GINA CLARK (NPI# 1790065399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790065399 |
Entity Type | Individual |
Full Name | GINA CLARK |
Credential | DO |
Practice Address |
1505 E Main St Stigler OK 74462-2913 |
Mailing Address |
Po Box 179 Stigler OK 74462-0179 |
Practice Telephone | 9189673368 |
Practice Fax Number | 9189674582 |
Mailing Telephone | 9189673368 |
Mailing Fax Number | 9189674582 |
Enumeration Date | 2011-08-26 |
Last Update Date | 2018-11-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | 172613 | NC | Allopathic & Osteopathic Physicians |
Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
5482 | OK | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265985956 | Gina Maria Clark | Community Health Worker | 8212 Forest Oaks Blvd, Spring Hill, FL 34606-6839 | 2016-07-28 |
1871732412 | Gina Marie Clark | Social Worker | 1008 W Avenue J10, Lancaster, CA 93534-4828 | 2009-02-05 |
1023151784 | Gina Clark | Counselor | 800 E 6th Ave Ste B, Stillwater, OK 74074-3732 | 2007-02-14 |
1124101332 | Gina K Clark | Nurse Practitioner | 990 Wilkinson Trce Ste 100, Bowling Green, KY 42103-3404 | 2006-10-23 |
1174912406 | Gina Clark | Nurse Practitioner | 4200 Gardiner View Ave, Louisville, KY 40213-1877 | 2015-01-09 |
1891119996 | Gina Clark | Social Worker | 1225 E Big Beaver Rd, Troy, MI 48083-1905 | 2014-02-10 |
1427470558 | Gina Clark | Physical Therapist | 551 Lone Pine Blvd, The Dalles, OR 97058-9403 | 2014-01-08 |
1992020887 | Gina M. Clark | Student in an Organized Health Care Education/Training Program | 275 W Macarthur, Oakland, CA 94611-5641 | 2010-04-02 |
Street Address |
1505 E MAIN ST |
City | STIGLER |
State | OK |
Zip Code | 74462-2913 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891752853 | Stigler Health and Wellness Center Inc | Clinic/Center | 1505 E Main St, Stigler, OK 74462-2913 | 2006-04-26 |
1598387607 | Traci Lee | Case Manager/Care Coordinator | 1505 E Main St, Stigler, OK 74462-2913 | 2020-05-12 |
1336761881 | Bailey A Upton | Case Manager/Care Coordinator | 1505 E Main St, Stigler, OK 74462-2913 | 2020-05-07 |
1861024853 | Jesse A Gilmore | Dietitian, Registered | 1505 E Main St, Stigler, OK 74462-2913 | 2020-02-07 |
1114565330 | David Mitch Sutter | Peer Specialist | 1505 E Main St, Stigler, OK 74462-2913 | 2019-12-18 |
1720620917 | Billy Joe Dickson | Case Manager/Care Coordinator | 1505 E Main St, Stigler, OK 74462-2913 | 2019-10-09 |
1760024020 | Cassondra Jade Tidwell-basham | Case Manager/Care Coordinator | 1505 E Main St, Stigler, OK 74462-2913 | 2019-10-08 |
1568004828 | Jaimie Kinslow | Case Manager/Care Coordinator | 1505 E Main St, Stigler, OK 74462-2913 | 2019-10-08 |
1326680687 | Jessica Mcgrew | Case Manager/Care Coordinator | 1505 E Main St, Stigler, OK 74462-2913 | 2019-10-08 |
1164064424 | Laycee Collins | Case Manager/Care Coordinator | 1505 E Main St, Stigler, OK 74462-2913 | 2019-10-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275986879 | Amy Garman | Occupational Therapy Assistant | 392 W Brooken Mtn Rd, Stigler, OK 74462 | 2016-07-19 |
1528407624 | Thompson Hometown Eyecare LLC | Optometrist | 111 N. Broadway, Stigler, OK 74462 | 2013-06-21 |
1245579952 | United Partners Healthcare 2, Inc. | Home Health | 903 West Main Street, Stigler, OK 74462 | 2013-02-01 |
1164791745 | Teresa Lynn Lindsy | Psychologist | 208 N.e. 8th St, Stigler, OK 74462 | 2011-12-28 |
1700168994 | Counseling Services of Leflore County | Community/Behavioral Health | 605 E Main Street, Stigler, OK 74462 | 2011-09-13 |
1447561584 | Cah Acquisition Company 16 LLC | Clinic/Center | 901 Nw 6th Street, Stigler, OK 74462 | 2010-06-23 |
1922329853 | Cah Acquisition Company 16 LLC | General Acute Care Hospital | 401 Nw H Street, Stigler, OK 74462 | 2010-06-15 |
1114241239 | Jack H Wilson | Counselor | 11730 Highway 9 West, Stigler, OK 74462 | 2010-03-18 |
1346563707 | Jack N. Sellers Dds, P.C. | Dentist | 103 N.w. 9th Street, Stigler, OK 74462 | 2010-03-12 |
1538490842 | Michael R Clark | Chiropractor | 804 S.e. 3rd St., Stigler, OK 74462 | 2010-01-26 |
Find all providers in zip 74462 |
Taxonomy Code | 207QS0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Sports Medicine |
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679936348 | Bryce Rudek | Family Medicine | 591 Pendleton St, Tahlequah, OK 74464-2271 | 2016-03-31 |
1619355849 | Leslie Beaty | Family Medicine | 4227 Macys Pl, Moore, OK 73160-2879 | 2015-05-07 |
1396044764 | Michelle Rockwell | Family Medicine | 2950 S Elm Pl Ste 120, Broken Arrow, OK 74012-7816 | 2011-03-23 |
1902078298 | Steve Eric Randall | Family Medicine | 5104 S Sooner Rd, Oklahoma City, OK 73135-5440 | 2008-03-27 |
1407035447 | Steven D. King, D.o., P.c | Family Medicine | 501 E 15th St Ste 400b, Edmond, OK 73013-5040 | 2007-10-26 |
1356314603 | Ryan A Pitts | Family Medicine | 301 N Broadway St Ste 301, Poteau, OK 74953-3355 | 2006-02-08 |
1518967561 | Steven R Hardage | Family Medicine | 1110 W Will Rogers Blvd, Claremore, OK 74017 | 2005-07-29 |
1205836244 | T Jeffrey Emel | Family Medicine | 6475 S Yale Ave Ste 301, Tulsa, OK 74136 | 2005-07-29 |
1699311308 | Acellerated Interventional Orthopedics | Family Medicine | 1002 Ne Highway 66 Ste 3, Sayre, OK 73662-9312 | 2019-11-18 |
1154845501 | Osumc Professional Services LLC | Family Medicine | 514 Plaza Ct, Sand Springs, OK 74063-7915 | 2017-07-27 |
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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.