MR. SHANE CLARK (NPI# 1972910305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972910305 |
| Entity Type | Individual |
| Full Name | MR. SHANE CLARK |
| Credential | A.T.,C. |
| Practice Address |
2151 Fews Chapel Rd Greer SC 29651-4946 |
| Practice Telephone | 8643551896 |
| Mailing Telephone | 8643551896 |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2014-07-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003220203 | Shane Thomas Clark | Dentist | 2800 Coors Blvd Nw, Albuquerque, NM 87120-1204 | 2014-06-16 |
| 1437446440 | Shane Alexander Clark | Optometrist | 5734 Sheridan Lake Rd, Suite 202, Rapid City, SD 57702-8811 | 2011-06-29 |
| 1902391477 | Shane Clark | Student in an Organized Health Care Education/Training Program | 401 W Greenlawn Ave, Lansing, MI 48910-2819 | 2018-06-27 |
| 1548495336 | Shane Chamberlain Clark | Dermatology | 5300 Far Hills Avenue, Dayton, OH 45429-2347 | 2009-05-21 |
| 1265573067 | Shane Alan Clark | Anesthesiology | 6606 Lbj Fwy, Suite 200, Dallas, TX 75240-6533 | 2007-02-12 |
| Street Address |
2151 FEWS CHAPEL RD |
| City | GREER |
| State | SC |
| Zip Code | 29651-4946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619499035 | Jerry Webb Hudspeth II | Pharmacist | 221 Marnie Ln, Greer, SC 29651 | 2017-07-07 |
| 1073863395 | Sarah Delello Black | Pharmacist | 590 East Howell Rd, Greer, SC 29651 | 2012-09-13 |
| 1538418645 | Ernest Earl Clayton | Pharmacist | 1325 West Wade Hampton Blvd, Greer, SC 29651 | 2012-09-05 |
| 1235451352 | Mountainview Dentistry | Dentist | 119 Village Drive, Greer, SC 29651 | 2010-02-16 |
| 1548457849 | Assisted Living Concepts Inc | Assisted Living Facility | 10 Companion Court, Greer, SC 29651 | 2007-10-01 |
| 1689866642 | Anthony L Mathis Dpm LLC | Podiatrist | 127 Mills Ave., Greer, SC 29651 | 2007-08-14 |
| 1275740193 | Pamela B Dhillon | Dentist | 3115 A Brushy Creek Road, Greer, SC 29651 | 2007-05-17 |
| 1689715153 | Clara Richards | Occupational Therapy Assistant | 285 Genoble Rd, Greer, SC 29651 | 2007-02-09 |
| 1063566263 | Greer Group Practice, LLC | Orthopaedic Surgery | 501-b Memorial Extension Drive, Greer, SC 29651 | 2007-01-23 |
| 1730253824 | Tammy Rollins Mason | Social Worker | 104 Memorial Drive, Greer, SC 29651 | 2006-11-20 |
| Find all providers in zip 29651 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336591288 | Zac Parker | Specialist/Technologist | 2670 Dry Pocket Rd Apt 717, Greer, SC 29650-5248 | 2016-07-04 |
| 1881078756 | John Thorpe | Specialist/Technologist | 301 Timberlane Rd, Greer, SC 29651-4243 | 2015-07-10 |
| 1740684661 | Jeremy Turner | Specialist/Technologist | 3000 E Gap Creek Rd, Greer, SC 29651-5401 | 2014-10-21 |
| 1104233428 | Sasha Rochelle Robinson | Specialist/Technologist | 1020 Anderson Ridge Rd, Greer, SC 29651-7615 | 2014-07-18 |
| 1922370816 | Christopher Andrew Pare | Specialist/Technologist | 102 Shefford Ln, Greer, SC 29650-2729 | 2012-02-07 |
| 1588016281 | Adam Cellamare | Specialist/Technologist | 315 Medical Pkwy, Suite 100, Greer, SC 29650-2456 | 2016-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548869563 | Brandon Lundin | Specialist/Technologist | 259 Dorchester Manor Blvd, North Charleston, SC 29420-8107 | 2020-10-21 |
| 1578160123 | Emma Faith Cornell | Specialist/Technologist | 9345 Blue House Rd, Apt 9302, Ladson, SC 29456-4093 | 2020-10-07 |
| 1932706587 | Devynn Galloway | Specialist/Technologist | 111 Springview Ln Apt 623, Summerville, SC 29485-8773 | 2020-10-07 |
| 1750988309 | Kirstyn Owen | Specialist/Technologist | 9345 Blue House Rd Apt 9302, Ladson, SC 29456-4093 | 2020-10-07 |
| 1902418106 | Kelli Brianna Adams | Specialist/Technologist | 12 He Mccracken Cir, Bluffton, SC 29910-5866 | 2020-08-19 |
| 1770195208 | Chely Mckoy | Specialist/Technologist | 126 Tidwell Ln, Swansea, SC 29160-8348 | 2020-08-17 |
| 1922610500 | Alexis Lauren Elrod | Specialist/Technologist | 907 Wesleyan Dr, Central, SC 29630-9748 | 2020-08-17 |
| 1356969737 | Skylar Brynn Hudgens-wallace | Specialist/Technologist | 208 Amelia Oaks Way, Columbia, SC 29209-1753 | 2020-07-11 |
| 1295353936 | Kayla Faylyn Nicole Mckenzie | Specialist/Technologist | 1905 Southern Drive, Unit 1905a, Columbia, SC 29201 | 2020-07-09 |
| 1235757162 | Jordan-lee Elizabeth Dobbins | Specialist/Technologist | 1011 Catawba Cir, Columbia, SC 29201-5252 | 2020-07-07 |
| Find all providers with the same taxonomy | ||||
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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.