ROBERT B. CLARK (NPI# 1780749002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780749002 |
| Entity Type | Individual |
| Full Name | ROBERT B. CLARK |
| Credential | MD |
| Practice Address |
John Dempsey Hospital 263 Farmington Avenue, Mc-1601 Farmington CT 06030-0001 |
| Practice Telephone | 8606792179 |
| Mailing Telephone | 8606792179 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 023229 | CT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457989048 | Robert William Clark | Registered Nurse | 1511 Se 16th Ave, Ocala, FL 34471-4627 | 2020-03-30 |
| 1578012225 | Robert Clark | Technician, Other | 5075 Belmere Dr, Manitou Beach, MI 49253-9626 | 2016-09-22 |
| 1447535620 | Robert Leal Clark | Ophthalmology | 901 Forest Ave., Johnson City, TN 37601 | 2011-10-19 |
| 1619287216 | Robert Earl Clark | Occupational Therapist | 6623 N Main St, Davenport, IA 52806 | 2010-10-15 |
| 1376778746 | Robert T Clark Sr. | Chiropractor | 2411 Us Highway 27 S, Sebring, FL 33870-4943 | 2009-05-28 |
| 1538358924 | Robert Coleman Clark | Massage Therapist | 1501b Grape St, Tallahassee, FL 32303-5637 | 2007-10-22 |
| 1376765925 | Robert Clark | Nurse Practitioner | Employee and Occupational Health, Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2007-05-03 |
| 1396963666 | Robert Clark | Licensed Practical Nurse | 26347 Lake Lindsey Rd, Brooksville, FL 34601-4304 | 2007-04-23 |
| 1770708349 | Robert Douglas Clark | Physical Therapist | 3580 Discovery Dr, Grove City, OH 43123-9329 | 2007-04-17 |
| 1053432633 | Robert Joseph Clark | Dentist | 5323 Brainerd Rd Ste 105, Chattanooga, TN 37411-5305 | 2007-04-02 |
| Street Address |
JOHN DEMPSEY HOSPITAL 263 FARMINGTON AVENUE, MC-1601 |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06030-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770542524 | Heather Lee Spear | Nurse Practitioner | John Dempsey Hospital, 263 Farmington Avenue, Farmington, CT 06030-0001 | 2006-03-21 |
| 1407191034 | Elaine M. Cournean | Nurse Practitioner | John Dempsey Hospital, 263 Farmington Avenue, Farmington, CT 06030-0001 | 2012-12-08 |
| 1154441640 | Joseph R. Varano | Physician Assistant | John Dempsey Hospital, 263 Farmington Avenue, Mc-2956, Farmington, CT 06030-0001 | 2007-03-30 |
| 1184772923 | Sharon P. Kelly | Nurse Practitioner | John Dempsey Hospital, 263 Farmington Avenue, Mc-2203, Farmington, CT 06030-0001 | 2007-01-08 |
| 1538217377 | Wendy A. Petow | Nurse Practitioner | John Dempsey Hospital, 263 Farmington Avenue, Mc-2956, Farmington, CT 06030-0001 | 2007-01-08 |
| 1851458889 | Mary Jane Fitzpatrick | Nurse Practitioner | John Dempsey Hospital, 263 Farmington Avenue, Mc-6204, Farmington, CT 06030-0001 | 2007-01-02 |
| 1568529667 | Claudia J. Wittenzellner | Nurse Practitioner | John Dempsey Hospital, 263 Farmington Avenue, Mc-2956, Farmington, CT 06030-0001 | 2007-01-02 |
| 1669539540 | Maria M. Haar | Nurse Practitioner | John Dempsey Hospital, 263 Farmington Avenue, Mc-2956, Farmington, CT 06030-0001 | 2007-01-02 |
| 1356408165 | Ronald A. Salonia | Specialist/Technologist, Other | John Dempsey Hospital, 263 Farmington Avenue, Mc-2023, Farmington, CT 06030-0001 | 2007-01-02 |
