CLARK HUNTER ALLEN (NPI# 1780679126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780679126 |
| Entity Type | Individual |
| Full Name | CLARK HUNTER ALLEN |
| Credential | M.D. |
| Practice Address |
3345 Potomac Way Idaho Falls ID 83404 |
| Practice Telephone | 2085526210 |
| Practice Fax Number | 2085522027 |
| Mailing Telephone | 2085526210 |
| Mailing Fax Number | 2085522027 |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2015-12-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | M8027 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 805808300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205946076 | Clark E Allen | Psychologist | 180 Hubbard St, Glastonbury, CT 06033-3063 | 2006-08-30 |
| 1811468606 | Clark Allen | Pharmacist | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2018-12-06 |
| Street Address |
3345 POTOMAC WAY |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538664651 | M'kenzi Ann Jenkins | Massage Therapist | 3345 Potomac Way, Idaho Falls, ID 83404-4978 | 2018-03-29 |
| 1720581465 | Lora Robinson | Nurse Practitioner | 3345 Potomac Way, Idaho Falls, ID 83404-4978 | 2018-03-08 |
| 1386018950 | Cody Fowler | Physician Assistant | 3345 Potomac Way, Idaho Falls, ID 83404-4978 | 2015-11-19 |
| 1750787297 | Idaho Neurosurgery & Spine Pllc | Neurological Surgery | 3345 Potomac Way, Idaho Falls, ID 83404 | 2014-11-11 |
| 1538577473 | Elliot Huntsman | Nurse Practitioner | 3345 Potomac Way, Idaho Falls, ID 83404 | 2014-07-23 |
| 1124460373 | Anna L. Zobell | Registered Nurse | 3345 Potomac Way, Idaho Falls, ID 83404 | 2013-07-29 |
| 1457606279 | John D Dickinson | Neurological Surgery | 3345 Potomac Way, Idaho Falls, ID 83404 | 2012-07-18 |
| 1295942142 | Brandon Reyes Kelly | Neurological Surgery | 3345 Potomac Way, Idaho Falls, ID 83404 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962592022 | Robert Lee Cach | Neurological Surgery | 2375 E Sunnyside Rd Ste G, Idaho Falls, ID 83404-8281 | 2006-10-12 |
| 1558457572 | Stephen R Marano | Neurological Surgery | 1975 Martha Ave, Ste A, Idaho Falls, ID 83404-7580 | 2006-10-05 |
| 1134155666 | Brent H. Greenwald | Neurological Surgery | 3155 Channing Way, Suite B, Idaho Falls, ID 83404-7546 | 2006-06-25 |
| 1750787297 | Idaho Neurosurgery & Spine Pllc | Neurological Surgery | 3345 Potomac Way, Idaho Falls, ID 83404 | 2014-11-11 |
| 1457606279 | John D Dickinson | Neurological Surgery | 3345 Potomac Way, Idaho Falls, ID 83404 | 2012-07-18 |
| 1477798148 | Idaho Neurosurgical Center, Pa | Neurological Surgery | 2375 E Sunnyside Rd, Suite G, Idaho Falls, ID 83404-8280 | 2008-12-10 |
| 1295942142 | Brandon Reyes Kelly | Neurological Surgery | 3345 Potomac Way, Idaho Falls, ID 83404 | 2007-05-17 |
| 1992834089 | Stephen R Marano Md PC | Neurological Surgery | 2375 E Sunnyside Rd, Ste F, Idaho Falls, ID 83404-7579 | 2007-03-05 |
| 1497838478 | James Lee Cook | Neurological Surgery | 1975 Martha Ave, Ste A, Idaho Falls, ID 83404-7580 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245603505 | Scott Huneycutt Md Pllc | Neurological Surgery | 2240 E Center St Ste A, Pocatello, ID 83201-2600 | 2015-11-09 |
| 1992049696 | William Bradford Delong | Neurological Surgery | 222 Blue Ridge Ct, Orofino, ID 83544-9019 | 2012-11-19 |
| 1932373453 | Michael Raber | Neurological Surgery | 2236 N Merritt Creek Loop Ste A, Coeur D Alene, ID 83814-4960 | 2008-04-15 |
| 1578743522 | Richard Lochhead | Neurological Surgery | 6140 W. Curtisian Ave, Ste 400, Boise, ID 83604-8907 | 2007-11-07 |
| 1649353947 | Jeffrey J Larson | Neurological Surgery | 3320 N Grand Mill Ln, Coeur D Alene, ID 83814-5689 | 2006-10-23 |
| 1962508366 | Bret A Dirks | Neurological Surgery | 850 W Ironwood Dr Suite 300, Coeur Dalene, ID 83814 | 2006-09-15 |
| 1558472910 | Jeffrey Dean Mcdonald | Neurological Surgery | 980 W Ironwood Drive, #206, Coeur D Alene, ID 83814 | 2006-08-31 |
| 1497788160 | William Francis Ganz | Neurological Surgery | 2236 N Merrit Creek Loop, Suite A, Coeur D Alene, ID 83814-4960 | 2006-07-08 |
| 1780620765 | Donald S Soloniuk | Neurological Surgery | 324 5th St, Suite 101, Lewiston, ID 83501-2408 | 2006-06-20 |
| 1588665434 | D Peter Reedy | Neurological Surgery | 999 N Curtis, #307, Boise, ID 83706-1333 | 2005-08-02 |
| Find all providers with the same taxonomy | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
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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.