DR. CARRIE JEAN CLARK (NPI# 1942445804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942445804 |
| Entity Type | Individual |
| Full Name | DR. CARRIE JEAN CLARK |
| Credential | D.O |
| Practice Address |
4401 S Wester Oklahoma City OK 73109 |
| Mailing Address |
2601 Chaucer Oklahoma City OK 73120 |
| Practice Telephone | 4056367500 |
| Mailing Telephone | 9188128755 |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2009-04-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 4628 | OK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962730531 | Carrie Cecilia Clark | Speech-Language Pathologist | 5014 W Millbrook Dr, Columbia, MO 65203-5329 | 2009-11-19 |
| 1669947776 | Carrie Arrington Clark | Nurse Practitioner | 2405 Atherholt Rd, Lynchburg, VA 24501 | 2018-10-05 |
| 1154827236 | Carrie Ann Clark | Occupational Therapist | 99 Barclay St, Newtown, PA 18940-1593 | 2018-04-05 |
| 1285137588 | Carrie Ann Clark | Clinical Nurse Specialist | 340 Dardanelli Ln Ste 10, Los Gatos, CA 95032-1418 | 2018-03-13 |
| 1013368133 | Carrie Clark | Physical Therapy Assistant | 586 Lone Tree Dr, Mt Pleasant, SC 29464-8170 | 2016-06-30 |
| 1568833945 | Carrie Clark | Community Health Worker | 401 S 23rd St, Worland, WY 82401-3725 | 2015-10-12 |
| 1295054138 | Carrie Leigh Clark | Physical Therapist | 7985 Knight Rd, Gainesville, GA 30506-6427 | 2010-05-17 |
| 1568787950 | Carrie Hoogerhyde Clark | Emergency Medicine | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2010-03-29 |
| 1730401407 | Carrie Ann Clark | Pharmacist | 7600 S Highway 69a, Miami, OK 74354-1016 | 2010-02-23 |
| 1922030220 | Carrie Ann Clark | Counselor | 7300 Wyndham Dr, Sacramento, CA 95823-4913 | 2006-07-07 |
| Street Address |
4401 S WESTER |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063905354 | Housecalls | Family Medicine | 4413 S Lee Ave, Oklahoma City, OK 73109 | 2018-06-11 |
| 1225559404 | John Nathan Jacobsen | Dentist | 235 Sw 25th St., Oklahoma City, OK 73109 | 2017-06-28 |
| 1659828648 | Cynthia Jane Laney | Registered Nurse | 4401 South Western, Oklahoma City, OK 73109 | 2016-09-07 |
| 1497104780 | Hazel Soto | Case Manager/Care Coordinator | 420 Sw, St, Oklahoma, OK 73109 | 2016-06-07 |
| 1063873677 | Ardeceley Brandi Annette Hernandez | Community/Behavioral Health | 5714 S. Western Ave, Oklahoma City, OK 73109 | 2016-03-09 |
| 1316343908 | Van Ngo | Nurse Practitioner | 4413 South Lee Ave, Oklahoma City, OK 73109 | 2014-11-10 |
| 1104249150 | Janessa Ladawn Bointy | Counselor | 5359 S. Western Ave. #707, Oklahoma City, OK 73109 | 2014-01-28 |
| 1033540299 | Bryan Graham | Case Manager/Care Coordinator | 1111 Sw 28th St, Oklahoma City, OK 73109 | 2013-12-12 |
| 1154684603 | Nubia Fiesel | Counselor | 420 Sw 10th Street, Oklahoma City, OK 73109 | 2012-06-20 |
| 1548533664 | C.c. Freeman, Md. Inc | Internal Medicine | 4221 S. Western Ave., Suite 2015, Oklahoma City, OK 73109 | 2012-02-21 |
| Find all providers in zip 73109 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295359248 | Optimum Complete Care, Pllc | Emergency Medicine | 5200 E. Interstate 240 Service Rd., Oklahoma City, OK 73135 | 2020-06-05 |
| 1164920252 | True North Health Navigation LLC | Emergency Medicine | 2525 Nw Expressway St Ste 102, Oklahoma City, OK 73112-7200 | 2018-01-24 |
| 1477002277 | Marianne Bacharach, Md, Pllc | Emergency Medicine | 1905 Nw 56th Ter, Oklahoma City, OK 73118-1409 | 2016-09-22 |
| 1194105353 | Romel Baroi | Emergency Medicine | 1000 N Lee Ave Ste 4401, Oklahoma City, OK 73102-1036 | 2015-06-03 |
| 1932517562 | Cole Timmons Hodges | Emergency Medicine | 200 Ne 2nd St Apt 204, Oklahoma City, OK 73104-4070 | 2014-07-28 |
| 1811304199 | Tyler Clayton Stephens | Emergency Medicine | 10304 Southridge Ter, Oklahoma City, OK 73159-7326 | 2014-07-17 |
| 1053736173 | James Edward Trina | Emergency Medicine | 2745 Sw 66th St, Oklahoma City, OK 73159-2605 | 2014-02-26 |
| 1255686697 | Chris D Bradshaw | Emergency Medicine | 4401 Sw 44th St, Oklahoma City, OK 73119-2899 | 2012-07-23 |
| 1457615114 | Julie Lewis | Emergency Medicine | 524 Nw 20th St, Oklahoma City, OK 73103-1803 | 2012-06-27 |
| 1013277284 | Diana Dee Mills-maloney | Emergency Medicine | 10312 Creek Meadow Dr, Oklahoma City, OK 73151-9138 | 2012-05-22 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73109 |
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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.