DR. CLARK ERNEST JONES (NPI# 1811965486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811965486 |
| Entity Type | Individual |
| Full Name | DR. CLARK ERNEST JONES |
| Credential | D.O. |
| Practice Address |
1125 S Linden Rd Ste 900 Flint MI 48532-4073 |
| Mailing Address |
2700 Robert T Longway Blvd Ste B Flint MI 48503-2190 |
| Practice Telephone | 8107335390 |
| Practice Fax Number | 8107336090 |
| Mailing Telephone | 8102352004 |
| Mailing Fax Number | 8102352841 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2014-11-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5101014011 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | RAILROAD | P00258717 | 01 |
| MI | DEA | BJ7443029 | 01 |
| MI | BCBS | 700G210140 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528622867 | Clark Edward Jones | Psychologist | 2110 Washington Blvd, Arlington, VA 22204-5719 | 2019-04-23 |
| 1154568095 | Clark L Jones | Dentist | 4025 W Bell Rd, Suite #5, Phoenix, AZ 85053-2750 | 2009-01-14 |
| 1265524896 | Clark Charles Jones | Psychiatry & Neurology | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2006-09-29 |
| Street Address |
1125 S LINDEN RD STE 900 |
| City | FLINT |
| State | MI |
| Zip Code | 48532-4073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386639813 | Amitabha Banerjee | Pediatrics | 1125 S Linden Rd, Suite 500, Flint, MI 48532-4073 | 2005-09-12 |
| 1497146054 | Alexander John Ferda | Registered Nurse | 1125 S Linden Rd, Suite 210, Flint, MI 48532-4073 | 2015-02-17 |
| 1427479369 | Alzheimer's Disease and Association, Inc | Community/Behavioral Health | 1125 S Linden Rd, Flint, MI 48532-4073 | 2013-12-19 |
| 1659623239 | Alzheimers Disease and Related Disorders Association Incorporated | Case Management | 1125 S Linden Rd, Suite 950, Flint, MI 48532-4073 | 2012-10-08 |
| 1235420027 | Shandelle Lynn Kyrolainen | Social Worker | 1125 S Linden Rd, Suite 700, Flint, MI 48532-4073 | 2011-04-27 |
| 1114168978 | John Michael Sushynski | Dentist | 1125 S Linden Rd, Suite 800, Flint, MI 48532-4073 | 2009-03-09 |
| 1437323904 | Mid-michigan Pediatric Dentistry | Dentist | 1125 S Linden Rd, Suite 800, Flint, MI 48532-4073 | 2008-04-16 |
| 1720204175 | Sherry D Hodge | Counselor | 1125 S Linden Rd, Suite 950, Flint, MI 48532-4073 | 2007-04-17 |
| 1528008885 | James M Neubeck | Obstetrics & Gynecology | 1125 S Linden Rd, Suite 900, Flint, MI 48532-4073 | 2006-06-07 |
| 1437124062 | Ghassan Bachuwa | Internal Medicine | 1125 S Linden Rd, Suite 700, Flint, MI 48532-4073 | 2006-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
| 1639709496 | Tammara Kamei | Counselor | 2425 S.linden Rd, Suite D Unit 100, Flint, MI 48532 | 2020-01-21 |
| 1306481882 | Christine Rice | Case Manager/Care Coordinator | 3169 Beecher Road, Flint, MI 48532 | 2019-11-08 |
| 1780154336 | Sarah Marie Shaw | Case Manager/Care Coordinator | 2091 Professional Drive, Flint, MI 48532 | 2018-11-27 |
| 1215412093 | Adria D Haynes | Social Worker | G-4413 Corunna Rd., Flint, MI 48532 | 2018-09-27 |
| 1689159378 | Vip Smiles Dentistry, Pllc | Dentist | 1104 South Linden Rd, Building B, Suite 1, Flint, MI 48532 | 2018-09-27 |
| 1942794797 | Premier Eye Specialists Pllc | Ophthalmology | 1160 S Linden Rd, Bldg. 1 Ste. A, Flint, MI 48532 | 2018-06-15 |
| 1720587710 | Cassandra Socia | Dental Hygienist | G3222 Beecher Road, Flint, MI 48532 | 2018-02-06 |
| 1235660291 | Ashley L Boltjes | Massage Therapist | 3277 Beecher Rd, Flint, MI 48532 | 2017-03-22 |
| 1497202774 | Tyneshia Mcfarland | Home Health | 2104 Ridgecliffe Dr, Flint, MI 48532 | 2016-09-05 |
| Find all providers in zip 48532 | ||||
| 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 |
|---|---|---|---|---|
| 1528580834 | Anas Siddiqui | Family Medicine | G1080 N Ballenger Hwy Ste 1, Flint, MI 48504-4427 | 2017-07-10 |
| 1366881112 | Barry Michael Crawford | Family Medicine | 2900 N. Saginaw Street, Flint, MI 48505 | 2013-06-14 |
| 1609138486 | Timothy L Holcomb | Family Medicine | 20208 St Hwy 155 S, Flint, TX 75762-5600 | 2012-06-08 |
| 1821366808 | John Joseph Doyle IIi | Family Medicine | 1001 Woodlawn Park Dr, Flint, MI 48503-2762 | 2011-12-06 |
| 1275858862 | Michigan Healthcare Center | Family Medicine | G-3267 Beecher Road, Flint, MI 48532-3615 | 2010-04-07 |
| 1730412677 | Marcy A Klein | Family Medicine | 1314 S. Linden Rd., Flint, MI 48532-3456 | 2009-09-10 |
| 1144484221 | Edward Gomez-seoane Md & Silvia Gomez-seoane Md PC | Family Medicine | 5060 Villa Linde Pkwy, Flint, MI 48532-3411 | 2008-07-17 |
| 1154512630 | John L Stoker D.o. P.C. | Family Medicine | G 5142 Mill Er Rd, Flint, MI 48507 | 2007-08-08 |
| 1619181716 | James Brown Md Plc | Family Medicine | 1104 S Linden Rd, Ste 2, Flint, MI 48532-3452 | 2007-05-09 |
| 1811073489 | Edward J Conley Do PC | Family Medicine | G3494 Beecher Rd, Flint, MI 48532 | 2006-10-27 |
| Find all providers in FLINT | ||||
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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.