DR. ROBERT ERNEST CLARK III (NPI# 1710028931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710028931 |
| Entity Type | Individual |
| Full Name | DR. ROBERT ERNEST CLARK III |
| Credential | M.D. |
| Practice Address |
305 S 6th St Memphis TX 79245-3311 |
| Mailing Address |
Po Box 489 Memphis TX 79245-0489 |
| Practice Telephone | 8062592565 |
| Practice Fax Number | 8062593334 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
F-6532 | TX | Allopathic & Osteopathic Physicians |
| X | 208600000X | Surgery | F6532 | TX | Allopathic & Osteopathic Physicians |
| X | 208D00000X | General Practice | F6532 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457989048 | Robert William Clark | Registered Nurse | 1511 Se 16th Ave, Ocala, FL 34471-4627 | 2020-03-30 |
| 1578012225 | Robert Clark | Technician, Other | 5075 Belmere Dr, Manitou Beach, MI 49253-9626 | 2016-09-22 |
| 1447535620 | Robert Leal Clark | Ophthalmology | 901 Forest Ave., Johnson City, TN 37601 | 2011-10-19 |
| 1619287216 | Robert Earl Clark | Occupational Therapist | 6623 N Main St, Davenport, IA 52806 | 2010-10-15 |
| 1376778746 | Robert T Clark Sr. | Chiropractor | 2411 Us Highway 27 S, Sebring, FL 33870-4943 | 2009-05-28 |
| 1538358924 | Robert Coleman Clark | Massage Therapist | 1501b Grape St, Tallahassee, FL 32303-5637 | 2007-10-22 |
| 1376765925 | Robert Clark | Nurse Practitioner | Employee and Occupational Health, Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2007-05-03 |
| 1396963666 | Robert Clark | Licensed Practical Nurse | 26347 Lake Lindsey Rd, Brooksville, FL 34601-4304 | 2007-04-23 |
| 1770708349 | Robert Douglas Clark | Physical Therapist | 3580 Discovery Dr, Grove City, OH 43123-9329 | 2007-04-17 |
| 1053432633 | Robert Joseph Clark | Dentist | 5323 Brainerd Rd Ste 105, Chattanooga, TN 37411-5305 | 2007-04-02 |
| Street Address |
305 S 6TH ST |
| City | MEMPHIS |
| State | TX |
| Zip Code | 79245-3311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801290895 | Mark E. Hundley, Pllc | Community/Behavioral Health | 411 N. 16th St., Memphis, TX 79245 | 2014-10-20 |
| 1457404386 | Zues Leasing LLC | Skilled Nursing Facility | 1415 N. 18th Street, Memphis, TX 79245 | 2007-01-22 |
| 1669459491 | Central Texas Equities, Inc. | Skilled Nursing Facility | 1415 N 18th St, Memphis, TX 79245-2009 | 2005-12-22 |
| 1336385442 | Memphis I Enterprises, LLC | Skilled Nursing Facility | 1415 N 18th St, Memphis, TX 79245-2009 | 2008-12-18 |
| 1154375855 | Carole D Ward | Nurse Practitioner | 1645 N 18th St, Memphis, TX 79245-2059 | 2006-05-19 |
| 1003069279 | Clinic for Family Wellness Pllc | Clinic/Center | 1645 N 18th St, Memphis, TX 79245-2059 | 2008-10-31 |
| 1255360319 | Carole Ward, Fnp-c PC | Clinic/Center | 1645 N 18th St, Memphis, TX 79245-2059 | 2006-07-01 |
| 1467734780 | Memphis Independent School District | Local Education Agency (LEA) | 1501 High St, Memphis, TX 79245-2157 | 2011-09-13 |
| 1699704411 | Hall County Ems, Inc. | Ambulance | 618 W Main St, Memphis, TX 79245-3304 | 2006-07-02 |
| 1568424273 | J Gonzalez Inc. | Pharmacist | 506 W Noel St, Memphis, TX 79245-3328 | 2006-04-06 |
| Find all providers in zip 79245 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255565305 | Kenneth Stanley Robinson | Preventive Medicine | 814 Jefferson Ave, Memphis, TN 38105-5041 | 2009-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847672 | East Texas Functional Medicine Center, Pllc | Preventive Medicine | 419 Wsw Loop 323 Ste 400, Tyler, TX 75701-7063 | 2020-09-29 |
| 1710502695 | Carol Pena | Preventive Medicine | 412 Capricorn St, Cedar Hill, TX 75104-8106 | 2020-06-16 |
| 1003456583 | Southern Sector Health Initiative | Preventive Medicine | 4500 Spring Ave Ste 130, Dallas, TX 75210-1350 | 2020-01-13 |
| 1336786615 | Regenerative Practitioners Group | Preventive Medicine | 8200 Preston Road Suite 100, Plano, TX 75024 | 2019-12-05 |
| 1942845565 | Preferred Cardio Checkup Management LLC | Preventive Medicine | 211 Bent Creek Dr, Waxahachie, TX 75165-6353 | 2019-11-07 |
| 1982256129 | Lifeworx | Preventive Medicine | 6001 Lake Hubbard Pkwy, Garland, TX 75043-4727 | 2019-07-09 |
| 1053872200 | Leonel Vela | Preventive Medicine | Utrgv School of Medicine, 1201 W. University Dr., Edinburg, TX 78539 | 2019-03-29 |
| 1588122774 | Jason James Moran | Preventive Medicine | 38706 Sugar Wood Dr, Magnolia, TX 77355-2621 | 2019-03-06 |
| 1578047635 | Barry Davis | Preventive Medicine | 1200 Hermann Pressler Dr Ste 916, Houston, TX 77030-3900 | 2018-09-24 |
| 1013423284 | Anew You Medical Weight Loss and Spa | Preventive Medicine | 14602 Huebner Rd, 100, San Antonio, TX 78230 | 2017-12-23 |
| Find all providers with the same taxonomy | ||||
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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.