MARK CLARK (NPI# 1912324351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912324351 |
| Entity Type | Individual |
| Full Name | MARK CLARK |
| Credential | DPM |
| Practice Address |
2300 Coronado Rd Pueblo CO 81003-1840 |
| Practice Telephone | 7198591901 |
| Mailing Telephone | 7198591901 |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2014-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
502 | CO | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710265160 | Mark Clark | Technician, Other | 6646 Highway 50, Gerald, MO 63037-2700 | 2011-08-02 |
| 1215255682 | Mark P Clark | Counselor | 11 Brandywine Dr, Cincinnati, OH 45246-3809 | 2010-05-11 |
| 1609006022 | Mark H. Clark | Pharmacist | 2901 N Dallas Parkway, Suite 420, Plano, TX 75093 | 2009-07-20 |
| 1588856827 | Mark Brian Clark | Registered Nurse | 3420 Box Elder, Evergreen, CO 80439-7841 | 2007-08-10 |
| 1154549061 | Mark W Clark | Nurse Anesthetist, Certified Registered | 1201 First St, Kennett, MO 63857 | 2007-04-23 |
| 1720119167 | Mark Clark | Counselor | 1366 W Indian Hills Dr Unit 69, Saint George, UT 84770-1885 | 2007-03-08 |
| 1205989605 | Mark Daniel Clark | Anesthesiology | 3735 Norton Hills Rd, Norton Shores, MI 49441-4469 | 2007-01-19 |
| 1407903693 | Mark Allen Clark | Nurse Practitioner | 111 Park Hill Dr # A, Fredericksburg, VA 22401-3357 | 2007-01-03 |
| 1447352828 | Mark Wayne Clark | Dentist | G-3550 Flushing Rd, Flint, MI 48504 | 2006-09-05 |
| 1407958291 | Mark Clark | Family Medicine | 7477 S State Rd, Goodrich, MI 48438-8745 | 2006-09-02 |
| Street Address |
2300 CORONADO RD |
| City | PUEBLO |
| State | CO |
| Zip Code | 81003-1840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042016 | Sunil Kumar | Student in an Organized Health Care Education/Training Program | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2020-04-21 |
| 1497382303 | Pueblo Family Dentistry Pllc | Dentist | 701 N Grand Avenue, Suite B, Pueblo, CO 81003 | 2020-03-23 |
| 1023654241 | Elmer A. Villalon, Dmd, LLC | Clinic/Center | 1225 North Main Street, #207, Pueblo, CO 81003 | 2019-11-22 |
| 1518434349 | Mariam Rahim | Internal Medicine | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-10-30 |
| 1003308222 | Julia Mcneice | Internal Medicine | Parkview Medial Center, Parkveiw Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-06-04 |
| 1689164857 | Jessica Sels | Internal Medicine | Parkview Medical Center Adult Medicine Clinic, 311 W 14th St, Pueblo, CO 81003 | 2018-05-14 |
| 1700313459 | Allison Vigil | Occupational Therapist | 1600 W. 24th St, Pueblo, CO 81003 | 2017-05-12 |
| 1245682020 | Paul S Bongat | Internal Medicine | 411 W. 14th St., Parkview Adult Medicine Clinic, Pueblo, CO 81003 | 2016-07-06 |
| 1013368596 | Daniel R Long | Internal Medicine | 411 West 14th Street, Pueblo, CO 81003 | 2016-06-27 |
| 1396195665 | Parkview Medical Center | General Acute Care Hospital | 411 W. 14th St, Pueblo, CO 81003 | 2016-06-17 |
| Find all providers in zip 81003 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790346997 | Nwsc Co Dr LLC | Podiatrist | 13402 W Coal Mine Ave # 310, Littleton, CO 80127-5407 | 2019-06-27 |
| 1891989760 | Boulder Valley Foot & Ankle Clinic PC | Podiatrist | 3000 Center Green Dr Ste 230, Boulder, CO 80301-2364 | 2007-09-04 |
| 1770686370 | Allied Foot and Ankle Clinics of Co, PC | Podiatrist | 7720 S Broadway #540, Littleton, CO 80122 | 2006-09-07 |
| 1124060488 | Lee T Fleming | Podiatrist | 1155 Kelly Johnson Blvd Ste 310, Colorado Springs, CO 80920-3959 | 2006-06-12 |
| 1366490666 | Charles J Daniel Jr. | Podiatrist | 201 W Park Dr, Grand Junction, CO 81505-1469 | 2006-05-05 |
| 1538117627 | Peter D Schultz | Podiatrist | 1440 Boise Ave, Loveland, CO 80538-4214 | 2006-05-04 |
| 1780648402 | Ritchie H Steed | Podiatrist | 630 Coffman St, Ste. A, Longmont, CO 80501-8302 | 2006-04-12 |
| 1235119983 | Sterling Foot & Ankle Ctr PC | Podiatrist | 101 Park St, Sterling, CO 80751-4134 | 2006-01-19 |
| 1356694228 | Groth Foot & Ankle Clinic PC | Podiatrist | 3920 N Union Blvd Ste 320, Colorado Spgs, CO 80907-4916 | 2012-10-17 |
| 1417202318 | North Colorado Springs Foot Clinic | Podiatrist | 7730 N Union Blvd, Suite 104, Colorado Springs, CO 80920-4084 | 2012-07-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MARK CLARK.
| 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.