LARRY K CLARK (NPI# 1821034877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821034877 |
| Entity Type | Individual |
| Full Name | LARRY K CLARK |
| Credential | MD |
| Practice Address |
10465 Park Meadows Dr Ste 104 Lone Tree CO 80124 |
| Mailing Address |
10465 Park Meadows Dr Ste 104 Lone Tree CO 80124-5320 |
| Practice Telephone | 3037997903 |
| Mailing Telephone | 3037997903 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2019-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | DR.0049678 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RR MEDICARE | 160052701 | 01 | |
| MO | 202326104 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144849589 | Larry Dale Clark | Case Manager/Care Coordinator | 621 W Madrone St, Roseburg, OR 97470-3090 | 2020-04-15 |
| 1336604180 | Larry Clark | Case Manager/Care Coordinator | 3100 E 45th St Ste 314, Cleveland, OH 44127-1095 | 2019-02-06 |
| 1174945919 | Larry Clark | Dentist | 105 E Bluff St, Boscobel, WI 53805-1610 | 2014-01-14 |
| 1174884456 | Larry Andrew Clark | Specialist/Technologist, Other | 435 N Roxbury Dr, Ste 100, Beverly Hills, CA 90210-5027 | 2012-06-04 |
| 1578606307 | Larry Cromwell Clark | Pharmacist | 2635 N 7th St, Grand Junction, CO 81501-8209 | 2007-02-14 |
| 1780659508 | Larry Edward Clark Jr. | Internal Medicine | 121 Nationwide Dr, Suite A, Lynchburg, VA 24502-4272 | 2006-02-23 |
| Street Address |
10465 PARK MEADOWS DR STE 104 |
| City | LONE TREE |
| State | CO |
| Zip Code | 80124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841715778 | Mary Gomez Chambers | Registered Nurse | 10465 Park Meadows Dr Ste 104, Lone Tree, CO 80124-5320 | 2017-08-11 |
| 1235586033 | Katrina Ribeiro | Registered Nurse | 10465 Park Meadows Dr Ste 104, Lone Tree, CO 80124-5320 | 2016-05-21 |
| 1871965160 | Mary Suzanne Healey | Advanced Practice Midwife | 10465 Park Meadows Dr Ste 104, Lone Tree, CO 80124-5320 | 2015-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700413788 | Adam Avant | Student in an Organized Health Care Education/Training Program | Sky Ridge Medical Center 10099 Ridgegate Pkwy, Ste 200, Lonetree, CO 80124 | 2020-03-27 |
| 1265069546 | Nikhilesh Srinivasan | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway, #200, Lone Tree, CO 80124 | 2020-03-25 |
| 1487281200 | Caden Nowak | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway #200, Lone Tree, CO 80124 | 2020-03-23 |
| 1427618305 | University of Colorado Hospital Authority | Clinic/Center | 9548 Park Meadows Dr, Lone Tree, CO 80124 | 2019-06-13 |
| 1225505746 | Justin Sean Ashurst | Registered Nurse | 10240 Meadows Dr, Lone Tree, CO 80124 | 2018-11-02 |
| 1396257143 | University Physicians, Incorporated | Family Medicine | 9548 Park Meadows Drive, Lone Tree, CO 80124 | 2017-11-02 |
| 1861928236 | Jennifer Kouri | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway Ste 120, Rvu/sky Ridge Tri Residency, Lone Tree, CO 80124 | 2017-05-04 |
| 1013443787 | Graham Litchman | Surgery | 1099 Ridgegate Parkway, Graduate Medical Education Office Suite 120, Lone Tree, CO 80124 | 2017-05-02 |
| 1609324466 | Amy Lim | Registered Nurse | 10101 Ridge Gate Pkwy, Lone Tree, CO 80124 | 2016-09-21 |
| 1770933251 | Richard Kenyon French Jr. | Optometrist | 8455 Park Meadows Center Blvd, Lenscrafters At Macy's, Littleton, CO 80124 | 2016-06-15 |
| Find all providers in zip 80124 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972127876 | Ob-gyn Affiliates | Obstetrics & Gynecology | 10107 Ridgegate Pkwy, Suite 320, Lone Tree, CO 80124-5532 | 2020-06-05 |
| 1851915730 | Ob-gyn Affiliates | Obstetrics & Gynecology | 10103 Ridgegate Pkwy Ste 313, Lone Tree, CO 80124-5525 | 2020-06-05 |
| 1235759127 | Healthone Clinic Services - Obstetrics and Gynecology LLC | Obstetrics & Gynecology | 10099 Ridgegate Pkwy Ste 230, Lone Tree, CO 80124-5532 | 2020-04-21 |
| 1326525221 | University Physicians Incorporated | Obstetrics & Gynecology | 10103 Ridgegate Pkwy Bldg Ste 223, Lone Tree, CO 80124-5520 | 2018-07-24 |
| 1568522209 | Irman Dean Bayne | Obstetrics & Gynecology | 9585 Silver Hill Circle, Lone Tree, CO 80124 | 2006-12-11 |
| 1770536773 | Sarah R Logan | Obstetrics & Gynecology | 10103 Ridgegate Pkwy Ste 221, Lone Tree, CO 80124-5525 | 2006-05-18 |
| 1740247386 | Horizon Womens Care,professional LLC | Obstetrics & Gynecology | 10099 Ridge Gate Pkwy, #290, Lone Tree, CO 80124 | 2006-04-27 |
| 1902863541 | Heidi Jo Oster | Obstetrics & Gynecology | 10099 Ridge Gate Parkway, Suite 280, Lone Tree, CO 80124 | 2006-04-27 |
| 1205824182 | Lara M Lane | Obstetrics & Gynecology | 10099 Ridgegate Pkwy, #280, Lone Tree, CO 80124-5531 | 2005-10-13 |
| 1720697667 | Portercare Adventist Health System | Obstetrics & Gynecology | 9695 S Yosemite St Ste 255b, Lone Tree, CO 80124-2890 | 2020-07-27 |
| Find all providers in LONE TREE | ||||
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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.