Mark Clark (NPI# 1376568691, PAC ID# 0749323053) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CRITICAL CARE (INTENSIVISTS).
| Nation Provider ID (NPI) | 1376568691 |
| PAC ID by PECOS | 0749323053 |
| Professional Enrollment ID | I20100209000667 |
| Full Name | Mark Clark |
| Organization Legal Name | PULMONARY AND CRITICAL CARE CONSULTANTS OF AUSTIN, L.L.P. |
| Address |
1305 W 34th St Suite 400 Austin TX 78705-1922 |
| Phone Number | 5124596599 |
| Gender | M |
| Graduation Year | 1976 |
| Primary Specialty | CRITICAL CARE (INTENSIVISTS) |
| Secondary Specialties | INTERNAL MEDICINE, PULMONARY DISEASE |
| Group Practice PAC ID | 2466433172 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450431 | ST DAVID'S MEDICAL CENTER |
| 450143 | SETON SMITHVILLE REGIONAL HOSPITAL |
| 450056 | SETON MEDICAL CENTER AUSTIN |
| Address | Phone | Organization |
|---|---|---|
| 1305 W 34th St, Suite 400, Austin, TX 78705-1922 | 5124596599 | PULMONARY AND CRITICAL CARE CONSULTANTS OF AUSTIN, L.L.P. |
| Organization Legal Name | PULMONARY AND CRITICAL CARE CONSULTANTS OF AUSTIN, L.L.P. |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amber L Triplett | Nurse Practitioner | Pulmonary and Critical Care Consultants of Austin, L.l.p. | 1305 W 34th St, Suite 400, Austin, TX 78705-1922 |
| Carol Ziebert | Critical Care (intensivists) | Pulmonary and Critical Care Consultants of Austin, L.l.p. | 1305 W 34th St, Suite 400, Austin, TX 78705-1922 |
| John Hinze | Critical Care (intensivists) | Pulmonary and Critical Care Consultants of Austin, L.l.p. | 1305 W 34th St, Suite 400, Austin, TX 78705-1922 |
| Raj D Keriwala | Critical Care (intensivists) | Pulmonary and Critical Care Consultants of Austin, L.l.p. | 1305 W 34th St, Suite 400, Austin, TX 78705-1922 |
| Michael Shapiro | Critical Care (intensivists) | Pulmonary and Critical Care Consultants of Austin, L.l.p. | 1305 W 34th St, Suite 400, Austin, TX 78705-1922 |
| Koonj A Shah | Pulmonary Disease | Pulmonary and Critical Care Consultants of Austin, L.l.p. | 1305 W 34th St, Suite 400, Austin, TX 78705-1922 |
| Shailaja J Hayden | Pulmonary Disease | Pulmonary and Critical Care Consultants of Austin, L.l.p. | 1305 W 34th St, Suite 400, Austin, TX 78705-1922 |
| Anna K Dvorak | Pulmonary Disease | Pulmonary and Critical Care Consultants of Austin, L.l.p. | 1305 W 34th St, Suite 400, Austin, TX 78705-1922 |
| Alexia R Rowley | Nurse Practitioner | Pulmonary and Critical Care Consultants of Austin, L.l.p. | 1305 W 34th St, Suite 400, Austin, TX 78705-1922 |
| Jennifer B Lord | Nurse Practitioner | Pulmonary and Critical Care Consultants of Austin, L.l.p. | 1305 W 34th St, Suite 400, Austin, TX 78705-1922 |
| Street Address |
1305 W 34TH ST SUITE 400 |
| City | AUSTIN |
| State | TX |
| Zip | 78705-1922 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amber L Triplett | Nurse Practitioner | Pulmonary and Critical Care Consultants of Austin, L.l.p. | 1305 W 34th St, Suite 400, Austin, TX 78705-1922 |
| Carol Ziebert | Critical Care (intensivists) | Pulmonary and Critical Care Consultants of Austin, L.l.p. | 1305 W 34th St, Suite 400, Austin, TX 78705-1922 |
| John Hinze | Critical Care (intensivists) | Pulmonary and Critical Care Consultants of Austin, L.l.p. | 1305 W 34th St, Suite 400, Austin, TX 78705-1922 |
| Raj D Keriwala | Critical Care (intensivists) | Pulmonary and Critical Care Consultants of Austin, L.l.p. | 1305 W 34th St, Suite 400, Austin, TX 78705-1922 |
| Michael Shapiro | Critical Care (intensivists) | Pulmonary and Critical Care Consultants of Austin, L.l.p. | 1305 W 34th St, Suite 400, Austin, TX 78705-1922 |
| Koonj A Shah | Pulmonary Disease | Pulmonary and Critical Care Consultants of Austin, L.l.p. | 1305 W 34th St, Suite 400, Austin, TX 78705-1922 |
| Stephanie J Reich | Obstetrics/gynecology | Central Texas Ob/gyn Associates, Pllc | 1305 W 34th St, 308 Women Partners In Health, Austin, TX 78705-1922 |
| Shailaja J Hayden | Pulmonary Disease | Pulmonary and Critical Care Consultants of Austin, L.l.p. | 1305 W 34th St, Suite 400, Austin, TX 78705-1922 |
| Laura K Eastep | Obstetrics/gynecology | Central Texas Ob/gyn Associates, Pllc | 1305 W 34th St, 308 Women Partners In Health, Austin, TX 78705-1922 |
| Anna K Dvorak | Pulmonary Disease | Pulmonary and Critical Care Consultants of Austin, L.l.p. | 1305 W 34th St, Suite 400, Austin, TX 78705-1922 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paula C Wilson | Clinical Nurse Specialist | Austin Neurological Clinic | 711 F W, 38th, Austin, TX 78705 |
| Lillian Butler | Psychologist, Clinical | 3705 Medical Pywy, Suite 360, Austin, TX 78705 | |
| Belissa Zamora | Nurse Practitioner | St Davids Heart and Vascular Pllc | 3000 N Ih, 35 Suite 700, Austin, TX 78705 |
| Jocelyn Ybarra | Nurse Practitioner | St Davids Heart and Vascular Pllc | 3000 N Ih, 35 Suite 700, Austin, TX 78705 |
| Shannon Rene Perez Vazquez | Nurse Practitioner | St Davids Heart and Vascular Pllc | 3000 N Ih, 35 Suite 700, Austin, TX 78705 |
| Benjamin Oheim | Certified Clinical Nurse Specialist (cns) | St Davids Heart and Vascular Pllc | 3000 N Ih, 35 Suite 700, Austin, TX 78705 |
| Natasha D Wegesa | Certified Clinical Nurse Specialist (cns) | St Davids Heart and Vascular Pllc | 3000 N Ih, 35 Suite 700, Austin, TX 78705 |
| Carrie M. Moschitto | Nurse Practitioner | St Davids Heart and Vascular Pllc | 3000 N Ih, 35 Suite 700, Austin, TX 78705 |
| Ernestine J Jimenez | Nurse Practitioner | St Davids Heart and Vascular Pllc | 3000 N Ih, 35 Suite 700, Austin, TX 78705 |
| Samuel J Collier | Psychiatry | Tri-county Clinical | 1201 W 38th St Seton Medical Ctr Austin, Austin, TX 78705-1006 |
| Find all physicians in zip 78705 | |||
| City | AUSTIN |
| Zip Code | 78705 |
| Specialty | CRITICAL CARE (INTENSIVISTS) |
| City + Specialty | AUSTIN + CRITICAL CARE (INTENSIVISTS) |
Please comment or provide details below to improve the information on Mark Clark.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.