DR. SONYA M CLARK P.C. (NPI# 1740846393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740846393 |
Entity Type | Organization |
Organization Name | DR. SONYA M CLARK P.C. |
Other Organization Name | UPSTATE HAND CENTER |
Practice Address |
89 W Mills St Columbus NC 28722-9450 |
Mailing Address |
1702 Skylyn Dr Spartanburg SC 29307-1040 |
Practice Telephone | 8643088668 |
Practice Fax Number | 8646408488 |
Mailing Telephone | 8643088668 |
Mailing Fax Number | 8646408488 |
Enumeration Date | 2019-05-18 |
Last Update Date | 2020-05-21 |
Authorized Official Name | DR. SONYA MICIAK CLARK (OWNER/ PHYSICIAN) |
Authorized Official Telephone | 8643088668 |
Authorized Official Credential | DO |
Is Organization Subpart | Y |
Parent Organization Name | UPSTATE HAND CENTER |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
1427174374 | NPI | 01 | |
SC | NPI | 1336579093 | 01 |
Other Name | Type Code |
---|---|
Dr . Sonya M Clark PC | Other Name - Individual/Organization |
Dr Sonya M Clark PC | Doing Business As Name - Organization |
Upstate Hand Center | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
1702 Skylyn Dr, Spartanburg, SC 293071040 | 8643088668 | 8646408488 |
89 W Mills St, Columbus, NC 287229450 | 8643088668 | 8646408488 |
89 W Mills Street, Columus, USA 28722, UM | 8643088668 | 8646408488 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336579093 | Dr. Sonya M Clark P.C. | Orthopaedic Surgery | 1702 Skylyn Dr, Spartanburg, SC 29307-1040 | 2013-11-16 |
Street Address |
89 W MILLS ST |
City | COLUMBUS |
State | NC |
Zip Code | 28722-9450 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245206036 | Brian Rosenberg | Orthopaedic Surgery | 89 W Mills St, Suite A, Columbus, NC 28722-9450 | 2006-02-23 |
1154563385 | St. Luke's Physician Network Inc. | Orthopaedic Surgery | 89 W Mills St, Suite A, Columbus, NC 28722-9450 | 2009-04-02 |
1447449764 | Susanne Wise | Physician Assistant | 89 W Mills St, Suite A, Columbus, NC 28722-9450 | 2007-10-23 |
1922189075 | Mark Genero | Physician Assistant | 89 W Mills St, Suite A, Columbus, NC 28722-9450 | 2006-10-17 |
1861587560 | Jerome L Pettit | Physician Assistant | 89 W Mills St, Suite A, Columbus, NC 28722-9450 | 2006-10-04 |
1578514261 | Vince R Scoggins | Physician Assistant | 89 W Mills St, Suite A, Columbus, NC 28722-9450 | 2006-05-15 |
1972551448 | Thomas Cadier | Orthopaedic Surgery | 89 W Mills St, Suite A, Columbus, NC 28722-9450 | 2006-05-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508329145 | Polk County Rescue Squad | Ambulance | 133 Walker St, Columbus, NC 28722 | 2019-04-10 |
1912406612 | Healthstat Onsite Clinic Coats Hatch | Preventive Medicine | 960 East Nc 108 Highway, Columbus, NC 28722 | 2018-02-08 |
1013437532 | Mission Medical Associates, Inc. | Family Medicine | 589 Peniel Rd, Columbus, NC 28722 | 2017-06-26 |
1306272521 | Healthstat On-site Clinic/milliken Hatch | Preventive Medicine | 960 E Nc 108 Hwy, Columbus, NC 28722 | 2013-09-19 |
1295177988 | Rebecca Ann Fox | Pharmacist | 725 Laurel Ridge Rd, Columbus, NC 28722 | 2013-07-23 |
1063789808 | James Rick Mccallister | Counselor | 801 W. Mills St., Polk Wellness Center, Columbus, OH 28722 | 2011-11-22 |
