DR. CHERYL A. CLARK (NPI# 1750337549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750337549 |
| Entity Type | Individual |
| Full Name | DR. CHERYL A. CLARK |
| Credential | M.D. |
| Practice Address |
601 E Rollins St Orlando FL 32803-1248 |
| Practice Telephone | 4073037283 |
| Practice Fax Number | 4073030347 |
| Mailing Telephone | 4073037283 |
| Mailing Fax Number | 4073030347 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2019-11-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
ME45484 | FL | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
ME45484 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 019628100 | 05 | |
| FL | BLUE CROSS BLUE SHIELD | 01035 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518418045 | Cheryl Clark | Case Manager/Care Coordinator | 1644 B Carter Suite 2, Vidalia, LA 71373 | 2016-10-19 |
| 1225206121 | Cheryl Clark | Speech-Language Pathologist | 75 Gilcreast Rd Unit 201, Londonderry, NH 03053-3564 | 2008-02-13 |
| 1881150613 | Cheryl Clark | Physical Therapy Assistant | 5721 Grosvenor Ln, Bethesda, MD 20814-1833 | 2019-02-18 |
| 1356829857 | Cheryl K Clark | Licensed Vocational Nurse | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2018-08-06 |
| 1881927523 | Cheryl Beth Clark | Social Worker | 431 Grove St N, Suite E, Dahlonega, GA 30533-0437 | 2009-09-14 |
| 1558509919 | Cheryl Clark | Registered Nurse | 1604 Visa Dr Ste 1, Normal, IL 61761-2195 | 2009-01-23 |
| 1700044856 | Cheryl Clark | Speech-Language Pathologist | 510 Carpenter Ave, Mooresville, NC 28115-2512 | 2008-05-27 |
| 1922135854 | Cheryl Louise Clark | Speech-Language Pathologist | 505 S Main St, Suite 249, Las Cruces, NM 88001-1206 | 2007-02-27 |
| 1669515227 | Cheryl Catherine Clark | Counselor | 1 Washington St, Taunton, MA 02780-3960 | 2007-02-14 |
| 1588744932 | Cheryl Clark | Nurse Practitioner | 3713 Richfield Rd, Greensboro, NC 27410-2111 | 2006-10-17 |
| Street Address |
601 E ROLLINS ST |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803-1248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295739522 | David Kos | Radiology | 601 E Rollins St, Orlando, FL 32803-1248 | 2005-05-23 |
| 1063013845 | Samuel Acosta | Nurse Practitioner | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-11-06 |
| 1972110641 | Laura Nazario | Nurse Practitioner | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-09-28 |
| 1710593561 | Ambber Marie Harms | Advanced Practice Midwife | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-09-17 |
| 1598375628 | Brent Windrow | Registered Nurse | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-08-04 |
| 1689284929 | Brianne Beacham | Anesthesiology | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-08-02 |
| 1205444569 | Jamie Matthew Litteral | Pharmacist | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-07-22 |
| 1639794761 | Idna Angervil | Registered Nurse | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-06-15 |
| 1316567597 | Bryn Nadeau | Occupational Therapist | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-04-17 |
| 1457971665 | Brooke Ashley Koopman | Registered Nurse | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952636 | Laiza Souza Tanner | Technician | 500 E Rollins St, Orlando, FL 32803 | 2020-04-27 |
| 1407415342 | Betty Carrol | Marriage & Family Therapist | 1516 E Colonial Dr Ste 100, Orlando, FL 32803 | 2019-06-12 |
| 1326606047 | Anthony Balingit | Physical Therapy Assistant | 1870 Aloma Avenue, Orlando, FL 32803 | 2019-05-29 |
| 1396234795 | Natasha Le Morvan | Technician/Technologist | 1364 Ferris Ave, Orlando, FL 32803 | 2018-05-02 |
| 1306365796 | Sarah E Fischer | Nurse Practitioner | Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 | 2017-09-17 |
| 1710404249 | Emilia's Direct Care Agency | Community/Behavioral Health | 3218 E Colonial Dr Rm 118, Orlando, FL 32803 | 2017-08-25 |
| 1760907620 | Kalie Brianne Morris | Speech-Language Pathologist | 1120 Portland Ave Unit 7, Orlando, FL 32803 | 2017-08-11 |
| 1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
| 1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
| 1598209249 | Danielle Marin | Behavioral Analyst | 2807 Edgewater Dr, Orlando, FL 32803 | 2016-12-15 |
| Find all providers in zip 32803 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144209669 | Mariselly Medina-irizarry | Internal Medicine | 8803 Futures Dr Ste 7, Orlando, FL 32819-9076 | 2006-01-12 |
| 1831178698 | Yitzhak D Haim | Internal Medicine | 1115 E Ridgewood St, Orlando, FL 32803-5443 | 2006-01-11 |
| 1851896872 | Dana Lyn Anctil | Internal Medicine | 86 W Underwood St, Orlando, FL 32806-1110 | 2018-03-30 |
| 1134537111 | Alvaro Martin Menjivar | Internal Medicine | 601 E Rollins St, Orlando, FL 32803-1248 | 2014-07-23 |
| 1639583248 | Mehul Patel | Internal Medicine | 601 E Rollins St, Orlando, FL 32803-1248 | 2014-06-12 |
| 1407276157 | Mary K. Reischmann | Internal Medicine | 1222 S Orange Ave, Orlando, FL 32806-1215 | 2014-04-21 |
| 1477829125 | David S Bostick | Internal Medicine | 86 W Underwood St, Orlando, FL 32806-1110 | 2012-03-27 |
| 1700171816 | Gregory D. Ruppel | Internal Medicine | 601 E Rollins St, Orlando, FL 32803-1248 | 2011-06-16 |
| 1659675296 | Carlos H Silva | Internal Medicine | 86 W Underwood St, Orlando, FL 32806-1110 | 2010-12-22 |
| 1164735502 | Herman Gabriel Gaztambide | Internal Medicine | 86 W Underwood St, Orlando, FL 32806-1110 | 2010-07-14 |
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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.