JOSHUA CLARK (NPI# 1710349592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710349592 |
| Entity Type | Individual |
| Full Name | JOSHUA CLARK |
| Credential | M.D. |
| Practice Address |
360 S Garden Way Ste 230 Eugene OR 97401-8187 |
| Mailing Address |
360 S Garden Way Ste 230 Eugene OR 97401-8187 |
| Practice Telephone | 5417476159 |
| Practice Fax Number | 5417417249 |
| Mailing Telephone | 5417476159 |
| Mailing Fax Number | 5417417249 |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2020-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | MD197684 | OR | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| 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 |
| 1639127772 | Joshua Maxson Clark | Family Medicine | 645 E State Highway 121, Suite 600, Coppell, TX 75019-7942 | 2006-05-04 |
| 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 |
| Street Address |
360 S GARDEN WAY STE 230 |
| City | EUGENE |
| State | OR |
| Zip Code | 97401-8187 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538147053 | Lisa M Ingold | Physician Assistant | 360 S Garden Way Ste 230, Eugene, OR 97401-8187 | 2006-01-04 |
| 1558515494 | Jay Y Park Md, PC | Dermatology | 360 S Garden Way Ste 230, Eugene, OR 97401-8173 | 2008-11-05 |
| 1467559286 | Troy Richey Md PC | Dermatology | 360 S Garden Way Ste 230, Eugene, OR 97401-8187 | 2006-09-20 |
| 1023086857 | Jay Y Park | Dermatology | 360 S Garden Way Ste 230, Eugene, OR 97401-8187 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427681709 | Sarah Voigt | Counselor | 2149 Centennial Plaza Suite #4, Eugene, OR 97401 | 2020-02-14 |
| 1801426242 | Therapeutic Associates, Inc. | Physical Therapist | 760 Charnelton St., Suite 760, Eugene, OR 97401 | 2020-01-24 |
| 1225676232 | Aaron James Barber | Massage Therapist | 1375 Pearl St, Eugene, Or 97401, Eugene, OR 97401 | 2019-12-20 |
| 1851957047 | Altru Home Care LLC | Nursing Care | 1345 Olive St., Eugene, OR 97401 | 2019-05-14 |
| 1881155208 | Herron Jordanna Spence | Speech-Language Pathologist | 385 West 2nd Ave., Eugene, OR 97401 | 2019-03-28 |
| 1750855094 | Brandon Marshall | Counselor | 1158 High St Ste 202, Eugene, OR 97401 | 2019-01-21 |
| 1881172591 | Kayla Nicole O'brien | Nurse Practitioner | Country Club In Eugene, 520 Country Club Road, Eugene, OR 97401 | 2018-08-03 |
| 1962992180 | Shannon Jensen Smyth | Counselor | Va Eugene Downtown Clinic, 211 E. 7th Ave, Eugene, OR 97401 | 2018-05-14 |
| 1902305956 | Christine Noel Gray | Peer Specialist | 499 W. 4th Ave, Eugene, OR 97401 | 2018-02-06 |
| 1821507344 | Anjuli Chitkara | Psychologist | 1679 Willamette Street, Eugene, OR 97401 | 2017-09-27 |
| Find all providers in zip 97401 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770878837 | Hannibal Eccles | Dermatology | 920 Country Club Rd Ste 140a, Eugene, OR 97401 | 2011-06-16 |
| 1093918658 | Benjamin G Vazquez | Dermatology | 992 Country Club Rd Ste 201, Eugene, OR 97401-6023 | 2007-06-08 |
| 1750447546 | Diane L Baird Md PC | Dermatology | 360 S Garden Way #210, Eugene, OR 97401 | 2006-12-28 |
| 1891734448 | Diane L Baird | Dermatology | 360 S.garden Way, Suite 210, Eugene, OR 97401 | 2006-06-06 |
| 1245872357 | Cascade Dermatology and Aesthetics | Dermatology | 992 Country Club Rd Ste 201, Eugene, OR 97401-6023 | 2019-10-09 |
| 1669785820 | Sean Mcelligott | Dermatology | 1200 Hilyard St, Suite 520, Eugene, OR 97401-8122 | 2010-07-16 |
| 1407038342 | Cynthia A Dreyer | Dermatology | 743 Country Club Rd, Eugene, OR 97401-6019 | 2007-12-03 |
| 1588861058 | Chong Wee Foo | Dermatology | 1200 Hilyard St, Suite 520, Eugene, OR 97401-8122 | 2007-06-28 |
| 1467559286 | Troy Richey Md PC | Dermatology | 360 S Garden Way Ste 230, Eugene, OR 97401-8187 | 2006-09-20 |
| 1457458192 | Troy K. Richey | Dermatology | 360 S Garden Way, Ste 230, Eugene, OR 97401-8187 | 2006-09-17 |
| Find all providers in EUGENE | ||||
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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.