DR. DAVID R CLARK (NPI# 1881654572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881654572 |
| Entity Type | Individual |
| Full Name | DR. DAVID R CLARK |
| Credential | M.D. |
| Practice Address |
2209 S Sterling St Ste 600 Morganton NC 28655-4092 |
| Practice Telephone | 8285804577 |
| Practice Fax Number | 8285804599 |
| Mailing Telephone | 8285804577 |
| Mailing Fax Number | 8285804599 |
| Enumeration Date | 2006-03-25 |
| Last Update Date | 2017-11-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
200401186 | NC | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
200401186 | NC | Allopathic & Osteopathic Physicians |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
200401186 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89138MW | 05 | |
| NC | 1881654572 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2209 S Sterling St, Suite 530, Morganton, NC 286554091 | 8285802250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225388531 | David Clark | Pharmacist | 87 Garner Rd., Cvs 4174, Spartanburg, SC 29303 | 2012-09-13 |
| 1568778793 | David F Clark | Social Worker | 4425 S Jones Blvd, Suite D3, Las Vegas, NV 89103-3370 | 2010-08-25 |
| 1407093065 | David E. Clark | Dietitian, Registered | 4132 Sierra Park Ter, Dayton, OH 45440-3324 | 2009-01-19 |
| 1962668202 | David Allen Clark | Dentist | 4209 Tieton Dr, Suite 102, Yakima, WA 98908-3377 | 2008-08-06 |
| 1548427693 | David Kyle Clark | Dentist | 2120 Bert Kouns Loop Ste D, Shreveport, LA 71118-3351 | 2008-05-16 |
| 1790957603 | David C. Clark | Pharmacist | 1215 Route 31, Macedon, NY 14502-9763 | 2008-03-31 |
| 1275722365 | David Allan Clark | Counselor | 50196 872nd Rd, Page, NE 68766-5539 | 2007-10-15 |
| 1649488214 | David D Clark | Chiropractor | 2573 N Reading Rd, Denver, PA 17517-9333 | 2007-05-18 |
| 1306059480 | David Roger Clark | Ophthalmology | 2812 Millbrook Ct, Arlington, TX 76012-2116 | 2007-05-07 |
| 1619049327 | David B Clark | Chiropractor | 106 Se 12th St, Oak Grove, MO 64075-9538 | 2006-11-15 |
| Street Address |
2209 S STERLING ST STE 600 |
| City | MORGANTON |
| State | NC |
| Zip Code | 28655-4092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356895197 | Stephen P Prohaska | Physician Assistant | 2209 S Sterling St Ste 600, Morganton, NC 28655-4092 | 2016-08-10 |
| 1851645584 | Nancy Cook | Nurse Practitioner | 2209 S Sterling St Ste 600, Morganton, NC 28655-4092 | 2012-11-02 |
| 1871852095 | Michael Steven Clemens | Surgery | 2209 S Sterling St Ste 600, Morganton, NC 28655-4092 | 2012-05-08 |
| 1265744429 | James F Davidson Iv | Internal Medicine | 2209 S Sterling St Ste 600, Morganton, NC 28655-4092 | 2010-07-05 |
| 1528214442 | Simon S Waghchoure | Internal Medicine | 2209 S Sterling St Ste 600, Morganton, NC 28655-4092 | 2008-08-12 |
| 1871781443 | Wael Khaled El Minaoui | Internal Medicine | 2209 S Sterling St Ste 600, Morganton, NC 28655-4092 | 2007-10-09 |
| 1104046515 | Lee L Turner | Surgery | 2209 S Sterling St Ste 600, Morganton, NC 28655-4092 | 2007-04-26 |
| 1346465143 | Eric Tavis Sevensma | Surgery | 2209 S Sterling St Ste 600, Morganton, NC 28655-4092 | 2007-04-16 |
| 1427139211 | Thomas Preston Kennedy | Internal Medicine | 2209 S Sterling St Ste 600, Morganton, NC 28655-4092 | 2006-10-18 |
