DR. BETH ZELENAK CLARK (NPI# 1801925557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801925557 |
| Entity Type | Individual |
| Full Name | DR. BETH ZELENAK CLARK |
| Credential | M.D. |
| Practice Address |
101 Bodin Circle David Grant Medical Center Travis Afb CA 94535 |
| Mailing Address |
1213 Gray Hawk Lane Suisun City CA 94585 |
| Practice Telephone | 7074237705 |
| Mailing Telephone | 7073998608 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2008-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
MD426998 | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750831004 | Beth Clark | Registered Nurse | 23 Edgewater Pl, Glens Falls, NY 12801-4110 | 2016-10-11 |
| 1235494998 | Beth A Clark | Counselor | 4175 Lakeside Dr, Richmond, CA 94806-5774 | 2012-07-09 |
| 1538451752 | Beth Watts Clark | Registered Nurse | 151 Sigmon Rd, Lincolnton, NC 28092-8577 | 2011-05-05 |
| 1447489083 | Beth A Clark | Physical Therapist | 1100 N Main St, Rice Lake, WI 54868-1238 | 2009-07-03 |
| 1376730689 | Beth Anne Clark | Chiropractor | 1953 Ridge Rd, West Seneca, NY 14224-3339 | 2007-10-01 |
| 1427022029 | Beth A Clark | Specialist | Route 56, Fishertown, PA 15539 | 2006-02-13 |
| 1194715672 | Beth E Clark | Physician Assistant | 11600 W 2nd Pl, Lakewood, CO 80228-1527 | 2005-10-25 |
| 1588650733 | Beth Ellen Clark | Pharmacist | 808 Landmark Dr, Suite 128, Glen Burnie, MD 21061-4983 | 2005-09-23 |
| Street Address |
101 BODIN CIRCLE DAVID GRANT MEDICAL CENTER |
| City | TRAVIS AFB |
| State | CA |
| Zip Code | 94535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356338164 | Jill Janine O'rear | Nurse Practitioner | 101 Bodin Circle, David Grant Medical Center, Travis Afb, CA 94535-1800 | 2005-10-06 |
| 1932760006 | Katherine L Knott | Nurse Anesthetist, Certified Registered | 101 Bodin Circle, Travis Afb, CA 94535-1800 | 2019-06-27 |
| 1902399132 | Michael Creighton Johnson | Student in an Organized Health Care Education/Training Program | 101 Bodin Circle, Travis Afb, CA 94535 | 2018-06-12 |
| 1386152338 | Andrew Y Cho | Pharmacist | 101 Bodin Circle, Travis Afb, CA 94535 | 2018-01-11 |
| 1891242483 | Emily Roark | Nurse Anesthetist, Certified Registered | 101 Bodin Circle, 60 Mdg/sgcj, Travis Afb, CA 94535-1809 | 2016-09-01 |
| 1679936496 | Royce Molick | Psychiatry & Neurology | 101 Bodin Circle, Travis Afb, CA 94535-1800 | 2016-03-30 |
| 1881074953 | Alice Ann Deden | Family Medicine | 101 Bodin Circle, Travis Afb, CA 94535-1800 | 2015-06-04 |
| 1831579275 | Mark Allen Prats | Student in an Organized Health Care Education/Training Program | 101 Bodin Circle, 60 Mdg/mdds, Travis Afb, CA 94535 | 2015-06-01 |
| 1104246107 | Allison Elizabeth Tucker | Obstetrics & Gynecology | 101 Bodin Circle, 60 Mdg/sgcg, Travis Afb, CA 94535 | 2014-04-17 |
| 1063786325 | Rin Okano | Pharmacist | 101 Bodin Circle, David Grant Medical Center, Travis Afb, CA 94534 | 2012-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487711 | Sheila C Flood | Student in an Organized Health Care Education/Training Program | 101 Biden Circle, Fairfield, CA 94535 | 2020-04-28 |
| 1568081255 | Miguel Julian Moreno | Student in an Organized Health Care Education/Training Program | 690 Airmen Drive, Travis Afb, CA 94535 | 2020-04-13 |
| 1174096101 | Zlatoslava Karga | Nurse Practitioner | 60mdg / Sgow, 101 Bodin Circle, Travis Afb, CA 94535 | 2019-01-02 |
| 1437648292 | Luke C Vera | Dentist | David Grant Medical Center 101 Bodin Circle, Travis Air Force Base, CA 94535 | 2018-05-08 |
| 1588163430 | Sanaz Ziad | Pharmacist | 60mdg/mdts, 101 Bodin Circle, Travis Afb, CA 94535 | 2018-02-06 |
| 1194265686 | Geoffrey Johnston | Dentist | 60 Mdg/sgdd, 101 Bodin Circle, Travis Afb, CA 94535 | 2017-03-02 |
| 1336693407 | Hannah Isla Nordwall | Social Worker | 60 Mdg/mdos 101 Bodin Cir, Travis Afb, CA 94535 | 2016-08-06 |
| 1184177149 | Taylor Murrie-robinson | Social Worker | 60mdg / Sgow Mental Health Clinic, 101 Bodin Circle, Travis Afb, CA 94535 | 2016-07-26 |
| 1952759607 | Eric Kincaid-sharp | General Practice | 60 Mdg/amds, 101 Bodin Cir, Travis Afb, CA 94535 | 2016-06-02 |
| 1023472040 | Genieve Marie Martinez-hernandez | Internal Medicine | 60 Mdg/sgomi, 101 Bodin Circle, Fairfield, CA 94535 | 2016-04-06 |
| Find all providers in zip 94535 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922106012 | Jose Brian Gorospe | Pathology | 60 Mdts/sgqc, 101 Bodin Circle, Travis Afb, CA 94535 | 2006-09-20 |
| 1558463653 | Steven Warren Davis | Pathology | 60 Mdg/mdts Sgqx, 101 Bodin Circle, Travis Afb, CA 94535-1800 | 2006-09-01 |
| 1467625715 | Michelle Renee Williams | Pathology | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2008-04-08 |
| 1790984359 | Maria Gorospe | Pathology | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2007-07-13 |
| 1730398181 | Nathan Floyd Clement | Pathology | 101 Bodin Cir, 60 Mdts, Travis Afb, CA 94535-1809 | 2007-05-22 |
| 1013131002 | Steven Daniel Demartini | Pathology | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2007-04-12 |
| 1275660326 | Joseph Harris Mcdermott | Pathology | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2007-02-27 |
| 1750476826 | Emily Ann Green | Pathology | 101 Bodin Circle, 60 Mdg/sgqh, Travis Afb, CA 94535-1800 | 2006-10-04 |
| 1639122567 | Sheela Rajan | Pathology | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2006-05-19 |
| 1528011319 | Heidi Bertram | Pathology | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2006-05-19 |
| Find all providers in TRAVIS AFB | ||||
| City | TRAVIS AFB |
| Zip Code | 94535 |
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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.