Dawn M. Clark (NPI# 1497703938, PAC ID# 0941298350) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1497703938 |
| PAC ID by PECOS | 0941298350 |
| Professional Enrollment ID | I20040504001294 |
| Full Name | Dawn M. Clark |
| Organization Legal Name | AMSURG COLUMBIA ANESTHESIA LLC |
| Address |
2739 Laurel St 1b Columbia SC 29204-2028 |
| Phone Number | 8032549588 |
| Gender | F |
| Credential | CNA |
| Graduation Year | 1996 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 7315187788 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420026 | PROVIDENCE HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 2435 Forest Dr, Columbia, SC 29204-2026 | 8283985244 | MEDSTREAM ANESTHESIA PLLC |
| 2739 Laurel St, 1b, Columbia, SC 29204-2028 | 8032549588 | AMSURG COLUMBIA ANESTHESIA LLC |
| Organization Legal Name | AMSURG COLUMBIA ANESTHESIA LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey Gerard Harbit | Certified Registered Nurse Anesthetist (crna) | Amsurg Columbia Anesthesia LLC | 2739 Laurel St, 1b, Columbia, SC 29204-2028 |
| Alan Inglett | Certified Registered Nurse Anesthetist (crna) | Amsurg Columbia Anesthesia LLC | 2739 Laurel St, 1b, Columbia, SC 29204-2028 |
| Street Address |
2739 LAUREL ST 1B |
| City | COLUMBIA |
| State | SC |
| Zip | 29204-2028 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony D Lowman | Gastroenterology | Palmetto Health-university of South Carolina Medical Group | 2739 Laurel St, Suite 1a, Columbia, SC 29204-2028 |
| Sumyra Kachru | Gastroenterology | Palmetto Health-university of South Carolina Medical Group | 2739 Laurel St, Suite 1a, Columbia, SC 29204-2028 |
| Ann M Bates | Nurse Practitioner | Palmetto Health-university of South Carolina Medical Group | 2739 Laurel St, Suite 1a, Columbia, SC 29204-2028 |
| Boris R Blechacz | Gastroenterology | Palmetto Health-university of South Carolina Medical Group | 2739 Laurel St, Suite 1a, Columbia, SC 29204-2028 |
| Farzin Rashti | Gastroenterology | Palmetto Health-university of South Carolina Medical Group | 2739 Laurel St, Suite 1a, Columbia, SC 29204-2028 |
| Walter J Bristow Iii | Gastroenterology | Palmetto Health-university of South Carolina Medical Group | 2739 Laurel St, Suite 1a, Columbia, SC 29204-2028 |
| George Postic | Gastroenterology | Palmetto Health-university of South Carolina Medical Group | 2739 Laurel St, Suite 1a, Columbia, SC 29204-2028 |
| Jorge Galan | Gastroenterology | Palmetto Health-university of South Carolina Medical Group | 2739 Laurel St, Suite 1a, Columbia, SC 29204-2028 |
| Edward Kimbrough | Gastroenterology | Palmetto Health-university of South Carolina Medical Group | 2739 Laurel St, Suite 1a, Columbia, SC 29204-2028 |
| Andrea L Krause | Nurse Practitioner | Palmetto Health-university of South Carolina Medical Group | 2739 Laurel St, Suite 1a, Columbia, SC 29204-2028 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin Jaynes Belk | Nurse Practitioner | Providence Group Practices II LLC | 2001 Laurel St, Columbia, SC 29204-1018 |
| Benedict R Studnicka | Internal Medicine | Providence Physician Practices, LLC | 2001 Laurel St, Suite 300, Columbia, SC 29204-1018 |
| Charis P Taylor | Internal Medicine | Providence Physician Practices, LLC | 2001 Laurel St, Suite 300, Columbia, SC 29204-1018 |
| Brittany Winestock | Nurse Practitioner | Providence Group Practices II LLC | 2001 Laurel St, Columbia, SC 29204-1018 |
| Susan K Caudle | Physician Assistant | Providence Physician Practices, LLC | 2001 Laurel St, Suite 300, Columbia, SC 29204-1018 |
| Stephen Mullaney | Nurse Practitioner | Providence Physician Practices, LLC | 2001 Laurel St, Suite 300, Columbia, SC 29204-1018 |
| Ala Bianca Naomi Lucky | Nurse Practitioner | Providence Group Practices II LLC | 2001 Laurel St, Columbia, SC 29204-1018 |
| Kaitlin N Corwin | Physician Assistant | Providence Physician Practices, LLC | 2001 Laurel St, Suite 300, Columbia, SC 29204-1018 |
| Lanneau D Lide | Cardiovascular Disease (cardiology) | Providence Group Practices LLC | 2001 Laurel St, Columbia, SC 29204-1018 |
| Stephanie C Peterson | Physician Assistant | Providence Physician Practices, LLC | 2001 Laurel St, Suite 300, Columbia, SC 29204-1018 |
| Find all physicians in zip 29204 | |||
| City | COLUMBIA |
| Zip Code | 29204 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | COLUMBIA + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Dawn M. 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.