DR. CURTIS BASIL CLARK (NPI# 1922386069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922386069 |
Entity Type | Individual |
Full Name | DR. CURTIS BASIL CLARK |
Credential | M.D. |
Practice Address |
1512 West Center Street Sheridan AR 72150-0417 |
Mailing Address |
Po Box 417 Sheridan AR 72150-0417 |
Practice Telephone | 8709422652 |
Practice Fax Number | 8709421853 |
Mailing Telephone | 8709422652 |
Mailing Fax Number | 8709421853 |
Enumeration Date | 2011-07-22 |
Last Update Date | 2011-07-22 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
C2485 | AR | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962806786 | Curtis Clark | Nurse Practitioner | 175 North Medical Drive, Salt Lake City, UT 84132 | 2014-10-22 |
1629067418 | Curtis M Clark | Dentist | 1767 Nw Kings Blvd, Corvallis, OR 97330-1905 | 2005-10-14 |
1225591878 | Curtis Anthony Clark | Student in an Organized Health Care Education/Training Program | 833 Princeton Ave Sw, Birmingham, AL 35211-1323 | 2019-04-10 |
1710459367 | Curtis Clark | Occupational Therapist | 851 Penniman Ave, Plymouth, MI 48170-1621 | 2018-12-20 |
1346403227 | Curtis J Clark | Urology | 215 W Bowery St, Suite 3500, Akron, OH 44308-1069 | 2008-07-09 |
1104841345 | Curtis Robert Clark | Physical Therapist | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2006-07-12 |
1134169360 | Curtis Carl Clark | Family Medicine | 1405 S 8th Ave, Suite 103, Sterling, CO 80751-4563 | 2006-06-07 |
1962449017 | Curtis R Clark II | Anesthesiology | 800 Wheeling Ave, Glen Dale, WV 26038-3357 | 2006-05-31 |
1538117528 | Curtis E Clark Jr. | Family Medicine | 610 19th St, Columbus, GA 31901-1528 | 2006-05-04 |
Street Address |
1512 WEST CENTER STREET |
City | SHERIDAN |
State | AR |
Zip Code | 72150-0417 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922656180 | Ryan Harris | Pharmacist | 821 N Rock Street, Sheridan, AR 72150 | 2019-08-30 |
1538561188 | Assisted Care for Seniors | In Home Supportive Care | 102 Center Street, Suite A, Sheridan, AR 72150 | 2014-09-25 |
1679653885 | Rodman & Armstrong Partnership | Optometrist | 201 W Holly, Sheridan, AR 72150 | 2006-10-16 |
1881790236 | Paul D Fitzgerald | Dentist | 209 W Holly, Sheridan, AR 72150 | 2006-09-15 |
1811912207 | Nancy Watson | Nurse Practitioner | 109 West Pine St., Suite A, Sheridan, AR 72150 | 2006-07-13 |
1356320832 | John B Simpson | Family Medicine | 651 Heritage Dr, Sheridan, AR 72150 | 2006-01-12 |
1548607161 | Deanna Hardiman | Counselor | 201 S Rose St, Sheridan, AR 72150 | 2013-05-23 |
1508130626 | Dorris Faye West | Technician/Technologist | 103 South Oak Street, Sheridan, AR 72150 | 2012-03-07 |
1689987620 | Melissa Gail Drake | Nurse Practitioner | 651 Heritage Dr, Sheridan, AR 72150 | 2010-07-20 |
1154594380 | Bhc Pinnacle Pointe Hospital | Clinic/Center | 201 S Rose St, Sheridan, AR 72150 | 2008-04-09 |
Find all providers in zip 72150 |
Taxonomy Code | 207QG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Geriatric Medicine |
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205823135 | Roman Michael Hendrickson Sr. | Family Medicine | 210 E Crofoot St, Sheridan, MT 59749 | 2005-10-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518505890 | Sama Physician Services Pllc | Family Medicine | 600 S Timberlane Dr # 600, El Dorado, AR 71730-6990 | 2019-12-17 |
1316307531 | Simmons Geriatric Medicine and Long Term Care, Pa | Family Medicine | 16 Deauville Cir, Little Rock, AR 72223-5532 | 2016-03-01 |
1487704524 | Kimberly Dawn Burner | Family Medicine | 16723 Highway 62, Garfield, AR 72732-7007 | 2007-01-11 |
1225128796 | Kenneth Morgan Sauer | Family Medicine | 823 N Arthur St, Little Rock, AR 72205-2901 | 2006-10-13 |
1427164631 | Mohammad Aamir Khan | Family Medicine | 4301 W Markham St # 748, Little Rock, AR 72205-7101 | 2006-08-21 |
1366454969 | Rheta Joann Horton Goatcher | Family Medicine | 14300 Chenal Pkwy, Little Rock, AR 72211-5805 | 2006-08-12 |
1255345450 | David P Brown | Family Medicine | 1302 Highway 71 N, Mena, AR 71953-8417 | 2006-07-27 |
1669436150 | Margaret H Taylor | Family Medicine | 1794 E. Joyce Blvd #2, Fayetteville, AR 72703 | 2006-04-13 |
1215938998 | Joseph Dale Sarnicki | Family Medicine | 402 Lee St, Hampton, AR 71744-8937 | 2005-08-03 |
1124026836 | Michael Clarence Young | Family Medicine | 301 Hale Ave, Prescott, AR 71857-3330 | 2005-07-07 |
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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.