| 1104911650 | Ahmad M Ismail | Internal Medicine | 2209 S Sterling St Ste 600, Morganton, NC 28655-4092 | 2006-10-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811128 | Foothills Family Dermatology | Dermatology | 118 North Sterling St, Morganton, NC 28655 | 2020-11-04 |
| 1225678071 | Melissa Marie Sisco | Psychologist | Broughton State Hospital, 1000 S. Sterling Street, Morganton, NC 28655 | 2020-01-09 |
| 1043864598 | Stout Scripts, Inc. | Pharmacy | 200 West Fleming Dr, Morganton, NC 28655 | 2019-08-01 |
| 1538626015 | Morganton Opco Holdings, LLC | Assisted Living Facility | 330 Juniper St, Morganton, NC 28655 | 2019-02-21 |
| 1982174843 | Katie Breeze Heald Dds PC | Dentist | 679 W. Fleming Dr., Morganton, NC 28655 | 2018-12-04 |
| 1104317353 | Dr Liner Ward & Shobe Dds Pa | Dentist | 503 S. Green Street, Morganton, NC 28655 | 2018-05-23 |
| 1578069779 | Catawba Valley Medical Servies | Speech-Language Pathologist | 409b S Sterling St, Morganton, NC 28655 | 2018-04-05 |
| 1336685601 | Clear Perspective, LLC | Counselor | 140 Beach Street, Morganton, NC 28655 | 2017-01-11 |
| 1245604800 | Burke Integrated Health | Family Medicine | 350 East Parker Road, Morganton, NC 28655 | 2015-11-19 |
| 1881079929 | Legacy Healthcare Services, Inc | General Acute Care Hospital | 4263 Bill Dale Rd, Morganton, NC 28655 | 2015-07-29 |
| Find all providers in zip 28655 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407188600 | Blue Ridge Healthcare Medical Group, Inc. | Internal Medicine | 117-b Foothills Dr, Morganton, NC 28655 | 2010-02-12 |
| 1265744429 | James F Davidson Iv | Internal Medicine | 2209 S Sterling St Ste 600, Morganton, NC 28655-4092 | 2010-07-05 |
| 1427139211 | Thomas Preston Kennedy | Internal Medicine | 2209 S Sterling St Ste 600, Morganton, NC 28655-4092 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982185377 | Fhpg, LLC | Internal Medicine | 2925 Beechtree Dr, Suite 142, Sanford, NC 27330 | 2018-08-24 |
| 1871034595 | Jane Tramontana | Internal Medicine | 2611 Creek Manor Dr, Waxhaw, NC 28173-4109 | 2017-03-14 |
| 1962953877 | Novant Medical Group, Inc | Internal Medicine | 9550 Rocky River Rd Ste 100, Charlotte, NC 28215 | 2016-10-17 |
| 1154774032 | Roanoke Valley Health Services, Inc | Internal Medicine | 210 Smith Church Rd Ste B, Roanoke Rapids, NC 27870-4942 | 2016-07-15 |
| 1376974485 | Gottskalk Bjornsson | Internal Medicine | 363 Creedmoor Rd, Jacksonville, NC 28546-6035 | 2013-11-29 |
| 1396017752 | Blue Ridge Healthcare Medical Group, Inc. | Internal Medicine | 2293 Sugar Hill Rd, Suite B, Marion, NC 28752-7787 | 2012-02-01 |
| 1518283373 | Christine Lee Vigeland | Internal Medicine | 101 Manning Drive University of North Carolina, Chapel Hill, NC 27599-0001 | 2010-04-19 |
| 1821314014 | Luz Juliana Barahona | Internal Medicine | 706 Rosanne Dr, Kinston, NC 28504-1550 | 2010-04-13 |
| 1164690731 | Pulmonology & Bronchology | Internal Medicine | 8878 Us 70 Hwy W, Suite 400a, Clayton, NC 27520-4823 | 2008-02-15 |
| 1023201431 | Stephen Carlisle Scott | Internal Medicine | 825 Powell Rd, Lenoir, NC 28645-3739 | 2007-08-20 |
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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.