DR. ROBERT A CLARK (NPI# 1972552065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972552065 |
| Entity Type | Individual |
| Full Name | DR. ROBERT A CLARK |
| Credential | MD |
| Practice Address |
6201 N Suncoast Blvd Crystal River FL 34428-6712 |
| Mailing Address |
2810 W Saint Isabel St Suite 201 Tampa FL 33607-6375 |
| Practice Telephone | 3527953205 |
| Practice Fax Number | 7274501144 |
| Mailing Telephone | 8138908004 |
| Mailing Fax Number | 7275180762 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2015-10-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME0051405 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457989048 | Robert William Clark | Registered Nurse | 1511 Se 16th Ave, Ocala, FL 34471-4627 | 2020-03-30 |
| 1578012225 | Robert Clark | Technician, Other | 5075 Belmere Dr, Manitou Beach, MI 49253-9626 | 2016-09-22 |
| 1447535620 | Robert Leal Clark | Ophthalmology | 901 Forest Ave., Johnson City, TN 37601 | 2011-10-19 |
| 1619287216 | Robert Earl Clark | Occupational Therapist | 6623 N Main St, Davenport, IA 52806 | 2010-10-15 |
| 1376778746 | Robert T Clark Sr. | Chiropractor | 2411 Us Highway 27 S, Sebring, FL 33870-4943 | 2009-05-28 |
| 1538358924 | Robert Coleman Clark | Massage Therapist | 1501b Grape St, Tallahassee, FL 32303-5637 | 2007-10-22 |
| 1376765925 | Robert Clark | Nurse Practitioner | Employee and Occupational Health, Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2007-05-03 |
| 1396963666 | Robert Clark | Licensed Practical Nurse | 26347 Lake Lindsey Rd, Brooksville, FL 34601-4304 | 2007-04-23 |
| 1770708349 | Robert Douglas Clark | Physical Therapist | 3580 Discovery Dr, Grove City, OH 43123-9329 | 2007-04-17 |
| 1053432633 | Robert Joseph Clark | Dentist | 5323 Brainerd Rd Ste 105, Chattanooga, TN 37411-5305 | 2007-04-02 |
| Street Address |
6201 N SUNCOAST BLVD |
| City | CRYSTAL RIVER |
| State | FL |
| Zip Code | 34428-6712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396738506 | Beverly Vienot | Nurse Practitioner | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 | 2005-08-24 |
| 1346863503 | Citrus Hma LLC | Medicare Defined Swing Bed Unit | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 | 2020-05-22 |
| 1699397182 | Nancy Ruth Reader | Pharmacist | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 | 2020-05-07 |
| 1003464033 | Continuum Medical Solutions, LLC | Internal Medicine | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 | 2019-09-03 |
| 1215456207 | W4p LLC | Emergency Medicine | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 | 2017-09-12 |
| 1043736465 | Mary Puckett Carroll | Pharmacist | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 | 2017-08-17 |
| 1467995654 | Seven Rivers Reg. Medical Center | General Acute Care Hospital | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 | 2016-11-21 |
| 1679931315 | Joni Seno Capahi | Occupational Therapist | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 | 2016-02-09 |
| 1366817512 | Alistair Co, Pllc | Family Medicine | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 | 2015-12-13 |
| 1598163826 | Nathan D Huffaker | Nurse Anesthetist, Certified Registered | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 | 2014-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992129639 | Kady Rae Gonzalez | Pharmacist | 6201 North Suncoast Boulevard, Crystal River, FL 34428 | 2014-02-18 |
| 1104262302 | Cedar Creek At Kings Bay, Inc | Assisted Living Facility | 231 Nw Hwy 19, Crystal River, FL 34428 | 2013-05-14 |
| 1558707828 | Lisa Kelly | Occupational Therapist | 8410 North Maple Avenue, Crystal River, FL 34428 | 2013-05-14 |
| 1235479403 | Jericka Sanders | Physical Therapy Assistant | 10105 W Ohio Dr, Crystal River, FL 34428 | 2013-02-25 |
| 1952627788 | Philip A Cenatiempo | Pharmacist | 1801 Nw Hwy 19, Crystal River, FL 34428 | 2010-04-19 |
| 1871816256 | Alexis R Bergan-guzman | Chiropractor | 116 Nw 5th Street, Crystal River, FL 34428 | 2010-03-12 |
| 1679707889 | Elizabeth Davis Mazzeo | Social Worker | 708 Ne 6th St, Crystal River, FL 34428 | 2009-05-04 |
| 1134136583 | Robert Matthew Berger | Anesthesiology | 6201 Suncoast Blvd, C/o Seven Rivers Regional, Crystal River, FL 34428 | 2006-08-01 |
| 1740211879 | K Mart Corp | Pharmacy | 1801 Northwest Hwy 19, Crystal River, FL 34428 | 2006-07-06 |
| 1174566434 | James T Stiles | Nurse Anesthetist, Certified Registered | 257 Ne Crystal St, Crystal River, FL 34428 | 2006-06-14 |
| Find all providers in zip 34428 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457300469 | Robert Clark Md Pa | Radiology | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 | 2006-05-08 |
| 1427047133 | Kamalesh A Amin | Radiology | 922 N Citrus Ave, Crystal River, FL 34428-3409 | 2005-10-14 |
| 1659369270 | Scott R Fisher | Radiology | 922 N Citrus Ave, Crystal River, FL 34428-3409 | 2005-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588263941 | Pro Rad Imaging Services, LLC | Radiology | 81 N Hibiscus Dr, Miami Beach, FL 33139-5117 | 2020-10-18 |
| 1144834763 | Tower Imaging LLC | Radiology | 17416 Brookside Trace Ct., Tampa, FL 33647-3589 | 2020-09-01 |
| 1093325987 | Flagler Professional Health Care Services Inc. | Radiology | 351 Town Plaza Avenue, 101, Ponte Vedra, FL 32081 | 2020-08-05 |
| 1285243394 | Florida Radiology Imaging At Lake Mary LLC | Radiology | 2488 E Irlo Bronson Memorial Hwy, Kissimmee, FL 34744-4948 | 2020-07-24 |
| 1790301661 | Clearview Diagnostic | Radiology | 8076 S Orange Blossom Trl, Orlando, FL 32809-7670 | 2020-06-17 |
| 1255956280 | Radiology Consultants of Hollywood Inc | Radiology | 310 W 41st St, Miami Beach, FL 33140-3603 | 2020-06-16 |
| 1366067712 | Baycare Outpatient Imaging LLC | Radiology | 711 S Dale Mabry Hwy, Tampa, FL 33609-4445 | 2020-06-11 |
| 1982225009 | Radiology and Nuclear Medicine Services LLC | Radiology | 1020 Nw 94th Ter, Plantation, FL 33322-4816 | 2020-04-29 |
| 1427679836 | Health Diagnostics of Fort Lauderdale, LLC | Radiology | 16604 Sheridan Street, Pembroke Pines, FL 33331 | 2020-04-27 |
| 1316576705 | Morton Plant Mease Health Services Inc | Radiology | 1840 Mease Dr Ste 103, Safety Harbor, FL 34695-6603 | 2020-04-07 |
| Find all providers with the same taxonomy | ||||
| City | CRYSTAL RIVER |
| Zip Code | 34428 |
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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.