DR. SEAN JOSEPH CLARK (NPI# 1669682092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669682092 |
| Entity Type | Individual |
| Full Name | DR. SEAN JOSEPH CLARK |
| Credential | MD |
| Practice Address |
619 19th St S Birmingham AL 35249-1900 |
| Mailing Address |
5300 10th Ct S Birmingham AL 35222-4014 |
| Practice Telephone | 2059345038 |
| Mailing Telephone | 2059607404 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2010-03-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235681966 | Sean Clark | Pharmacist | 2407 Stringer Gap Rd, Grants Pass, OR 97527-9573 | 2016-10-28 |
| 1801126487 | Sean Clark | Podiatrist | 8757 Sharmead Way, Fair Oaks, CA 95628-6337 | 2010-01-05 |
| 1497979298 | Sean Clark | Specialist | 151 S College Ave, Suite A4, Fort Collins, CO 80524-2864 | 2007-04-12 |
| 1730283169 | Sean Paul Clark | Chiropractor | 3900 Campus Dr, Newport Beach, CA 92660-2206 | 2006-09-07 |
| 1457864605 | Sean Hoban Clark | Counselor | 2495 Maplewood Dr Ste 312, Maplewood, MN 55109-1985 | 2017-11-09 |
| 1194249029 | Sean William Clark | Pharmacist | 237 William Howard Taft Rd, Cincinnati, OH 45219-2610 | 2017-08-02 |
| 1689078271 | Sean Clark | Counselor | 707 Ne Couch St, Portland, OR 97232-2922 | 2014-10-10 |
| 1528034147 | Sean Clark | Technician, Health Information | 15 Mohegan Ave, Uscg Academy - Michel Hall, New London, CT 06320-8100 | 2006-02-24 |
| Street Address |
619 19TH ST S |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35249-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205838505 | Peggy Calhoun Wilson | Pharmacist | 619 19th St S, Birmingham, AL 35249-1900 | 2005-06-01 |
| 1922607548 | Breck Fowler Hamilton | Registered Nurse | 619 19th St S, Birmingham, AL 35249-1900 | 2020-10-24 |
| 1477152650 | Brandi Bailey | Nurse Practitioner | 619 19th St S, Birmingham, AL 35233-1900 | 2020-10-20 |
| 1003415456 | Shannon Marie Harrison | Registered Nurse | 619 19th St S, Birmingham, AL 35233-1900 | 2020-10-17 |
| 1720685886 | Aeriel Flippo Swinsick | Nurse Practitioner | 619 19th St S, Birmingham, AL 35249-1900 | 2020-10-02 |
| 1477160604 | Lundy Starke Williams | Nurse Practitioner | 619 19th St S, Birmingham, AL 35249-1900 | 2020-10-01 |
| 1003422320 | Leah York | Registered Nurse | 619 19th St S, Birmingham, AL 35249-1900 | 2020-09-22 |
| 1972123420 | William Chase Cooper | Registered Nurse | 619 19th St S, Birmingham, AL 35233-1900 | 2020-04-24 |
| 1699394494 | Eme Unanaowo | Registered Nurse | 619 19th St S, Spain Wallace Bldg, Birmingham, AL 35233-1900 | 2020-04-11 |
| 1285253369 | Robert Chase Ruffo | Student in an Organized Health Care Education/Training Program | 619 19th St S, Birmingham, AL 35249-1900 | 2020-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770070682 | Jordan Bauer | Student in an Organized Health Care Education/Training Program | 625 19 Street South, Birmingham, AL 35249 | 2018-04-16 |
| 1356847917 | Kathryn Leonards Sinquefield | Student in an Organized Health Care Education/Training Program | 625 19 Th Street South, Birmingham, AL 35249 | 2018-04-03 |
| 1285167288 | Lauren Marie Theiss | Student in an Organized Health Care Education/Training Program | 625 19th Street S, Birmingham, AL 35249 | 2017-04-06 |
| 1992159040 | Christopher Lee Anderson | Student in an Organized Health Care Education/Training Program | 625 19th St South, Birmingham, AL 35249 | 2016-04-14 |
| 1154715365 | Danielle Demontigny Avila | Internal Medicine | 625 19th St. South, Birmingham, AL 35249 | 2015-03-25 |
| 1417398033 | Rehan Ajmal Sarmad | Internal Medicine | 625 19th Street South Birmingham, Birmingham, AL 35249 | 2013-07-11 |
| 1760828560 | Diana Murro Lin | Pathology | 619 19th St S # Hsb130, Birmingham, AL 35249 | 2013-05-20 |
| 1982048476 | University of Alabama At Birmingham | General Acute Care Hospital | 1700 6th Ave South, Uab, Birmingham, AL 35249 | 2013-04-26 |
| 1255693149 | William M Perez | Obstetrics & Gynecology | 176f 10360d 619 19th Street South, Birmingham, AL 35249 | 2012-06-15 |
| 1942504642 | Melanie R. Sparks | Nurse Practitioner | 1700 6th Ave. South, Wic Suite 2342, Birmingham, AL 35249 | 2011-01-10 |
| Find all providers in zip 35249 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033734512 | Namrata Pradeep Landge | Student in an Organized Health Care Education/Training Program | 1919 7th Ave S # 304, Birmingham, AL 35233-2005 | 2020-06-10 |
| 1558985606 | Lauren Miele | Student in an Organized Health Care Education/Training Program | 1701 1st Ave S Apt 655, Birmingham, AL 35233-1864 | 2020-06-04 |
| 1982226031 | James Edward Bryant Jr. | Student in an Organized Health Care Education/Training Program | 1720 2nd Ave S # Cpmc272, Birmingham, AL 35294-0004 | 2020-05-12 |
| 1215558929 | Wangsoo Lee | Student in an Organized Health Care Education/Training Program | 1720 2nd Ave S # 412, Birmingham, AL 35294-1732 | 2020-05-04 |
| 1477173318 | Jeffrey D. Cooney | Student in an Organized Health Care Education/Training Program | 833 Princeton Avenue Sw, Professional Office Bldg 3, Suite 200-e, Birmingham, AL 35211 | 2020-04-21 |
| 1144840224 | Mark Thomas Dean | Student in an Organized Health Care Education/Training Program | S: 625 19th Street South Birmingham Al 35249, Birmingham, AL 35249-0001 | 2020-04-20 |
| 1831726561 | Aniela Sosnowski | Student in an Organized Health Care Education/Training Program | 1720 S Eton St, Birmingham, MI 48009-7249 | 2020-03-24 |
| 1023645702 | Kyle Glisson | Student in an Organized Health Care Education/Training Program | 2000 2nd Ave S Apt 518, Birmingham, AL 35233-2087 | 2020-03-24 |
| 1740816677 | Sellers Boudreau | Student in an Organized Health Care Education/Training Program | 1212 Wales Ave, Birmingham, AL 35213-1414 | 2020-03-23 |
| 1205462322 | Jeremie Matthew Peabody Lever | Student in an Organized Health Care Education/Training Program | 1825 University Blvd Shel 121, Birmingham, AL 35294-2182 | 2020-03-20 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35249 |
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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.