GORDON PENNER CLARK (NPI# 1972538932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972538932 |
| Entity Type | Individual |
| Full Name | GORDON PENNER CLARK |
| Credential | M.D. |
| Practice Address |
809 Turnpike Ave Clearfield PA 16830-1232 |
| Practice Telephone | 8147682470 |
| Practice Fax Number | 8147682374 |
| Mailing Telephone | 8147682470 |
| Mailing Fax Number | 8147682374 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD017321E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0009625030012 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629116744 | Gordon Michael Clark Sr. | Internal Medicine | 4119 Emerson Ave, Dallas, TX 75205-1144 | 2007-02-01 |
| 1225091523 | Gordon H. Clark Jr. | Psychiatry & Neurology | 161 E Elm St, Yarmouth, ME 04096-7109 | 2006-04-08 |
| 1417937145 | Gordon Blake Clark | Obstetrics & Gynecology | 21624 Midland Dr, Shawnee, KS 66218-9064 | 2006-01-19 |
| 1265546014 | Gordon H Clark | Family Medicine | 820 1st Street, Limon, CO 80828-8082 | 2006-08-18 |
| Street Address |
809 TURNPIKE AVE |
| City | CLEARFIELD |
| State | PA |
| Zip Code | 16830-1232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922009844 | Richard G Williams | Radiology | 809 Turnpike Ave, Clearfield, PA 16830-1232 | 2005-08-02 |
| 1578032678 | Clearfield Hospital | Nurse Anesthetist, Certified Registered | 809 Turnpike Ave, Clearfield, PA 16830-1232 | 2018-11-19 |
| 1831613298 | John William Gonzalez Jr. | Nurse Practitioner | 809 Turnpike Ave, Clearfield, PA 16830-1232 | 2017-07-27 |
| 1134526353 | Bernadette Clark | Dietitian, Registered | 809 Turnpike Ave, Clearfield, PA 16830-1232 | 2014-12-03 |
| 1487088340 | Victoria Adams | Physician Assistant | 809 Turnpike Ave, Clearfield, PA 16830-1232 | 2013-08-28 |
| 1568896603 | Clearfield Emergency Group PC | Physician Assistant | 809 Turnpike Ave, Clearfield, PA 16830-1232 | 2013-08-26 |
| 1215369848 | Olivia Neeper | Physician Assistant | 809 Turnpike Ave, Clearfield, PA 16830-1232 | 2013-08-06 |
| 1255697645 | Brooke Susan Bias | Nurse Anesthetist, Certified Registered | 809 Turnpike Ave, Clearfield, PA 16830-1232 | 2012-04-10 |
| 1699046383 | Jessica L Poole | Nurse Anesthetist, Certified Registered | 809 Turnpike Ave, Clearfield, PA 16830-1232 | 2012-01-26 |
| 1063780823 | Clearfield Hospital | Social Worker | 809 Turnpike Ave, Clearfield, PA 16830-1232 | 2011-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346751773 | Katelyn Marie Coder | Counselor | 600 Leonard St., Clearfield, PA 16830 | 2017-10-12 |
| 1730607128 | Brianna Spencer | Specialist/Technologist | 308 Witmer Street, Clearfield, PA 16830 | 2017-09-06 |
| 1487061487 | Tuesday Dawn Baker-couturiaux | Counselor | 600 Leonard Street, Clearfield, PA 16830 | 2014-07-22 |
| 1841545076 | Rashmi Mishra | Internal Medicine | 531c Hannah St, Clearfield, PA 16830 | 2012-07-13 |
| 1609911502 | Andrew Williams Zimmerman | Dentist | 402 East Market St, Clearfield, PA 16830 | 2007-02-20 |
| 1780759753 | Matthew C Rich | Chiropractor | 6247 Clearfield Woodland Hwy, Clearfield, PA 16830 | 2006-11-22 |
| 1316039043 | Michael Guy Simpson | Optometrist | 100 Super Center Drive, Clearfield, PA 16830 | 2006-09-29 |
| 1801996699 | Nathaniel D. Yingling Cancer Center | Clinic/Center | 815 Doctors Drive, Clearfield, PA 16830 | 2006-09-22 |
| 1558370130 | Mary E Flick | Dentist | 114 S 2nd St, Clearfield, PA 16830 | 2006-08-05 |
| 1386650174 | Scott R. Strauss, D.o. | Family Medicine | 531a Hannah Street, Clearfield, PA 16830 | 2006-07-31 |
| Find all providers in zip 16830 | ||||
| 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 |
|---|---|---|---|---|
| 1235210204 | Ernest P Jones Jr. | Emergency Medicine | 809 Turnpike Ave, Clearfield, PA 16830-1232 | 2006-10-18 |
| 1508972308 | James Clifford Edwards | Emergency Medicine | 809 Turnpike Ave, Clearfield, PA 16830-1232 | 2006-08-22 |
| 1649201963 | James P Desantis | Emergency Medicine | 809 Turnpike Ave, Clearfield, PA 16830-1232 | 2006-07-05 |
| 1063456531 | Clearfield Hospital | Emergency Medicine | 809 Turnpike Ave, Clearfield, PA 16830-1232 | 2006-06-15 |
| 1902840481 | Clearfield Hospital | Emergency Medicine | 809 Turnpike Ave, Clearfield, PA 16830-1232 | 2006-06-15 |
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|---|---|---|---|---|
| 1194324798 | Raymond Joseph Roberge | Emergency Medicine | 5909 Hampton St, Pittsburgh, PA 15206-1617 | 2020-10-23 |
| 1053910232 | Carbon - Schuylkill Community Hospital Inc | Emergency Medicine | 201 W Centre St, Mahanoy City, PA 17948-2505 | 2020-10-20 |
| 1780295733 | Geisinger Clinic | Emergency Medicine | 545 Fair Street, Bloomsburg, PA 17815 | 2020-08-13 |
| 1033748488 | Abhishek Patel | Emergency Medicine | 205 South Front Street Brady 3, Harrisburg, PA 17104 | 2020-04-07 |
| 1437796497 | Elizabeth Megan Heyer | Emergency Medicine | 1500 Lansdowne Aveune, Darby, PA 19023 | 2019-12-09 |
| 1437716313 | Syndikos Investments LLC | Emergency Medicine | 127 E Cunningham St Ste 102, Butler, PA 16001-5936 | 2019-05-25 |
| 1891254744 | Neil Leon Darby | Emergency Medicine | 706a S Colorado St, Philadelphia, PA 19146-1915 | 2019-03-19 |
| 1720545320 | Medexpress Urgent Care, PC - Pennsylvania | Emergency Medicine | 4 Clover Dr, Saint Clair, PA 17970-2200 | 2019-03-01 |
| 1780149963 | St. Luke's Hospital | Emergency Medicine | 2550 Route 100 Ste 110, Macungie, PA 18062-9652 | 2019-02-01 |
| 1780179986 | Megan Minor | Emergency Medicine | 801 Ostrum St Ste 1, Bethlehem, PA 18015 | 2018-06-29 |
| Find all providers with the same taxonomy | ||||
| City | CLEARFIELD |
| Zip Code | 16830 |
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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.