ASHLI RIDDICK CLARK


Address: 300 Bethesda Dr, Greenville, NC 27834-7218
Phone: 2527527141

ASHLI RIDDICK CLARK (NPI# 1851696231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851696231
Entity Type Individual
Full Name ASHLI RIDDICK CLARK
Credential PA-C
Practice Address 300 Bethesda Dr
Greenville
NC 27834-7218
Practice Telephone 2527527141
Practice Fax Number 2527520223
Mailing Telephone 2527527141
Mailing Fax Number 2527520223
Enumeration Date 2011-01-17
Last Update Date 2013-06-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
001002680 NC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 300 BETHESDA DR
City GREENVILLE
State NC
Zip Code 27834-7218

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750353074 Steven H Prevatte Pediatrics 300 Bethesda Dr, Greenville, NC 27834-7218 2006-02-02
1689288953 Caitlin Shawn Daniels Nurse Practitioner 300 Bethesda Dr, Greenville, NC 27834-7218 2020-09-03
1699300756 Cora Sliva Pediatrics 300 Bethesda Dr, Greenville, NC 27834-7218 2020-03-10
1275004491 Rebecca Bowman Nurse Practitioner 300 Bethesda Dr, Greenville, NC 27834-7218 2018-12-16
1164958674 Theresa Davis Physician Assistant 300 Bethesda Dr, Greenville, NC 27834-7218 2017-05-03
1487108445 Jouel Taylor Nurse Practitioner 300 Bethesda Dr, Greenville, NC 27834-7218 2016-08-08
1669892642 Mindy Hill Dailey Pediatrics 300 Bethesda Dr, Greenville, NC 27834-7218 2014-04-17
1164764239 Kristin Carpenter Johansen Pediatrics 300 Bethesda Dr, Greenville, NC 27834-7218 2013-03-26
1538455746 Maxey Mcneese Hebert Student in an Organized Health Care Education/Training Program 300 Bethesda Dr, Greenville, NC 27834-7218 2011-06-27
1154581817 Erin Tabb Manning Pediatrics 300 Bethesda Dr, Greenville, NC 27834-7218 2008-06-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841801255 Nicholas Mcarthur Bennett Day Training, Developmentally Disabled Services 302 C, Greenville, NC 27834 2020-08-11
1275150245 Shelby Renee Jones Student in an Organized Health Care Education/Training Program East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 2020-06-25
1194347138 Soban Ahmad Student in an Organized Health Care Education/Training Program 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 2020-05-13
1427687789 Brandon Allen Yates Student in an Organized Health Care Education/Training Program 435 Clinic Drive, Greenville, NC 27834 2020-04-07
1144854407 Kristen Springer Dreyfus Marriage & Family Therapist 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 2020-02-26
1861038606 Southern Surgical Outpatient Surgery Center, Pa Clinic/Center 2457 Emerald Place, Greenville, NC 27834 2019-11-26
1003460569 Shaun Fitzpatrick Nurse Practitioner Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 2019-08-01
1649831496 Katherine Salome Ross Genetic Counselor, MS 524 Moye Blvd, Greenville, NC 27834 2019-06-24
1477011880 Lauren Bethune Scroggs Counselor 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 2019-03-05
1669998001 Idella's Care Home Community/Behavioral Health 2912 Lee Ct # 9a, Greenville, NC 27834 2017-08-17
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104116664 Jennifer C Whitmire Physician Assistant St Francis Cardiovascular, 317 St. Francis Dr. Ste 120, Greenville, SC 29601-3900 2011-04-18
1306143219 Alexis Pierino Goss Physician Assistant 101 Heart Drive Mailstop 654, Ecu Physicians Family Medicine, Greenville, NC 27834-4300 2011-02-13
1477888196 Johnny Johnson Physician Assistant 4211 Joe Ramsey Blvd, Suite 100, Greenville, TX 75401 2009-10-14
1205915360 Dannie Burton Jonas Physician Assistant 505 Greenville Blvd Se, Greenville, NC 27858-6736 2006-11-02
1952324246 Toni Smith-whiteeagle Physician Assistant 5005 Live Oak St, Greenville, TX 75402 2006-07-26
1699719682 Gary Marc Trube Physician Assistant 800 Moye Blvd, Greenville, NC 27834-3777 2006-06-16
1255384335 Dean A Schrader Physician Assistant 8333 Crestview Dr, Greenville, MI 48838-8133 2006-05-18
1043262983 Katherine Johnson Anderson Physician Assistant 215 Halton Rd, Greenville, SC 29607-3509 2006-05-17
1891767398 Allen J Sours Jr. Physician Assistant Physician's Prime Care, 3535 S. Memorial Dr. Suite C, Greenville, NC 27834-6766 2006-02-07
1053383273 Zenith Nelson Physician Assistant Leo Jenkins Cancer Center, 600 Moye Blvd, Greenville, NC 27858 2006-02-02
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Competitor

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City GREENVILLE
Zip Code 27834

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Dataset Information

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.

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