MR. MARK EDWARD CLARKE (NPI# 1790850584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790850584 |
Entity Type | Individual |
Full Name | MR. MARK EDWARD CLARKE |
Credential | NPP32626 |
Practice Address |
100 Clark Rd Smithfield RI 02917-2311 |
Mailing Address |
100 Clark Rd Smithfield RI 02917-2322 |
Practice Telephone | 4013492473 |
Mailing Telephone | 4013492473 |
Enumeration Date | 2006-11-21 |
Last Update Date | 2015-05-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NPP32626 | RI | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477513166 | Mark Anthony Clarke | Family Medicine | 731 N Clyde Morris Blvd, Daytona Beach, FL 32114-1603 | 2006-03-25 |
1366555112 | Mark C Clarke | Pathology | 2300 N Edward St, Decatur, IL 62526 | 2006-08-16 |
1346225695 | Mark Gregory Clarke | Family Medicine | 216 Mason Ave, Cape Charles, VA 23310-3200 | 2005-12-09 |
Street Address |
100 CLARK RD |
City | SMITHFIELD |
State | RI |
Zip Code | 02917-2311 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124473897 | Karen K. Mckenzie | Social Worker | 25 Thurber Blvd. Unit #2, Smithfield, RI 02917 | 2016-04-29 |
1518208818 | Phalanx Med Rhode Island, LLC | Durable Medical Equipment & Medical Supplies | 400 Putnam Pike, Suite J #232, Smithfield, RI 02917 | 2013-03-12 |
1710230453 | Lifeline Ambulance LLC | Ambulance | 130 Rocky Hill Road, Smithfield, RI 02917 | 2012-10-18 |
1689965337 | Cynthia Ann Tracy | Social Worker | 28 Cedar Swamp Road, Smithfield, RI 02917 | 2011-04-29 |
1871794636 | Denise Coffey | Counselor | 47a Cedar Swamp Rd, Smithfield, RI 02917 | 2007-05-30 |
1073637807 | National Mentor Healthcare, LLC | Day Training, Developmentally Disabled Services | 25 Thurber Blvd, Smithfield, RI 02917 | 2007-03-19 |
1124127998 | Senior Lifestyle North Bay Limited Partnership | Assisted Living Facility | 171 Pleasant View Ave, Smithfield, RI 02917 | 2006-09-21 |
1700899986 | Mary Kay Uchmanowicz | Audiologist | 151 Douglas Pike, Smithfield, RI 02917 | 2006-08-15 |
1689685042 | John Michael Corsi | Internal Medicine | 28 Cedar Swamp Rd, Smithfield, RI 02917 | 2006-08-11 |
1962442376 | Sharon Q Capuano | Nurse Practitioner | 1150 Douglas Pike, Smithfield, RI 02917 | 2006-06-07 |
Find all providers in zip 02917 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750923967 | Jessie Lea Olesen | Nurse Practitioner | 74185 Road 436, Smithfield, NE 68976-1046 | 2019-10-09 |
1194280180 | Nichole Ray | Nurse Practitioner | 3701 Ballard Vista Ct, Smithfield, KY 40068-9320 | 2019-02-05 |
1427546894 | Ashley Liese | Nurse Practitioner | 41 Sanderson Rd Ste 206, Smithfield, RI 02917-2603 | 2018-05-01 |
1467975714 | Joanna Paulina Hall | Nurse Practitioner | 388 Venture Dr Ste 1, Smithfield, NC 27577-4775 | 2017-07-19 |
1821481995 | Angela Marie Allen | Nurse Practitioner | 1801 S Church St Ste 2, Smithfield, VA 23430-1858 | 2015-03-12 |
1275705196 | Isle of Wight Family Practice, LLC | Nurse Practitioner | 1807 South Church Street, Suite 200 C, Smithfield, VA 23430 | 2008-04-01 |
1639347594 | Carol Terese Cornett | Nurse Practitioner | 111 Coakley Ln, Smithfield, KY 40068-7832 | 2008-02-13 |
1649206756 | Katharina Dewald | Nurse Practitioner | 521 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2006-06-23 |
1750844643 | Regina Lynn Lewis | Nurse Practitioner | 100 Ridgeview Dr Unit 3, Smithfield, PA 15478-1650 | 2019-04-09 |
1437624442 | Bliss Davis Norville | Nurse Practitioner | 388 Venture Dr, Smithfield, NC 27577-4775 | 2018-10-05 |
Find all providers in SMITHFIELD |
City | SMITHFIELD |
Zip Code | 02917 |
Please comment or provide details below to improve the information on MR. MARK EDWARD CLARKE.
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.