STEVEN D. CLARK (NPI# 1861498859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861498859 |
| Entity Type | Individual |
| Full Name | STEVEN D. CLARK |
| Credential | RPA-C |
| Practice Address |
14 Mountain Ledge Drive Wilton NY 12831-1858 |
| Practice Telephone | 5183394839 |
| Mailing Telephone | 5183394839 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2011-02-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 007751 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | LICENSE | 007751 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669021564 | Steven Michael Clark | Dentist | 1700 University Blvd Ste 105, Morrilton, AR 72110-8004 | 2019-09-04 |
| 1801079686 | Steven Shia Clark | Social Worker | 223 Gratiot Ct, Saginaw, MI 48602-1865 | 2007-12-14 |
| 1003982489 | Steven Clark | Occupational Therapist | 15311 Vantage Pkwy W Ste 130, Houston, TX 77032-1955 | 2006-11-28 |
| 1124125505 | Steven Lester Clark | Family Medicine | 4586 E Highway 20, Suite B, Niceville, FL 32578-9724 | 2006-09-20 |
| 1023114576 | Steven Donald Clark | Physical Therapist | 2220 Mormon Trek Blvd, Iowa City, IA 52246-4435 | 2006-09-15 |
| 1629172622 | Steven Heyen Clark | Dentist | 801 Newton Ave, Iowa City, IA 52242-1001 | 2006-09-11 |
| 1124036058 | Steven Alan Clark | Chiropractor | 2747 Sunset Ave, Rocky Mount, NC 27804-3751 | 2006-08-04 |
| 1063414464 | Steven R. Clark | Physical Therapist | 330 1st Street, Suite 100, Steven Clark Mfr Physical Therapy, West Des Moines, IA 50265 | 2005-08-15 |
| 1881252658 | Steven Douglas Clark | Physician Assistant | 1998 Motel Blvd, Las Cruces, NM 88007 | 2019-06-05 |
| 1538541271 | Steven H Clark | Hearing Instrument Specialist | 730 Fairview Ave, Suite A4, Bowling Green, KY 42101-2367 | 2015-06-18 |
| Street Address |
14 MOUNTAIN LEDGE DRIVE |
| City | WILTON |
| State | NY |
| Zip Code | 12831-1858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538509237 | Michelle Frey | Physician Assistant | 665 Saratoga Rd Ste 400, Wilton, NY 12831 | 2013-06-27 |
| 1336454198 | Michael Joseph Crook | Internal Medicine | 1000 Mountain Rd, Mt. Mcgregor Correctional Facility, Wilton, NY 12831 | 2010-08-17 |
| 1346570975 | Romina Tollerutti | Pediatrics | 31 Burnham Rd, Wilton, NY 12831 | 2010-01-04 |
| 1760632236 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 653 Route 9, Wilton, NY 12831 | 2008-09-22 |
| 1104931005 | Nicole Marie Byrne | Dentist | 659 Rt 9 Saratoga Rd, Gansevoort, NY 12831 | 2006-08-20 |
| 1952371635 | A Better Smile Family Dentistry PC | Dentist | 681 Saratoga Rd Rt 9, Wilton, NY 12831 | 2006-01-25 |
| 1376720789 | Mary Beth Lemery | Licensed Practical Nurse | 8 Edver Rd, Gansevoort, NY 12831-1025 | 2008-01-28 |
| 1437391166 | Ellen Kirker | Physical Therapist | 23 Briarhurst Dr, Gansevoort, NY 12831-1040 | 2009-03-26 |
| 1083850853 | Lorraine L Bruce | Licensed Practical Nurse | 180 Old West Rd, Gansevoort, NY 12831-1119 | 2008-12-29 |
| 1861766461 | Jenice Janelle Young | Registered Nurse | 4 White Birch Ln, Gansevoort, NY 12831-1142 | 2012-02-28 |
| Find all providers in zip 12831 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538509237 | Michelle Frey | Physician Assistant | 665 Saratoga Rd Ste 400, Wilton, NY 12831 | 2013-06-27 |
| 1770838534 | Jason Daniel Thornburg | Physician Assistant | 400 Ovesen Dr, Wilton, IA 52778-9612 | 2012-07-18 |
| 1164494407 | Michele Mccann Olbrys | Physician Assistant | 372 Danbury Rd, Wilton, CT 06897-2523 | 2006-02-02 |
| 1013994334 | James Blouse | Physician Assistant | 400 Oveson Dr, Wilton, IA 52778-9612 | 2005-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821026 | Victoria Yunaev | Physician Assistant | 7203 166th St, Fresh Meadows, NY 11365-3237 | 2020-11-05 |
| 1811598857 | Brittany Christine Androsko | Physician Assistant | 1769 Union St Fl 2, Niskayuna, NY 12309-6311 | 2020-11-05 |
| 1164023172 | Betina Charlotte Apostol Nuguid | Physician Assistant | 1730 Central Park Ave Ste 3p, Yonkers, NY 10710-4905 | 2020-11-05 |
| 1023619129 | Anna Leigh Vonck | Physician Assistant | 2 Executive Park Dr Ste 2, Albany, NY 12203-3700 | 2020-11-04 |
| 1952902256 | Billy Phuoctan Truong | Physician Assistant | 8832 18th Ave, Brooklyn, NY 11214-6002 | 2020-11-03 |
| 1205437621 | Jason Patrick Feak | Physician Assistant | 6338 Falls Blvd, Chittenango, NY 13037-8799 | 2020-11-03 |
| 1437750742 | Drew James Mitchell | Physician Assistant | 58 Old Bedford Rd, Goldens Bridge, NY 10526-1000 | 2020-11-03 |
| 1306446125 | Julie Mcphillips | Physician Assistant | 961 W Kaisertown Rd, Montgomery, NY 12549-2317 | 2020-10-30 |
| 1487254330 | Thomas J Nagel | Physician Assistant | 57 Montgomery Road, Fort Montgomery, NY 10922 | 2020-10-29 |
| 1700486560 | Jayanti Rao | Physician Assistant | 1059 Union St Apt 3g, Brooklyn, NY 11225-1268 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
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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.