DR. RICHARD DAN CLARK (NPI# 1902908569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902908569 |
| Entity Type | Individual |
| Full Name | DR. RICHARD DAN CLARK |
| Credential | MD |
| Practice Address |
3011 Avenue B Scottsbluff NE 69361-4372 |
| Mailing Address |
1720 Beverly Blvd P.o. Box 531 Gering NE 69341-1946 |
| Practice Telephone | 3086322215 |
| Mailing Telephone | 3084365548 |
| Enumeration Date | 2006-09-03 |
| Last Update Date | 2011-11-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 12039 | NE | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366922684 | Richard Sheldon Clark | Counselor | 311 Penny Dr, Lithopolis, OH 43136-9704 | 2018-08-16 |
| 1871929000 | Richard H Clark | Chiropractor | 462 Warren Rd, Franklin, PA 16323-6544 | 2013-09-19 |
| 1770831901 | Richard Clark | Counselor | 2902 Jack Pine St, Bellevue, NE 68123-5519 | 2012-08-20 |
| 1285866079 | Richard C Clark IIi | Counselor | 800 Pineview Dr, Hattiesburg, MS 39401-7459 | 2009-08-13 |
| 1134318140 | Richard S Clark | Marriage & Family Therapist | 2801 Summit St Apt 307, Oakland, CA 94609-3643 | 2007-10-16 |
| 1023042470 | Richard R. Clark | Family Medicine | 1475 E Belvidere Rd Unit 385, Grayslake, IL 60030-2026 | 2006-07-10 |
| 1942249545 | Richard James Clark IIi | Dentist | 2300 Garrett Rd, Drexel Hill, PA 19026-1102 | 2006-06-06 |
| 1699744011 | Richard C Clark | Physical Therapist | 4909 Nolensville Rd, Nashville, TN 37211-5411 | 2006-03-16 |
| 1528059565 | Richard K Clark | Optometrist | 810 Ne 25th Ave, Ocala, FL 34470-6335 | 2005-10-31 |
| 1053316364 | Richard Don Clark | Family Medicine | 802 Wayne St, Ste 202, Marietta, OH 45750-3300 | 2005-06-15 |
| Street Address |
3011 AVENUE B |
| City | SCOTTSBLUFF |
| State | NE |
| Zip Code | 69361-4372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972597466 | Joseph D Blankenship | Physician Assistant | 3011 Avenue B, Scottsbluff, NE 69361-4372 | 2005-09-09 |
| 1679045108 | Deanna L Schrotberger | Registered Nurse | 3011 Avenue B, Scottsbluff, NE 69361-4320 | 2018-12-21 |
| 1639567944 | Joshua Garza | Physician Assistant | 3011 Avenue B, Scottsbluff, NE 69361-4372 | 2015-01-08 |
| 1053616300 | Ronald Strachan | Registered Nurse | 3011 Avenue B, Scottsbluff, NE 69361-4372 | 2011-01-18 |
| 1386950517 | Linda Marie Bull | Nurse Practitioner | 3011 Avenue B, Scottsbluff, NE 69361-4372 | 2010-08-25 |
| 1841527215 | Kimberly D Hafeman | Physician Assistant | 3011 Avenue B, Scottsbluff, NE 69361-4372 | 2009-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710592803 | Sara Lynn Luehrs | Counselor | Westmoor Elementary, Scottsbluff Public Schools, 1722 Avenue K, Scottsbluff, NE 69361 | 2020-09-15 |
| 1467924076 | Kelly Jean Betts | Nurse Practitioner | 1601 W. 27th St., Wncc Harms Building, Scottsbluff, NE 69361 | 2018-12-20 |
| 1952824716 | Ellen Otto | Nurse Practitioner | 3210 Ave B, Suite B Quick Care, Scottsbluff, NE 69361 | 2017-07-24 |
| 1518379593 | Suzanne Poynter | Counselor | 14 West 27th, Suite 26, Scottsbluff, NE 69361 | 2014-05-27 |
| 1770834970 | Gabrielle K Mickelson | Dental Hygienist | 204 W 36th St, Scottsbluff, NE 69361 | 2012-09-27 |
| 1225393390 | Brittany R Eirich | Internal Medicine | 3911 Ave B Ste #1100, Scottsbluff, NE 69361 | 2012-07-05 |
| 1548560584 | Western Plains Psychology P.C. | Psychologist | 3911 Ave B, Suite 3400, South Plaza, Scottsbluff, NE 69361 | 2010-10-25 |
| 1033340146 | Bluffs Health Care Clinic | Physician Assistant | 914 W 36th Str, Scottsbluff, NE 69361 | 2009-08-06 |
| 1598972994 | Panhandle Mental Health Center | Case Management | 410 South Beltline, Suite 3, Scottsbluff, NE 69361 | 2007-05-16 |
| 1821201294 | Kay C. Gamet | Social Worker | 4410 Ave D, Scottsbluff, NE 69361 | 2007-05-08 |
| Find all providers in zip 69361 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679079669 | Complete Care Family Practice | Family Medicine | 713 1/2 W 27th St, Scottsbluff, NE 69361-4412 | 2018-03-30 |
| 1942239355 | John Gerard Spethman | Family Medicine | 3911 Avenue B Ste 1100, Scottsbluff, NE 69361-4617 | 2006-06-30 |
| 1710324868 | Aaron James Cisar | Family Medicine | 3911 Avenue B, Suite 1100, Scottsbluff, NE 69361-4617 | 2013-05-30 |
| 1497980056 | Like He | Family Medicine | 3911 Avenue B Ste 1100, Scottsbluff, NE 69361-4617 | 2009-05-26 |
| 1447450713 | Harkins Family Medicine PC | Family Medicine | 1821 1st Ave, Scottsbluff, NE 69361-2404 | 2007-07-24 |
| 1588799639 | Jacquelynn Michelle Gould | Family Medicine | 4021 Avenue B, Scottsbluff, NE 69361-4602 | 2007-02-22 |
| 1912081605 | Shelley J. Mccoy | Family Medicine | 2 W 42nd Street, Suite 2800, Scottsbluff, NE 69361-4660 | 2006-10-25 |
| 1225123458 | Delford Mark Roth | Family Medicine | 416 Valley View Dr, Suite 301, Scottsbluff, NE 69361-1486 | 2006-10-04 |
| 1801988266 | Horizons West Medical Group A Professional Corportion | Family Medicine | 3911 Avenue B, Suite 2100, Scottsbluff, NE 69361 | 2006-09-29 |
| 1043226517 | Kent Lacey | Family Medicine | 3911 Avenue B, Suite 1100, Scottsbluff, NE 69361-4617 | 2006-08-01 |
| Find all providers in SCOTTSBLUFF | ||||
| City | SCOTTSBLUFF |
| Zip Code | 69361 |
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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.