | 407 W Interstate 30, Garland, TX 75043-5912 | 2017-08-16 |
| 1992157697 | Broadway I-30 Medical Clinic, Pllc | Obstetrics & Gynecology | 407 W Interstate 30, Garland, TX 75043-5912 | 2016-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811509672 | Hospice Angels, LLC. | Hospice Care, Community Based | 350 Oaks Trail, Suite # 201, Garland, TX 75043 | 2020-08-21 |
| 1639683212 | H&p Diagnostic Services LLC | Specialist/Technologist, Other | 310 E Interstate 30 Ste M105, Garland, TX 75043 | 2017-11-19 |
| 1013439934 | Shereen Raju Varughese | Nurse Practitioner | 2605 Claymore Avenue, Garland, TX 75043 | 2017-07-12 |
| 1558891176 | Eluzay LLC | Technician | 2302 Guthrie Road, Suite 140, Garland, TX 75043 | 2017-06-15 |
| 1841740065 | Francesca Crye Anokwute | Nurse Practitioner | 4514 Grantham Drive, Garland, TX 75043 | 2016-10-12 |
| 1013394329 | Amber M Murphy | Dietitian, Registered | 2435 N. Central Expwy, 12th Floor, Richardson, TX 75043 | 2015-05-06 |
| 1811303266 | Saint Jude Hospice and Palliative Care LLC | Hospice Care, Community Based | 346 Oaks Trail #225, Garland, TX 75043 | 2014-07-07 |
| 1992149306 | Richard Shad Hattaway | Dentist | 6452 Broadway Boulevard, Garland, TX 75043 | 2013-04-29 |
| 1407106370 | Jennifer Frances Burtt | Physician Assistant | 545 Interstate 30 Frontage Rd, Mesquite, TX 75043 | 2012-09-18 |
| 1083991319 | Vidya Suri Dds Pa | Dentist | 6521 Duck Creek Dr, Garland, TX 75043 | 2011-11-15 |
| Find all providers in zip 75043 | ||||
| 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 |
|---|---|---|---|---|
| 1033764162 | Avery James LLC | Family Medicine | 6330 Broadway Blvd Ste C, Garland, TX 75043-5956 | 2019-08-06 |
| 1831665272 | Md24 Tx, Pa | Family Medicine | 675 Town Square Blvd Ste 200, Garland, TX 75040-2991 | 2018-10-23 |
| 1255822383 | Mixon Integrated Health Pllc | Family Medicine | 1919 S Shiloh Rd Ste 107, Garland, TX 75042-8234 | 2018-05-24 |
| 1568982304 | Wholistic Healthcare Solutions: Mind, Body & Spirit, Pllc | Family Medicine | 6309 Fallbrook Dr, Garland, TX 75043-5920 | 2017-06-22 |
| 1356870620 | Brad Taylor Landrum | Family Medicine | 601 Clara Barton Blvd., Suite 340, Garland, TX 75042 | 2017-06-08 |
| 1194179580 | Kai-soon Yang | Family Medicine | 4430 Lavon Dr Ste 350, Garland, TX 75040-2976 | 2016-04-21 |
| 1407286040 | Rose Garden Housecall Services, LLC | Family Medicine | 829 Villa Ridge Dr, Garland, TX 75043-2660 | 2013-11-18 |
| 1265704779 | Medical Billing Usa | Family Medicine | 4141 Easton Meadows Dr, 202, Garland, TX 75043-2048 | 2012-01-30 |
| 1417243247 | Chene Tamyron Smith | Family Medicine | 5345 N George Bush Hwy, Garland, TX 75040-2767 | 2011-06-20 |
| 1649596396 | The Medical Equipment Group, Inc. | Family Medicine | 5915 Murphy Rd Ste 100, Garland, TX 75048-2825 | 2010-04-19 |
| Find all providers in GARLAND | ||||
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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.