WILLIAM D CLARK (NPI# 1922096718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922096718 |
| Entity Type | Individual |
| Full Name | WILLIAM D CLARK |
| Credential | MD |
| Practice Address |
18101 Oakwood Blvd Ste 124 Dearborn MI 48124-4089 |
| Mailing Address |
1500 Lundy Parkway Dearborn MI 48126 |
| Practice Telephone | 3135865011 |
| Practice Fax Number | 3135927134 |
| Mailing Telephone | 3135865011 |
| Mailing Fax Number | 3135865011 |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2015-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
4301068667 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4577146 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447819677 | William Eugene Clark | Nurse's Aide | 2869 Howey Rd, Columbus, OH 43224-4028 | 2019-06-11 |
| 1528454154 | William Clark | Specialist/Technologist | 8501 Silverbrook Rd, Lorton, VA 22079-3015 | 2015-04-10 |
| 1639575830 | William Clark | Specialist/Technologist | 7 Reef Rd, Anderson, GU 83901 | 2014-11-15 |
| 1730423278 | William Douglas Clark | Mechanotherapist | 1617 Highway 20 W, Mcdonough, GA 30253-7311 | 2012-11-21 |
| 1487950606 | William D Clark | Massage Therapist | 1160 Lucerne Loop Rd Ne, Winter Haven, FL 33881-9681 | 2011-02-04 |
| 1124320692 | William Warren Clark | Recreation Therapist | 2118 Stagecoach Trl, Temple, TX 76502-3224 | 2010-12-03 |
| 1407093875 | William Todd Clark | Specialist/Technologist, Other | 305 Greenbriar Ct, Otisco, IN 47163-9601 | 2009-01-07 |
| 1922244524 | William J Clark | Technician/Technologist | 3984 Drexel Rd, Pittsburgh, PA 15212-1512 | 2009-01-02 |
| 1023274503 | William Dave Clark | Counselor | 1421 Ossahatchie Creek Rd, Ellerslie, GA 31807-5339 | 2008-08-04 |
| 1598938219 | William Little Clark | Orthopaedic Surgery | 5 Retreat Rd, Augusta, GA 30909-1837 | 2008-04-03 |
| Street Address |
18101 OAKWOOD BLVD STE 124 |
| City | DEARBORN |
| State | MI |
| Zip Code | 48124-4089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689654931 | Clarita Hughes | Pediatrics | 18101 Oakwood Blvd Ste 124, Dept of Neonatology, Dearborn, MI 48124-4089 | 2006-01-20 |
| 1174503049 | Derek Bair | Pediatrics | 18101 Oakwood Blvd Ste 124, Dept of Neonatology, Dearborn, MI 48124-4089 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396389524 | Pharma A, LLC | Pharmacy | 23916 Michigan Ave, Dearborn, MI 48124 | 2019-10-31 |
| 1225683725 | Aysha Said | Behavior Technician | 1369 Porter St, Dearborn, MI 48124 | 2019-08-02 |
| 1881257772 | Leen Nusairat | Internal Medicine | Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 | 2019-04-17 |
| 1417413360 | Gary C. Veraghen, Dds, PC | Dentist | 22100 W. Outer Drive, Dearborn, MI 48124 | 2019-02-15 |
| 1982168787 | Fnu Asma Manzar | Physical Therapist | Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 | 2019-01-25 |
| 1639640162 | Jernia Lashawn Usher | Behavior Technician | 1360 Porter St Lower Level, Dearborn, MI 48124 | 2018-12-10 |
| 1710456470 | Samar Fouad Hannawi | Psychologist | 3815 Pelham Street, Suite #13, Dearborn, MI 48124 | 2018-11-24 |
| 1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
| 1568948289 | Ibrahim M Basma | Pharmacist | 22521 Michigan Avenue, Dearborn, MI 48124 | 2018-07-16 |
| 1669961942 | Jacqueline E Domzalski | Technician, Other | 3231 S. Gulley, Suite E, Dearborn, MI 48124 | 2018-05-02 |
| Find all providers in zip 48124 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477602225 | Oakwood Healthcare Group I, LLC | Pediatrics | 18101 Oakwood Blvd, Department of Neonatology, Dearborn, MI 48124-4089 | 2007-01-10 |
| 1518947878 | Frederick Lueder | Pediatrics | 18101 Oakwood Blvd, Dept of Neonatology, Dearborn, MI 48124-4089 | 2006-01-20 |
| 1689654931 | Clarita Hughes | Pediatrics | 18101 Oakwood Blvd Ste 124, Dept of Neonatology, Dearborn, MI 48124-4089 | 2006-01-20 |
| 1174503049 | Derek Bair | Pediatrics | 18101 Oakwood Blvd Ste 124, Dept of Neonatology, Dearborn, MI 48124-4089 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477022721 | Stephanie A Cody | Pediatrics | 4625 2nd Ave Apt 109, Detroit, MI 48201-1238 | 2018-11-15 |
| 1427494889 | Danish Alamshahi Alamy Md | Pediatrics | 1 Hurley Plz # 2e, Flint, MI 48503-5902 | 2013-05-13 |
| 1073855482 | Jodi K. Garvin | Pediatrics | Helen De Vos Children's Hospital Nicu 3w, 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2013-03-24 |
| 1205052636 | Neonatology & Inpatient Pediatrics, Inc | Pediatrics | 1964 Westlake Ct, Bloomfield Hills, MI 48302-1286 | 2007-04-17 |
| 1912933771 | June C Murphy | Pediatrics | 1400 Genesys Pkwy, Grand Blanc, MI 48439-8068 | 2006-06-24 |
| 1477188555 | Msu Health Care Inc | Pediatrics | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2020-03-09 |
| 1528608411 | Carl Joseph Domigan | Pediatrics | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2020-01-08 |
| 1790334217 | Adila Mohammedfawzi Abulhamail | Pediatrics | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2019-09-06 |
| 1558910216 | Mishref Mohammed Abdelhamid | Pediatrics | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2019-09-05 |
| 1124555214 | Matthew Arnold Neonatology Plc | Pediatrics | 1105 6th St, Traverse City, MI 49684-2345 | 2017-05-19 |
| Find all providers with the same taxonomy | ||||
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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.