DR. PRESTON SAMUEL CLARK JR. (NPI# 1790835940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790835940 |
| Entity Type | Individual |
| Full Name | DR. PRESTON SAMUEL CLARK JR. |
| Credential | MD |
| Practice Address |
1511 Westover Terrace Suite 101 Greensboro NC 27408 |
| Practice Telephone | 3363730311 |
| Practice Fax Number | 3363731150 |
| Mailing Telephone | 3363730311 |
| Mailing Fax Number | 3363731150 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2012-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 21016 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8922705 | 05 |
| Street Address |
1511 WESTOVER TERRACE SUITE 101 |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922250935 | Anne Roberts Thomas | Physician Assistant | 1511 Westover Terrace, Ste. 107, Greensboro, NC 27408 | 2008-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702216 | Nova Home Health LLC | Registered Nurse | 18418 Banking Street Num 9141, Greensboro, NC 27408 | 2020-08-26 |
| 1801410394 | Rachel Lynn Harmon | Behavior Technician | 717 Green Valley Road, Suite 200, Greensboro, NC 27408 | 2020-06-01 |
| 1013551605 | Paige August Becker | Physical Therapist | Southeastern Orthopaedic Specialists, 1915 Lendew Street, Greensboro, NC 27408 | 2019-11-06 |
| 1174164057 | Regenerative Medical Institute,pllc | Anesthesiology | 1305 W. Wendover Ave., Ste A, Greensboro, NC 27408 | 2019-10-02 |
| 1154979912 | Adrian Wilkins | Behavior Technician | 717 Green Valley Rd., Suite 200 Office 231, Greensboro, NC 27408 | 2019-08-26 |
| 1902392723 | Monaca Johnson | Counselor | 1515 W Cornwallis Dr G105, Greensboro, NC 27408 | 2018-07-04 |
| 1801395850 | Germaine Nichols | Behavioral Analyst | 2311 West Cone Boulevard, Studio 110 A, Greensboro, NC 27408 | 2018-02-06 |
| 1790283844 | Naomi Lane, D.d.s., P.a. | Dentist | 2600-a Oakcrest Ave, Greensboro, NC 27408 | 2018-01-24 |
| 1578084034 | Cone Health Connected Care, LLC | Nurse Practitioner | 2800 Lawndale Dr Ste 109, Greensboro, NC 27408 | 2017-07-05 |
| 1598204315 | The Pleasants Group, Pllc | Social Worker | 1400 Battleground Ave Suite 112 A & B, Greensboro, NC 27408 | 2017-02-13 |
| Find all providers in zip 27408 | ||||
| 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 |
|---|---|---|---|---|
| 1811508591 | Guha Medical, Pa | Internal Medicine | 111 W Lewis St, Greensboro, NC 27406-1343 | 2020-08-14 |
| 1477173482 | Infinite Allure Pllc | Internal Medicine | 802 Green Valley Rd Ste 108, Greensboro, NC 27408-7099 | 2020-04-20 |
| 1679139372 | Iora Health North Carolina, P.C. | Internal Medicine | 3351 Battleground Ave., Greensboro, NC 27410 | 2019-05-17 |
| 1295265221 | Mobolaji Babatope Bakare Md PC | Internal Medicine | 3411 W Wendover Ave Ste D, Greensboro, NC 27407-1526 | 2017-06-13 |
| 1457703530 | Chereena C Walker | Internal Medicine | 2705 Kings Mill Rd, Greensboro, NC 27407-6429 | 2016-07-12 |
| 1609260942 | Tima Wellness Pa | Internal Medicine | 1591 Yanceyville Street, Suite 200a, Greensboro, NC 27405-6941 | 2015-03-25 |
| 1861806366 | Omair Sheikh | Internal Medicine | 1200 N Elm St # 2c314, Greensboro, NC 27401-1004 | 2014-06-12 |
| 1558709535 | Medlink Medical Associates, Pa | Internal Medicine | 2031 Martin Luther King Jr Dr Ste A, Greensboro, NC 27406-3300 | 2013-06-12 |
| 1518300474 | Carole Ngankeu Hall | Internal Medicine | 300 E Wendover Ave Fl 3, Greensboro, NC 27401-1229 | 2013-04-10 |
| 1013265909 | The Moses H. Cone Memorial Hospital Operating Corporation | Internal Medicine | 509-e North Elam Avenue, 3rd Floor, Greensboro, NC 27403-1129 | 2012-08-27 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27408 |
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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.