Waren G Clark Jr.

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

3301 N FM 1417 Apt 1414
Sherman, TX 75092-3468

Phone

(469) 975-9535

NPI assigned

Oct 31, 2018

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Boetheo Transportation

  • Private Vehicle
  • Sherman, TX
  • NPI 1003374125
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1104393834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 N FM 1417 APT 1414",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750923468",
            "telephone_number": "469-975-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 N FM 1417 APT 1414",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750923468",
            "telephone_number": "469-975-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "WAREN",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Leigh Chumley
• Cima Hospice of East Texas, LLC
• City of Sherman
• Leonard Lionel Clark, CRNA
• Patricia Clark, OTR
• Eric Clarke, R. PH.
• Jermaine Garnette Clarke, DO
• Shelly Kay Clarkson, OTR, CLT
• Cleburne Family Medicine Associates, PLLC
• Ward Richard Clements IV, PHARMD

• Non-emergency Medical Transport (VAN) in Sherman, TX
• Providers in Sherman, TX by specialty
• Non-emergency Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.