MISS ALICIA T CLARK (NPI# 1952578460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952578460 |
| Entity Type | Individual |
| Full Name | MISS ALICIA T CLARK |
| Credential | MD |
| Practice Address |
2100 Erwin Rd Durham NC 27705-3941 |
| Mailing Address |
5213 S Alston Ave Durham NC 27713-4430 |
| Practice Telephone | 9196848111 |
| Mailing Telephone | 9196204917 |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2012-07-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 2012-00214 | NC | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 243377 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720647373 | Alicia Clark | Technician | 1701 N Green Valley Pkwy Ste 9a, Henderson, NV 89074-5991 | 2019-06-07 |
| 1407349012 | Alicia Ranae Clark | Dentist | 56720 Calumet Ave, Calumet, MI 49913-1967 | 2018-06-08 |
| 1821469537 | Alicia Clark | Nurse Practitioner | 4330 Wornall Rd, Suite 2000, Kansas City, MO 64111-3201 | 2015-10-08 |
| 1396125522 | Alicia Kohn Clark | Physical Therapist | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2015-06-03 |
| 1669899985 | Alicia Suzanne Clark | Physician Assistant | 123 S Alvarado St, Los Angeles, CA 90057-2201 | 2014-03-25 |
| 1134216690 | Alicia Clark | Psychologist | 339 W Loucks St, Sheridan, WY 82801-4121 | 2006-10-06 |
| 1801898440 | Alicia H Clark | Nurse Practitioner | 518 West Gum Street, Marion, KY 42064-1516 | 2005-08-12 |
| Street Address |
2100 ERWIN RD |
| City | DURHAM |
| State | NC |
| Zip Code | 27705-3941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215930417 | Raymond C Barfield | Pediatrics | 2100 Erwin Rd, Durham, NC 27710-0001 | 2005-05-23 |
| 1477058584 | Natalie Louise Tammen | Physician Assistant | 2100 Erwin Rd, Durham, NC 27705-3941 | 2018-03-29 |
| 1205350691 | Deema Elchoufi | Student in an Organized Health Care Education/Training Program | 2100 Erwin Rd, Durham, NC 27705-3941 | 2017-07-28 |
| 1164965372 | Duke Family Medicine | Preferred Provider Organization | 2100 Erwin Rd, Durham, NC 27705-3941 | 2016-11-21 |
| 1306391560 | Jesslyn Patrice Doody | Physician Assistant | 2100 Erwin Rd, Durham, NC 27705-3941 | 2016-08-17 |
| 1134579147 | Tyler Henderson Knowles | Nurse Anesthetist, Certified Registered | 2100 Erwin Rd, Durham, NC 27705-3941 | 2016-06-21 |
| 1962852665 | David Tallon | Nurse Practitioner | 2100 Erwin Rd, Durham, NC 27705-3941 | 2016-06-14 |
| 1780079608 | Jeanna J Bateson | Physician Assistant | 2100 Erwin Rd, Durham, NC 27705 | 2015-03-30 |
| 1184034431 | Walter F Wiggins | Radiology | 2100 Erwin Rd, Durham, NC 27705-3941 | 2014-05-07 |
| 1629499108 | Joshua Harris | Social Worker | 2100 Erwin Rd, Durham, NC 27705-3941 | 2013-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
| 1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
| 1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
| 1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
| 1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
| 1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
| 1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
| 1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
| 1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
| 1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
| Find all providers in zip 27705 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578077780 | Linda Heskestad Harpole | Internal Medicine | 3475 Erwin Rd Ste 200, Durham, NC 27705-0005 | 2017-11-27 |
| 1932629136 | Solomiia Savedchuk | Internal Medicine | 1000 Mcqueen Dr Apt 10102, Durham, NC 27705-8842 | 2017-06-20 |
| 1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
| 1497141097 | Myung Woo | Internal Medicine | Duke University Hospital 40 Duke Medicine Circle, Durham, NC 27710 | 2015-04-09 |
| 1750701918 | Lana Wahid | Internal Medicine | 40 Duke Medicine Cir # 3534, Durham, NC 27710-4000 | 2014-04-25 |
| 1962822742 | Zachary Hager | Internal Medicine | 40 Medicine Circle Duke University Medical Center 3534, Durham, NC 27710-4872 | 2014-04-21 |
| 1316383243 | Nastassia Jennae Schenkel | Internal Medicine | Duke Primary Care Pickett Road, 3004 Tower Blvd, Durham, NC 27707 | 2013-05-19 |
| 1114360799 | James Stanley Howard | Internal Medicine | 2301 Erwin Rd Ste 1151, Durham, NC 27705 | 2013-04-12 |
| 1053651695 | John Morrison Macgregor | Internal Medicine | 92 Dover Rd, Durham, NH 03824-3318 | 2013-02-19 |
| 1649527714 | Duke University Affiliated Physicians, Inc. | Internal Medicine | 4020 Roxboro Rd, Durham, NC 27704 | 2012-08-08 |
| Find all providers in DURHAM | ||||
Please comment or provide details below to improve the information on MISS ALICIA T 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.