| 1346307147 | Paul Jauregui | Specialist/Technologist, Other | John Dempsey Hospital, 263 Farmington Avenue, Mc-2023, Farmington, CT 06030-0001 | 2007-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821617606 | David Wozny | Student in an Organized Health Care Education/Training Program | General Medicine Clinic, Outpatient Pavillion-2 East, 263 Farmington Ave, Farmington, CT 06030 | 2020-04-13 |
| 1508495185 | Zachary Boivin | Student in an Organized Health Care Education/Training Program | Emergency Medicine Office, 263 Farmington Ave, Farmington, CT 06030 | 2020-04-06 |
| 1063903730 | Agura Afiari | Student in an Organized Health Care Education/Training Program | Uconn School of Medicine, 263 Farmington Avenue, Farmington, CT 06030 | 2018-05-29 |
| 1750879474 | Areeba Siddiqui | Student in an Organized Health Care Education/Training Program | 263 Farmington Avenue Mc1921, Farmington, CT 06030 | 2018-04-27 |
| 1508362013 | Arya Saniee I | Student in an Organized Health Care Education/Training Program | 264 Farmington Ave, Farmington, CT 06030 | 2018-04-03 |
| 1679828594 | Randall Morera | Student in an Organized Health Care Education/Training Program | 262 Farmington Ave, Farmington, CT 06030 | 2012-07-17 |
| 1750644365 | Ugonna Ijeoma | Student in an Organized Health Care Education/Training Program | 260 Farmington Ave, Farmington, CT 06030 | 2012-06-19 |
| 1407018419 | Julia Marie Toto | Plastic Surgery | University Physicians, 263 Farmington Avenue, Farmington, CT 06030 | 2008-06-30 |
| 1851456495 | Jeffrey Gross | Anesthesiology | 263 Farmington Avenue, Mc-2015, John Dempsey Hospital, Farmington, CT 06030 | 2006-12-26 |
| 1649225269 | Julian Nieves | Internal Medicine | 263 Famrington Avenue, Farmington, CT 06030 | 2006-05-23 |
| Find all providers in zip 06030 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1841642659 | Mian Harris Iftikhar | Internal Medicine | Center On Aging 263 Farmington Avenue, Farmington, CT 06030-5215 | 2016-07-05 |
| 1275989410 | Pamela Georges Samaha | Internal Medicine | 2 West 263 Farmington Avenue, Internal Medicine Associates, Outpatient Pavilion, Farmington, CT 06032 | 2016-05-06 |
| 1366821878 | John J. Wisniewski | Internal Medicine | 36728 Brittany Hill Dr, Farmington, MI 48335-2906 | 2015-05-29 |
| 1972914901 | Ryan Alexander Darnall | Internal Medicine | Uconn Health Center School of Medicine, General Medicine Clinic-mc2811 263 Farmington Ave., Farmington, CT 06030-2811 | 2014-05-13 |
| 1598104564 | Cynthia Evans | Internal Medicine | Primary Care Internal Medicine, Uconn Health Center 263 Farmington Ave., Farmington, CT 06030-1234 | 2013-06-22 |
| 1790030195 | Bishan Chakravarty | Internal Medicine | 703 Maple Valley Drive, Farmington, MO 63640 | 2012-07-21 |
| 1790045086 | Yuriy Kulyak | Internal Medicine | 270 Farmington Ave Ste 352, Farmington, CT 06032-1996 | 2012-05-21 |
| 1740569763 | Genesis Physician Associates LLC | Internal Medicine | 4801 N Butler Avenue, Suite 8102, Farmington, NM 87401-0818 | 2011-08-08 |
| 1285927996 | David Rice, Md, LLC, P.a. | Internal Medicine | 107 Box Shop Hl, Farmington, ME 04938-5749 | 2011-05-27 |
| 1639499759 | Jaime Padavil Moskowitz | Internal Medicine | 406 Farmington Ave, Farmington, CT 06032-1964 | 2010-06-11 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 06030 |
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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.