GREGORY CLARKE (NPI# 1881671766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881671766 |
| Entity Type | Individual |
| Full Name | GREGORY CLARKE |
| Credential | M.D. |
| Practice Address |
2123 Auburn Ave Suite 138 Cincinnati OH 45219-2906 |
| Mailing Address |
237 William Howard Taft Rd 2nd Floor, Cbo 2-3 Cincinnati OH 45219-2610 |
| Practice Telephone | 5132061120 |
| Practice Fax Number | 5122061122 |
| Mailing Telephone | 5132061120 |
| Mailing Fax Number | 5132061122 |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2020-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
35069414 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 64298508 | 05 | |
| KY | 64298508 | 05 | |
| AETNA | 0659341 | 01 | |
| UNITED | 25-20465 | 01 | |
| IN | 200076710 | 05 | |
| ANTHEM | 000000215174 | 01 | |
| OH | CARESOURCE | 263070266 | 01 |
| AMERIGROUP MEDICAID | 283291 | 01 | |
| HUMANA | 69414-01 | 01 | |
| CARESOURCE MEDICAID | 311438871044 | 01 | |
| OH | RAILROAD MEDICARE | P00222905 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1955 Dixie Hwy Ste E, Ft Wright, KY 410112882 | 8592924560 | 8592924561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568569895 | Gregory D Clarke | Emergency Medicine | 4522 Maccorkle Ave, Se, Suite 3, Charleston, WV 25314 | 2006-09-20 |
| 1851353007 | Gregory R Clarke | Optometrist | 4109 W Genesee Street, Empire Vision Centers, Syracuse, NY 13219 | 2006-04-04 |
| 1609996420 | Gregory Clarke | Internal Medicine | 333 N Michigan Ave, Suite 2014, Chicago, IL 60601-3901 | 2007-03-29 |
| Street Address |
2123 AUBURN AVE SUITE 138 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45219-2906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750380341 | Eli M Roth | Internal Medicine | 2123 Auburn Ave, Suite 624, Cincinnati, OH 45219-2906 | 2005-07-18 |
| 1285120253 | Tiffany Kocher | Nurse Practitioner | 2123 Auburn Ave, Cincinnati, OH 45219 | 2018-07-02 |
| 1164944120 | Hannah Eppensteiner | Registered Nurse | 2123 Auburn Ave, Cincinnati, OH 45219-2906 | 2017-07-12 |
| 1043744063 | Miranda Jean Miller | Nurse Practitioner | 2123 Auburn Ave, Suite 401, Cincinnati, OH 45219 | 2017-04-17 |
| 1437681764 | Eric Edward Cooney | Family Medicine | 2123 Auburn Ave, Suite 340, Cincinnati, OH 45219-2906 | 2017-03-27 |
| 1811428097 | Shelby Nicole Dvorak | Family Medicine | 2123 Auburn Ave, Suite 235, Cincinnati, OH 45219 | 2017-03-21 |
| 1043751225 | Christian Erik Gausvik Jr. | Family Medicine | 2123 Auburn Ave, Suite 340, Cincinnati, OH 45219 | 2017-03-20 |
| 1578003620 | Rachel Steele | Registered Nurse | 2123 Auburn Ave, Cincinnati, OH 45219-2906 | 2017-03-07 |
| 1013456029 | Jill Gast | Nurse Practitioner | 2123 Auburn Ave, Suite 320, Cincinnati, OH 45219-2906 | 2017-02-23 |
| 1235680117 | Brigid Coleen Malone | Nurse Practitioner | 2123 Auburn Ave, Suite 139, Cincinnati, OH 45219-2906 | 2016-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225659261 | Christopher Robert Smith | Student in an Organized Health Care Education/Training Program | 2139 Auburn Ave Tch Internal Medicine, Cincinnati, OH 45219 | 2020-04-30 |
| 1316574346 | Quincy Alvin Banks | Student in an Organized Health Care Education/Training Program | Tch Family Medicine, 2123 Auburn Ave, Suite 235, Cincinnati, OH 45219 | 2020-03-27 |
| 1831725324 | Sara Jane Elisabeth Hubbard | Student in an Organized Health Care Education/Training Program | 234 Goodman Street Ml 0803, Ucmc Dental Center, Cincinnati, OH 45219 | 2020-03-17 |
| 1528609815 | Yuliya Azirbayeva | Pharmacist | 3 West Corry St, Cincinnati, OH 45219 | 2019-10-08 |
| 1851955769 | Julie Grace Van Baardwijk | Student in an Organized Health Care Education/Training Program | Tch Internal Medicine, 2139 Auburn Ave, Cincinnati, OH 45219 | 2019-04-25 |
| 1164982773 | Zein Mouaffaq Saad Eddin | Student in an Organized Health Care Education/Training Program | 234 Goodman Street, Department of Surgery, Cincinnati, OH 45219 | 2019-03-20 |
| 1386103273 | Ismaeel Siddiqi | Student in an Organized Health Care Education/Training Program | 234 Goodman Street Ml 0781- Internal Medicine, Cincinatti, OH 45219 | 2019-03-19 |
| 1285123612 | Anna Vaughan | Counselor | 2828 Vernon Place, Cincinnati, OH 45219 | 2018-05-01 |
| 1043707565 | Chizara Nwade | Student in an Organized Health Care Education/Training Program | Tch Internal Medicine, 2139 Auburn Ave, Cincinnati, OH 45219 | 2018-04-19 |
| 1922503226 | Kristen Sparagna | Student in an Organized Health Care Education/Training Program | 234 Goodman St, Ml 665x, Cincinnati, OH 45219 | 2018-03-28 |
| Find all providers in zip 45219 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1053859124 | Andrew Michael Dominic Crean | Internal Medicine | Division of Cardiovascular Health And, 231 Albert Sabin Way, Cincinnati, OH 45267-0001 | 2017-02-08 |
| 1124421557 | Trihealth Physcian Institute | Internal Medicine | 2866 Boudinot Ave, Cincinnati, OH 45238-7400 | 2014-09-30 |
| 1700143971 | Odayme Quesada | Internal Medicine | 11140 Montgomery Rd Ste 1300, Cincinnati, OH 45249-2309 | 2012-04-12 |
| 1487889945 | Dilesh Patel | Internal Medicine | 10506 Montgomery Rd Ste 301a, Cincinnati, OH 45242-4400 | 2009-05-27 |
| 1548404171 | Paul George Geiss | Internal Medicine | 6017 W Fork Rd, Cincinnati, OH 45247-5772 | 2009-04-27 |
| 1073711826 | Dylan Lauri Steen | Internal Medicine | 243 Goodman St., Ml 0542, Cincinnati, OH 45219 | 2007-07-03 |
| 1629190467 | Marshall W Winner IIi | Internal Medicine | 3219 Clifton Ave Ste 400, Cincinnati, OH 45220-3049 | 2007-04-04 |
| 1225174824 | Cardiac Care Associates | Internal Medicine | 2852 Boudinot Ave, Cincinnati, OH 45238-2461 | 2007-01-30 |
| 1174671820 | George E. Blake | Internal Medicine | 4760 E Galbraith Rd Ste 205, Cincinnati, OH 45236 | 2007-01-08 |
| 1790867810 | Cincinnati Heart Group Inc | Internal Medicine | 625 Eden Park Drive, Suite 340, Cincinnati, OH 45202 | 2006-10-19 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45219 |
Please comment or provide details below to improve the information on GREGORY CLARKE.
| 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.