1942502661 | David Ira Hendricks | Pharmacist | 333 West Mills Street, Columbus, NC 28722 | 2010-12-01 |
1346476298 | Cami Lockhart Dotson | Orthotic Fitter | 133 Shuford Road, Columbus, NC 28722 | 2009-06-05 |
1528237740 | David C Cotty Dmd & Associates Pa | Dentist | 816 West Mills Street, Suite E, Columbus, NC 28722 | 2008-02-21 |
1770619439 | Advent Internal Medicine | Internal Medicine | 11 Sunshine Ln, Columbus, NC 28722 | 2007-02-26 |
Find all providers in zip 28722 |
Taxonomy Code | 207XS0106X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Hand Surgery |
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366767162 | Amy Lynne Speeckaert | Orthopaedic Surgery | 915 Olentangy River Rd Fl 3, Columbus, OH 43212 | 2010-04-05 |
1063410090 | Michael E Ruff | Orthopaedic Surgery | 2050 Kenny Rd, Ste. 3300, Columbus, OH 43221-3502 | 2005-07-13 |
1982602124 | Paul Albert Cook | Orthopaedic Surgery | 1210 Gemini Place, Suite 200, Columbus, OH 43240-6110 | 2005-07-12 |
1104824416 | Raymond J Kobus | Orthopaedic Surgery | 1210 Gemini Pl Ste 200, Columbus, OH 43240-6110 | 2005-07-11 |
1104086545 | Abhishek Julka | Orthopaedic Surgery | 915 Olentangy River Rd, Columbus, OH 43212-3153 | 2008-06-10 |
1194997015 | Sonu Abhishek Jain | Orthopaedic Surgery | 915 Olentangy River Rd, Ste 3200, Columbus, OH 43212-3153 | 2008-04-01 |
1083667273 | Ryan D Klinefelter | Orthopaedic Surgery | 1313 Olentangy River Rd, Columbus, OH 43212-3120 | 2006-05-18 |
1720062888 | Desmond J Stutzman | Orthopaedic Surgery | 1313 Olentangy River Rd, Columbus, OH 43212-3129 | 2005-12-02 |
1639177512 | Lawrence Michael Lubbers | Orthopaedic Surgery | 1210 Gemini Place, Suite 200, Columbus, OH 43240-6110 | 2005-07-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669581559 | Lacy Eugene Thornburg | Orthopaedic Surgery | 18 Medical Park Dr, Carolina Hand and Sports Medicine, Pa, Asheville, NC 28803-2493 | 2006-08-30 |
1275642159 | Ronald Jay Neimkin | Orthopaedic Surgery | 20 Mcdowell Street, Asheville, NC 28801-4104 | 2006-08-30 |
1619912466 | Eagen Gene Deune | Orthopaedic Surgery | Unc School of Medicine/plastic Surgery, 101 Manning/burnett Womack, Chapel Hill, NC 27514 | 2006-06-17 |
1730181223 | Jeffrey Alan Baker | Orthopaedic Surgery | 1809 Brenner Ave, Ste 102, Salisbury, NC 28144 | 2005-08-15 |
1417512690 | Wakemed Specialists Group LLC | Orthopaedic Surgery | 3009 New Bern Ave, Raleigh, NC 27610-1214 | 2019-05-03 |
1265095863 | Orthocarolina, Pa | Orthopaedic Surgery | 441 Mcalister Rd Ste 1100a, Lincolnton, NC 28092-4127 | 2019-04-18 |
1811432727 | Fiesky Alejandro Nunez Sr. | Orthopaedic Surgery | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2017-01-01 |
1851748040 | Highlands-cashiers Hospital, Inc. | Orthopaedic Surgery | 57 White Owl Ln, Cashiers, NC 28717 | 2016-05-18 |
1235473802 | Haywood Regional Medical Center | Orthopaedic Surgery | 581 Leroy George Dr, Suite 300, Clyde, NC 28721-8084 | 2012-11-20 |
1801164538 | Orthocarolina, Pa | Orthopaedic Surgery | 3060 Hickory Blvd, Hudson, NC 28638-2659 | 2011-12-08 |
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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.