SALLIE BROOKS CLARK (NPI# 1780681999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780681999 |
| Entity Type | Individual |
| Full Name | SALLIE BROOKS CLARK |
| Credential | MD |
| Practice Address |
1421 S Potomac St Ste 220 Aurora CO 80012 |
| Mailing Address |
1421 S Potomac St Ste 220 Aurora CO 80012-4512 |
| Practice Telephone | 3033375600 |
| Practice Fax Number | 3033377734 |
| Mailing Telephone | 3033375600 |
| Mailing Fax Number | 3033377734 |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2018-06-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 29564 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01295641 | 05 |
| Street Address |
1421 S POTOMAC ST STE 220 |
| City | AURORA |
| State | CO |
| Zip Code | 80012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447256698 | Robert Turner Rowland | Surgery | 1421 S Potomac St Ste 220, Aurora, CO 80012 | 2005-06-22 |
| 1831223072 | Michael C Barlow Md PC | Internal Medicine | 1421 S Potomac St Ste 220, Aurora, CO 80012-4512 | 2007-03-16 |
| 1720125602 | Shinichi Steve Yasuzawa | Specialist | 1421 S Potomac St Ste 220, Aurora, CO 80012-4512 | 2007-01-31 |
| 1598750283 | Michael C Barlow | Internal Medicine | 1421 S Potomac St Ste 220, Aurora, CO 80012-4512 | 2005-09-19 |
| 1407852619 | Michael Christopher Fraterelli | Surgery | 1421 S Potomac St Ste 220, Aurora, CO 80012 | 2005-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225650765 | Veronica Kabuika | Specialist/Technologist, Other | 6792 E Tennessee Ave, Suite 645, Denver, CO 80012 | 2020-05-07 |
| 1811547631 | Aurora Dental and Orthodontics Pllc | Dentist | 15000 E Mississippi Ave, Aurora, CO 80012 | 2019-09-13 |
| 1306362108 | Melynda Barrios | Massage Therapist | 11912 E Nevada Cir, Aurora, CO 80012 | 2017-08-14 |
| 1851815633 | Gabriela Alejandra Perez-saenz | Audiologist | 1550 S. Potomac St. #305, Aurora, CO 80012 | 2017-08-02 |
| 1568991511 | Iora Health Colorado, P.C. | Internal Medicine | 1080 S. Sable Blvd., Aurora, CO 80012 | 2017-06-05 |
| 1275069734 | Sandra Pacheco | Case Manager/Care Coordinator | 10782 E Alameda Avenue, Aurora, CO 80012 | 2017-05-03 |
| 1578002010 | Green Taxi Corporation | Taxi | 10 S Havana St #103, Aurora, CO 80012 | 2017-02-16 |
| 1104372713 | Moss LLC | Non-emergency Medical Transport (VAN) | 950 S Cimmaron Way Unit K-201, Aurora, CO 80012 | 2016-09-01 |
| 1023461647 | Thompson Sowash | Optometrist | 13955 E Mississippi, Aurora, CO 80012 | 2016-07-19 |
| 1598117731 | Act of Kindness LLC | Respite Care | 1010 S Joliet Street Suite #101, Aurora, CO 80012 | 2016-07-12 |
| Find all providers in zip 80012 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316508856 | Daniel Eduardo Espina | Surgery | 12631 E 17th Ave # 6117, Aurora, CO 80045-2527 | 2019-06-25 |
| 1508388166 | Sristi Sharma | Surgery | 12631 E. 17th Ave., C302, Aurora, CO 80045 | 2017-07-14 |
| 1538538954 | Home Care Travel Docs Inc | Surgery | 519 W Downer Pl, Suite 414, Aurora, IL 60506-5036 | 2015-09-15 |
| 1386910669 | Cordelie Elizabeth Witt | Surgery | 12631 E. 17th Avenue, Room 5401, Mail Stop C-291, Aurora, CO 80045 | 2012-03-30 |
| 1407167695 | Jose Luis Diaz-miron | Surgery | 12631 E 17th Ave Rm 6111, Aurora, CO 80045-2527 | 2010-06-23 |
| 1568788594 | Patrick Sean Duffy | Surgery | 12631 E 17th Ave Ste C313, Aurora, CO 80045-2728 | 2010-04-15 |
| 1124340682 | Frank Leroy Frable | Surgery | 412 Sunnyside Avenue, Aurora, IN 47001-1526 | 2010-02-24 |
| 1104055128 | Vicente Valero IIi | Surgery | 12631 E 17th Ave Rm 5401, Mail Stop C-291, Aurora, CO 80045-2527 | 2009-07-12 |
| 1295977577 | Kirsten Ann Freeman | Surgery | 12631 E. 17th Place, Aurora, CO 80045 | 2009-04-01 |
| 1457523441 | Southeast Denver Acute Surgical Consultants,llc | Surgery | 17354 E Weaver Dr, Aurora, CO 80016-3189 | 2008-03-31 |
| Find all providers in AURORA | ||||
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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.