JON CLARK (NPI# 1811308240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811308240 |
| Entity Type | Individual |
| Full Name | JON CLARK |
| Credential | ATC, LAT |
| Practice Address |
1003 N 129th East Ave Tulsa OK 74116-2131 |
| Mailing Address |
2045 S 74th East Ave Tulsa OK 74112-7717 |
| Practice Telephone | 9182708534 |
| Mailing Telephone | 9186054122 |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2014-05-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
776 | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134580376 | Jon Clark | Physical Therapist | 2932 Sunnystone Way, Raleigh, NC 27613-6192 | 2016-03-16 |
| 1336118454 | Jon B Clark | Psychologist | 71 Walnut Blvd, Suite 109, Rochester, MI 48307-2073 | 2006-03-14 |
| 1699983445 | Jon Allen Clark | Physical Therapist | 2535 Lone Star Dr, Dallas, TX 75212-6313 | 2007-05-17 |
| 1285675702 | Jon Albert Clark | Nurse Anesthetist, Certified Registered | 701 Grove Rd, Greenville, SC 29605-4210 | 2006-06-08 |
| Street Address |
1003 N 129TH EAST AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74116-2131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578727939 | Occupational Health Center of The Southwest, P.a. | Clinic/Center | 3900 N. Mingo Rd, Tulsa, OK 74116 | 2008-07-15 |
| 1598831448 | Larry D Laudenback | Chiropractor | 913 N 161st E Ave, Suite E, Tulsa, OK 74116 | 2006-11-24 |
| 1346315546 | Steven A Laudenback | Chiropractor | 913 N 161st East Ave, Ste E, Tulsa, OK 74116 | 2006-11-22 |
| 1588021174 | Peter Semrad | Specialist/Technologist | 3330 N Mingo Rd, Tulsa, OK 74116-1211 | 2016-01-27 |
| 1508984683 | Lori B. Stewart | Preventive Medicine | 2322 N Mingo Rd, Tulsa, OK 74116-1218 | 2007-03-27 |
| 1154862969 | Kaelynn Justyne Lemke | Specialist/Technologist | 11920 E Apache St, Tulsa, OK 74116-1309 | 2017-03-13 |
| 1740480649 | Essilor Laboratories of America, Inc. | Eyewear Supplier (Equipment, not the service) | 1535 N 107th East Ave, Tulsa, OK 74116-1509 | 2007-07-19 |
| 1306878947 | Supra Home Care, Inc. | Home Health | 11333 E Pine St, Suite 10a, Tulsa, OK 74116-2023 | 2006-07-06 |
| 1437253176 | David K Miller | Internal Medicine | 15905 E Oklahoma St, Tulsa, OK 74116-2408 | 2006-09-12 |
| 1497986335 | David K Miller Md PC | General Practice | 15905 E Oklahoma St, Tulsa, OK 74116-2408 | 2009-07-27 |
| Find all providers in zip 74116 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083227110 | Mercedes Phegley | Specialist/Technologist | 2815 E 5th St Apt 1936, Tulsa, OK 74104-3122 | 2020-08-28 |
| 1689285363 | Meredith Galloway | Specialist/Technologist | 2806 E 8th St Apt 3022, Tulsa, OK 74104-7402 | 2020-08-14 |
| 1427681766 | Brianna Lee Brooks | Specialist/Technologist | 3014 E 8th St Apt 4313, Tulsa, OK 74104-7436 | 2020-02-14 |
| 1083245948 | Hana Young Clancy | Specialist/Technologist | 2626 S Trenton Ave, Tulsa, OK 74114-2728 | 2020-01-30 |
| 1770043275 | Kacee Schroeder | Specialist/Technologist | 1219 S Sandusky Ave, Tulsa, OK 74112-5215 | 2019-03-21 |
| 1780140293 | Lauren Runquist | Specialist/Technologist | 121 North Ave, Tulsa, OH 74101 | 2019-02-20 |
| 1588150312 | Campbell Ward Ernst | Specialist/Technologist | 3901 S Granite Ave, Tulsa, OK 74135-5557 | 2018-07-04 |
| 1154862969 | Kaelynn Justyne Lemke | Specialist/Technologist | 11920 E Apache St, Tulsa, OK 74116-1309 | 2017-03-13 |
| 1730635640 | Portia Resnick | Specialist/Technologist | 5707 E 24th Pl, Tulsa, OK 74114 | 2016-08-31 |
| 1588021174 | Peter Semrad | Specialist/Technologist | 3330 N Mingo Rd, Tulsa, OK 74116-1211 | 2016-01-27 |
| 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.