CLIFFORD D CLARK (NPI# 1881612653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881612653 |
| Entity Type | Individual |
| Full Name | CLIFFORD D CLARK |
| Other Name | CLIFFORD D CLARK |
| Credential | M.D. |
| Practice Address |
2500 E Prospect Rd Fort Collins CO 80525-9718 |
| Practice Telephone | 9704930112 |
| Mailing Telephone | 9704390112 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2019-12-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
DR.0047585 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 12688200 | 05 | |
| CO | RR MEDICARE | P00755984 | 01 |
| CO | 66729378 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952868879 | Clifford Lloyd Clark Jr. | Occupational Therapy Assistant | 501 Esseola Drive, Saluda, NC 28773 | 2019-02-27 |
| 1649711615 | Clifford Jovan Clark | Counselor | 44070 W 12 Mile Rd, Suite 200, Novi, MI 48377-2648 | 2017-03-10 |
| 1497872246 | Clifford Lee Clark | Social Worker | 2140 E Ellsworth Rd, Ann Arbor, MI 48108-2552 | 2007-03-26 |
| 1770666729 | Clifford P Clark IIi | Plastic Surgery | 701 W Morse Blvd, Winter Park, FL 32789-3731 | 2006-10-23 |
| 1497712434 | Clifford R Clark | Internal Medicine | 5920 Mcintyre St, Golden, CO 80403-7445 | 2006-04-26 |
| Street Address |
2500 E PROSPECT RD |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80525-9718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972595247 | Robert J Benz | Orthopaedic Surgery | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2005-08-22 |
| 1396355251 | Joseph D Burkeland | Physical Therapist | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2020-08-05 |
| 1356972913 | Kevin Baro | Physician Assistant | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2020-01-31 |
| 1376016667 | Joshua J Salsbury | Physical Therapist | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2019-01-09 |
| 1861965402 | Kaitlin R Regan | Physician Assistant | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2019-01-07 |
| 1194296194 | Nikole Arianna Stewart | Physician Assistant | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2018-12-17 |
| 1356811160 | Kristin J. Leinhart | Physician Assistant | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2018-12-05 |
| 1225517485 | Emily Kate Lybarger | Physical Therapist | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2018-08-08 |
| 1346767282 | Lindsey Davis | Physician Assistant | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2017-08-22 |
| 1184174807 | David Messinger | Physician Assistant | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2016-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356950299 | Kelly Westbrook Schmalstich | Clinical Nurse Specialist | 2020 Blue Yonder Way, Fort Collins, CO 80525 | 2020-07-27 |
| 1912522376 | Tender Gifts Midwifery and Birth Center | Clinical Nurse Specialist | 1817 Jessup Dr Farms, Fort Collins, CO 80525 | 2020-06-11 |
| 1114566015 | Andrea Nicole Brogdon | Acupuncturist | 2501 S. College Ave, Fort Collins, CO 80525 | 2019-12-26 |
| 1013553593 | Kids Overcoming, LLC | Home Health | 1330 Oakridge Drive Suite 105, Fort Collins, CO 80525 | 2019-11-20 |
| 1568019966 | Julia Heithoff | Behavioral Analyst | 1100 Haxton Dr #115, Fort Collins, CO 80525 | 2019-08-20 |
| 1144875246 | Harmony Smiles Dentistry, LLP | Dentist | 356 E Harmony Rd., #6-a, Fort Collins, CO 80525 | 2019-08-06 |
| 1841774502 | Shannon L Harris | Social Worker | 305 Carpenter Road, Fort Collins, CO 80525 | 2018-09-19 |
| 1306332101 | Joshua Evans Brooks | Optometrist | 375 E Horsetooth Rd Bldg 5 Ste 201, Fort Collins, CO 80525 | 2018-07-03 |
| 1285120212 | Danae Fuqua | Physical Medicine & Rehabilitation | Covell Care & Rehabilitation, 2350 Limon Dr., Fort Collins, CO 80525 | 2018-07-02 |
| 1528552890 | Megan E Locke | Audiologist | 724 Whalers Way Bdg I, Suite 101, Fort Collins, CO 80525 | 2018-06-19 |
| Find all providers in zip 80525 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538142880 | Sean G Grey | Orthopaedic Surgery | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2005-11-21 |
| 1255314522 | Kirk A Kindsfater | Orthopaedic Surgery | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2005-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225656713 | Lhp, PC | Orthopaedic Surgery | 4386 Trail Boss Dr Ste B, Castle Rock, CO 80104-7512 | 2020-07-10 |
| 1679716633 | Jason Michael Jennings | Orthopaedic Surgery | 2535 S Downing St Ste 100, Denver, CO 80210-5848 | 2009-04-07 |
| 1316136351 | Amanda Beth Byers | Orthopaedic Surgery | 1 Mercado St Ste 200, Durango, CO 81301 | 2007-10-16 |
| 1063509115 | Richard Fisher | Orthopaedic Surgery | 4701 E Ninth Ave, Denver, CO 80262-0001 | 2006-10-09 |
| 1972539393 | Sally A Knauer | Orthopaedic Surgery | 2121 E. Harmony Rd., Ste 290, Fort Collins, CO 80528 | 2006-06-25 |
| 1952782435 | Jeffrey Mulvihill | Orthopaedic Surgery | 1635 Aurora Ct Fl 4, Aurora, CO 80045-2541 | 2015-06-10 |
| 1801044037 | Ryan James Caufield | Orthopaedic Surgery | 4700 Hale Pkwy Ste 550, Denver, CO 80220-4053 | 2008-08-29 |
| 1598976490 | Brian James Larkin | Orthopaedic Surgery | 4700 Hale Pkwy, Ste 550, Denver, CO 80220-4045 | 2007-05-24 |
| 1245377597 | Craig Hogan | Orthopaedic Surgery | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2007-01-30 |
| 1861543415 | Hugh Samuel Brock | Orthopaedic Surgery | 501 Airport Rd, Rifle, CO 81650-8510 | 2007-01-12 |
| Find all providers with the same taxonomy | ||||
| City | FORT COLLINS |
| Zip Code | 80525 |
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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.