LAURIE C CLARK (NPI# 1801864178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801864178 |
| Entity Type | Individual |
| Full Name | LAURIE C CLARK |
| Credential | DO |
| Practice Address |
14002 E 21st St Ste 1130 Tulsa OK 74134-1408 |
| Practice Telephone | 9184391500 |
| Practice Fax Number | 9184391199 |
| Mailing Telephone | 9184391500 |
| Mailing Fax Number | 9184391199 |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2019-02-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 036130673 | IL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 20A10664 | CA | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 2356 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100136290C | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407490246 | Laurie Beth Clark | Nurse Practitioner | 17009 E Cheyenne Dr, Independence, MO 64056 | 2019-11-05 |
| 1619382082 | Laurie Kathleen Clark | Dental Hygienist | 777 E Galveston St, Chandler, AZ 85225-8273 | 2014-06-24 |
| 1467790295 | Laurie A Clark | Speech-Language Pathologist | 455 Boot Rd, Downingtown, PA 19335-3043 | 2013-01-29 |
| 1023388014 | Laurie Anne Clark | Physician Assistant | 95 Collier Rd Nw Ste 6015, Atlanta, GA 30309-1750 | 2012-01-06 |
| 1285779538 | Laurie Clark | Speech-Language Pathologist | 144 Canal St, Nashua, NH 03064-2886 | 2007-02-21 |
| Street Address |
14002 E 21ST ST STE 1130 |
| City | TULSA |
| State | OK |
| Zip Code | 74134-1408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922627157 | Delaram Hajimirsadeghi | Student in an Organized Health Care Education/Training Program | 14002 E 21st St Ste 1130, Tulsa, OK 74134-1408 | 2020-04-08 |
| 1114556529 | Kiamars Golmoradi | Student in an Organized Health Care Education/Training Program | 14002 E 21st St Ste 1130, Tulsa, OK 74134-1408 | 2020-04-07 |
| 1275162356 | Thomas James Dewey | Student in an Organized Health Care Education/Training Program | 14002 E 21st St Ste 1130, Tulsa, OK 74134-1408 | 2020-04-02 |
| 1124656343 | Taylor Waugh | Student in an Organized Health Care Education/Training Program | 14002 E 21st St Ste 1130, Tulsa, OK 74134-1408 | 2020-04-01 |
| 1073076584 | Shephali Sharma | Student in an Organized Health Care Education/Training Program | 14002 E 21st St Ste 1130, Tulsa, OK 74134-1408 | 2019-04-11 |
| 1598226698 | Jamison Jones | Student in an Organized Health Care Education/Training Program | 14002 E 21st St Ste 1130, Tulsa, OK 74134-1408 | 2019-03-29 |
| 1215498316 | Martina Breann Swinger | Student in an Organized Health Care Education/Training Program | 14002 E 21st St Ste 1130, Tulsa, OK 74134-1408 | 2019-03-29 |
| 1023579133 | Tiffany Perez | Student in an Organized Health Care Education/Training Program | 14002 E 21st St Ste 1130, Tulsa, OK 74134-1408 | 2019-03-29 |
| 1326509712 | Ashley Lotfabadi | Student in an Organized Health Care Education/Training Program | 14002 E 21st St Ste 1130, Tulsa, OK 74134-1408 | 2019-03-27 |
| 1801397468 | Amrit Kaur Dockery | Student in an Organized Health Care Education/Training Program | 14002 E 21st St Ste 1130, Tulsa, OK 74134-1408 | 2018-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104455765 | Heather Nicole Mercer | Student in an Organized Health Care Education/Training Program | 14002 E. 21st St., Suite 1130, Tulsa, OK 74134 | 2020-04-06 |
| 1467954933 | Elizabeth Grace Severns | Student in an Organized Health Care Education/Training Program | 14002 E. 21st Street, #1140, Tulsa, OK 74134 | 2018-03-01 |
| 1639515901 | Holley Kuhn | Social Worker | 17410 E. 44th Place South, Tulsa, OK 74134 | 2013-05-14 |
| 1780029207 | Jennifer Spencer | Speech-Language Pathologist | 18926 E 49th St, Tulsa, OK 74134 | 2013-05-10 |
| 1659681385 | Debra Sue Grayson | Counselor | 3377 S 141st E Ave, Tulsa, OK 74134 | 2010-10-15 |
| 1689908121 | John E Groves | Dentist | 10125a South Sheridan Rd, Tulsa, OK 74134 | 2009-10-01 |
| 1255366373 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Family Medicine | 13702 E. 46th Place South, Bcchs Rosa Parks Elementary, Tulsa, OK 74134 | 2006-07-11 |
| 1023018819 | Melissa B Myers | Family Medicine | 4705 S 129th East Ave, Tulsa, OK 74134 | 2005-07-22 |
| 1033611512 | Christopher Jason Long | Family Medicine | 14002 E 21st St, Tulsa, OK 74134 | 2018-03-01 |
| 1578074332 | Goldencare Home Health | Adult Companion | 12929 E 21st St, Tulsa, OK 74134-1001 | 2017-10-19 |
| Find all providers in zip 74134 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992347355 | Next Level Primary Care, Pllc | Family Medicine | 8905 E 34th St, Tulsa, OK 74145-3403 | 2019-10-16 |
| 1740751445 | Ernest Kaara Maina | Family Medicine | 3606 M.l.k. Jr Blvd, Tulsa, OK 74106 | 2018-12-07 |
| 1801373659 | Hygiea Healthcare Solutions, Inc. | Family Medicine | 7220 E 41st St, Tulsa, OK 74145-4504 | 2018-07-24 |
| 1760970875 | Antidote Medical Partners LLC | Family Medicine | 9220 S Toledo Ct Ste B, Tulsa, OK 74137-2745 | 2018-04-24 |
| 1417464199 | Tulsa Medical and Orthopedic Center PC | Family Medicine | 8165 S Mingo Rd Ste 200, Tulsa, OK 74133 | 2018-01-04 |
| 1013421023 | Susan C. Willard, Do, Pllc | Family Medicine | 6532 E. 71st Street, Suite 150, Tulsa, OK 74133 | 2017-11-29 |
| 1992224349 | Elite Family Medicine LLC | Family Medicine | 3336 E 32nd St Ste 205, Tulsa, OK 74135-4454 | 2017-09-18 |
| 1881114874 | Care Driven Senior Care, Pllc | Family Medicine | 5821 E 46th St, Tulsa, OK 74135-6830 | 2017-06-21 |
| 1346779816 | Herman Gonzalez | Family Medicine | 1919 S Wheeling Ave, Lower Level, Bernsen Medical Plaza Suite 100, Tulsa, OK 74104-5420 | 2017-06-08 |
| 1003343831 | Robert Capehart | Family Medicine | 1110 E 18th St, Tulsa, OK 74120-7409 | 2017-05-11 |
| Find all providers in TULSA | ||||
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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.