DR. BARRY LEE CLARK (NPI# 1891795985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891795985 |
Entity Type | Individual |
Full Name | DR. BARRY LEE CLARK |
Credential | D.O. |
Practice Address |
700 Medical Park Dr Hartsville SC 29550-4765 |
Mailing Address |
499 Gloster Creek Vlg Ste G1 Tupelo MS 38801-4751 |
Practice Telephone | 8433833742 |
Mailing Telephone | 6623772663 |
Mailing Fax Number | 6623776706 |
Enumeration Date | 2005-07-29 |
Last Update Date | 2020-10-30 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgery | 833 | SC | Allopathic & Osteopathic Physicians |
N | 207X00000X | Orthopaedic Surgery | 26229 | MS | Allopathic & Osteopathic Physicians |
Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
26229 | MS | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 02537316 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
1005 E Cheves St, Florence, SC 295062707 | 8437777900 | 8437777925 |
101 Johns St, Suite 100, Florence, SC 295062777 | 8436625233 | 8436789003 |
499 Gloster Creek Vlg Ste G1, Tupelo, MS 38801 | 6623772663 | 6623776706 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750330288 | Barry Paul Clark | Family Medicine | 1512 13th St Nw, Washington, DC 20005-3763 | 2006-05-10 |
1295241586 | Barry Scott Clark | Case Manager/Care Coordinator | 307 Main St, Rocky, OK 73661-9000 | 2017-12-21 |
1972840999 | Barry James Clark | Counselor | 55 W 125th St Fl 10, New York, NY 10027-4516 | 2013-01-10 |
1336249341 | Barry A Clark | Pediatrics | 1b Main St, Wellsboro, PA 16901-1601 | 2006-09-22 |
1962413070 | Barry Kent Clark Jr. | Counselor | 100 W 7th St, Okmulgee, OK 74447-5007 | 2006-08-11 |
Street Address |
700 MEDICAL PARK DR |
City | HARTSVILLE |
State | SC |
Zip Code | 29550-4765 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043775042 | Amanda Jo Webb | Physician Assistant | 700 Medical Park Dr, Hartsville, SC 29550-4765 | 2019-02-04 |
1851659858 | Aaron Thomas Wynkoop | Orthopaedic Surgery | 700 Medical Park Dr, Hartsville, SC 29550-4765 | 2012-04-26 |
1952633810 | Naga Suresh Pr Cheppalli | Orthopaedic Surgery | 700 Medical Park Dr, Hartsville, SC 29550-4765 | 2010-02-03 |
1982832473 | Prashant Prakash Deshmane | Orthopaedic Surgery | 700 Medical Park Dr, Hartsville, SC 29550-4765 | 2009-06-23 |
1679739619 | Novant Medical Group, Inc. | Orthopaedic Surgery | 700 Medical Park Dr, Hartsville, SC 29550-4765 | 2008-07-30 |
1952564536 | Umesh Sharad Metkar | Orthopaedic Surgery | 700 Medical Park Dr, Hartsville, SC 29550-4765 | 2008-07-03 |
1730365214 | Terence W Hassler | Orthopaedic Surgery | 700 Medical Park Dr, Hartsville, SC 29550-4765 | 2008-01-15 |
1881655801 | Hartsville Orthopaedics & Sports Medicine, Pa | Clinic/Center | 700 Medical Park Dr, Hartsville, SC 29550-4765 | 2006-03-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790391456 | Empire Audiology, LLC | Audiologist | 3536 W Bobo Newsom Hwy, Hartsville, SC 29550 | 2020-09-18 |
1386125797 | Caresouth Hha Holdings of Washington, LLC | Hospice Care, Community Based | 696 Medical Park Dr Ste 2, Hartsville, SC 29550 | 2018-08-23 |
1740760735 | Danna Dubose Coe | Home Health | 1575 Winding Ridge Drive, Hartsville, SC 29550 | 2018-08-18 |
1548748452 | Samantha Elizabeth Kieffer | Counselor | 510 Carolina Ave, Hartsville, SC 29550 | 2018-08-02 |
1790277879 | Katarina K Epps | Counselor | 628 E Carolina Ave, Hartsville, SC 29550 | 2018-06-04 |
1497245328 | Mary Alice King | Counselor | 513 Woodland Drive, Hartsville, SC 29550 | 2018-05-16 |
1003321167 | Mcleod Physician Associates II | Internal Medicine | 1319 South 4th Street, Hartsville, SC 29550 | 2017-12-11 |
1902347677 | William H Long LLC | Family Medicine | 420a W Carolina Ave, Hartsville, SC 29550 | 2017-03-15 |
1821459470 | April S Crawley | Nurse Practitioner | 1 N 2nd St # C05, Hartsville, SC 29550 | 2016-03-10 |
1548635873 | Melissa Davis Ellington | Registered Nurse | 900 South 4th Street, Hartsville, SC 29550 | 2015-12-11 |
Find all providers in zip 29550 |
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 |
---|---|---|---|---|
1366556417 | Raymond Scott Corpe | Orthopaedic Surgery | 5 Richmond Medical Park, Columbia, SC 29230 | 2006-08-18 |
1104345594 | Vandit Sardana | Orthopaedic Surgery | Beaufort Memorial Orthopaedic Specialists, 1251 Ribaut Road, Beaufort, SC 29902-6185 | 2017-09-17 |
1497206478 | Roper Saint Francis Physicians Network | Orthopaedic Surgery | 3510 N Highway 17, Suite 220, Mt Pleasant, SC 29466-8227 | 2016-10-14 |
1487105466 | Roper Saint Francis Physicians Network | Orthopaedic Surgery | 8901 University Blvd, N Charleston, SC 29406-9116 | 2016-10-14 |
1871999813 | Roper Saint Francis Physicians Network | Orthopaedic Surgery | 730 Stony Landing Rd, Suite 200, Moncks Corner, SC 29461-2904 | 2014-11-18 |
1780080721 | Roper Saint Francis Physicians Network | Orthopaedic Surgery | 594 Lone Tree Dr, Bldg 6, Mt Pleasant, SC 29464-8170 | 2014-11-18 |
1821418690 | Erik James Hansen | Orthopaedic Surgery | 171 Ashley Ave, Charleston, SC 29425-1032 | 2014-04-21 |
1104245109 | Roper Saint Francis Physicians Network | Orthopaedic Surgery | 2891 Tricom St, Suite A, North Charleston, SC 29406-7110 | 2014-04-08 |
1306130307 | Dustin S Hambright | Orthopaedic Surgery | 9100 Medcom St, N Charleston, SC 29406-9167 | 2011-06-07 |
1285946269 | Justin Gerard Brothers | Orthopaedic Surgery | 210 Village Center Blvd, Suite 200, Myrtle Beach, SC 29579-6706 | 2010-07-07 |
Find all providers with the same taxonomy |
City | HARTSVILLE |
Zip Code | 29550 |
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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.