KRISTA M CLARK (NPI# 1962727743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962727743 |
| Entity Type | Individual |
| Full Name | KRISTA M CLARK |
| Other Name | KRISTA M BLACKMORE |
| Credential | DO |
| Practice Address |
2791 N Washington St Hedrick Family Care Chillicothe MO 64601-2902 |
| Practice Telephone | 6606462682 |
| Practice Fax Number | 6602148611 |
| Mailing Telephone | 6606462682 |
| Mailing Fax Number | 6602148611 |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2014-03-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2013021426 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073687224 | Krista M Clark | Specialist | 810 Hadley Ave, Old Hickory, TN 37138-3121 | 2006-11-20 |
| 1114935301 | Krista Jean Clark | Physical Therapist | 210 E Main St Ste 111, Midway, UT 84049-6828 | 2006-08-03 |
| 1457811515 | Krista Noel Clark | Student in an Organized Health Care Education/Training Program | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2019-03-23 |
| 1609303312 | Krista Clark | Marriage & Family Therapist | 400 Prospect Pl, Alpharetta, GA 30005-5468 | 2017-05-12 |
| 1073048567 | Krista Clark | Dietitian, Registered | 7700 University Dr, Fans, West Chester, OH 45069-2505 | 2017-04-22 |
| 1629336490 | Krista Renae Clark | Speech-Language Pathologist | 1011 Professional Blvd, Dalton, GA 30720-2506 | 2012-04-30 |
| 1023347481 | Krista Clark | Dietitian, Registered | 1000 Dutch Ridge Rd, Beaver, PA 15009-9727 | 2009-12-15 |
| 1053352187 | Krista Carrie Clark | Dietitian, Registered | 450 E 23rd St, Fremont, NE 68025-2303 | 2006-06-09 |
| Street Address |
2791 N WASHINGTON ST HEDRICK FAMILY CARE |
| City | CHILLICOTHE |
| State | MO |
| Zip Code | 64601-2902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417949785 | Delos J Clow | Obstetrics & Gynecology | 2791 N Washington St, Hedrick Ob/gyn Associates, Chillicothe, MO 64601-2902 | 2005-08-22 |
| 1669853982 | Ammie Wire | Family Medicine | 2791 N Washington St, Chillicothe, MO 64601-2902 | 2015-06-11 |
| 1750582516 | Yulia Peniston | Obstetrics & Gynecology | 2791 N Washington St, Hedrick Pb/gyn Associates, Chillicothe, MO 64601-2902 | 2007-05-30 |
| 1033217906 | Christopher E Hulett | Family Medicine | 2791 N Washington St, Hedrick Family Care, Chillicothe, MO 64601-2902 | 2006-09-21 |
| 1891899829 | Gregory A Miller | Family Medicine | 2791 N Washington St, Hedrick Family Care, Chillicothe, MO 64601-2902 | 2006-09-11 |
| 1437191095 | Saint Lukes Hospital of Chillicothe | Clinic/Center | 2791 N Washington St, Chillicothe, MO 64601-2902 | 2006-06-11 |
| 1679549141 | Darla Ky Cope | Nurse Practitioner | 2791 N Washington St, Hedrick Family Care, Chillicothe, MO 64601-2902 | 2006-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154946564 | Kelly Erin Deering | Optometrist | 1115 N Washingston St, Chillicothe, MO 64601 | 2020-06-11 |
| 1245873314 | Heartland Hearing Center | Hearing Instrument Specialist | 711 Washingtonst, Chllicothe, MO 64601 | 2019-10-22 |
| 1063776706 | Marie Elizabeth Mckinley | Counselor | 871 Fairway Drive, Chillicothe, MO 64601 | 2012-06-27 |
| 1528332525 | Brandon Kent Albrecht | Nurse Anesthetist, Certified Registered | 2106 Woodcrest Drive, Chillicothe, MO 64601 | 2012-03-08 |
| 1356651707 | Kimberly Marie Rice | Hearing Instrument Specialist | 614 Washington St., Suite 101, Chillicothe, MO 64601 | 2010-10-19 |
| 1457551483 | Mccoy Samples Mattingly Dental Clinic | Dentist | 850 Fairway Dr, Chillicothe, MO 64601 | 2007-07-18 |
| 1134328909 | Katherine Gibson | Speech-Language Pathologist | 1020 Old Highway 36 West, Chillicothe, MO 64601 | 2007-07-12 |
| 1669697660 | Family Health Center, Inc. | Family Medicine | 103 11th St. Ste 7, Chillicothe, MO 64601 | 2007-04-16 |
| 1275671042 | Floyd Jerome Davis | Chiropractor | 701 Locust Street, Chillicothe, MO 64601 | 2007-02-02 |
| 1689740938 | James P Suchsland | Family Medicine | 2791 N Washingston St, Hedrick Family Care, Chillicothe, MO 64601 | 2006-11-28 |
| Find all providers in zip 64601 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740819507 | Rtts Services Corporation | Family Medicine | 67 E Water St, Chillicothe, OH 45601-2535 | 2020-04-03 |
| 1376939587 | Jimmy L Yowell | Family Medicine | 20731 Highway 65, Chillicothe, MO 64601-8315 | 2015-04-14 |
| 1730310673 | John D Peralta-olivieri | Family Medicine | 272 Hospital Rd Ste 4, Third Floor - Billing Services, Chillicothe, OH 45601-9031 | 2009-07-27 |
| 1073751186 | Patterson Family Medical | Family Medicine | 209 Delano Ave, Chillicothe, OH 45601-2250 | 2009-01-27 |
| 1669697660 | Family Health Center, Inc. | Family Medicine | 103 11th St. Ste 7, Chillicothe, MO 64601 | 2007-04-16 |
| 1881760916 | James P. Suchsland, Inc | Family Medicine | 530 Park Ln, Chillicothe, MO 64601-1560 | 2006-11-28 |
| 1689740938 | James P Suchsland | Family Medicine | 2791 N Washingston St, Hedrick Family Care, Chillicothe, MO 64601 | 2006-11-28 |
| 1508956897 | Tim Vega | Family Medicine | 319 N 4th St, Chillicothe, IL 61523-2059 | 2006-10-15 |
| 1326150897 | Joseph Scott Mckell | Family Medicine | 174 W Main St, Chillicothe, OH 45601-3106 | 2006-08-31 |
| 1811005051 | Barton Earl Brower | Family Medicine | 272 Hospital Road, Adena Health Systems, Chillicothe, OH 45601 | 2006-08-28 |
| Find all providers in CHILLICOTHE | ||||
| City | CHILLICOTHE |
| Zip Code | 64601 |
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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.