Jeremy L Clark (NPI# 1003334665, PAC ID# 1153679246) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1003334665 |
| PAC ID by PECOS | 1153679246 |
| Professional Enrollment ID | I20180806003488 |
| Full Name | Jeremy L Clark |
| Organization Legal Name | MEDICAL WEST HOSPITAL AUTHORITY, AN AFFILIATE OF UAB HEALTH SYSTEM |
| Address |
985 9th Ave Sw Suite 101 Bessemer AL 35022-4527 |
| Phone Number | 2054818620 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6406865427 |
| Number of Group Practice Members | 64 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010114 | MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 985 9th Ave Sw, Suite 101, Bessemer, AL 35022-4527 | 2054818620 | MEDICAL WEST HOSPITAL AUTHORITY, AN AFFILIATE OF UAB HEALTH SYSTEM |
| Organization Legal Name | MEDICAL WEST HOSPITAL AUTHORITY, AN AFFILIATE OF UAB HEALTH SYSTEM |
| Physicians | 52 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lashaundra M Thedford-smith | Internal Medicine | Medical West Hospital Authority, An Affiliate of Uab Health System | 3004 Allison Bonnett Memorial Dr, Hueytown, AL 35023-2317 |
| Ronda Lea Freeman | Geriatric Medicine | Medical West Hospital Authority, An Affiliate of Uab Health System | 915 Medical Ctr Dr, Bessemer, AL 35022-6025 |
| Rasa K Miller | Internal Medicine | Medical West Hospital Authority, An Affiliate of Uab Health System | 22720 Bucksville Rd, Mccalla, AL 35111-2711 |
| Keith J Brown | Certified Registered Nurse Anesthetist (crna) | Medical West Hospital Authority, An Affiliate of Uab Health System | 985 9th Ave Sw, Suite 101, Bessemer, AL 35022-4527 |
| Amber Bratton | Physician Assistant | Medical West Hospital Authority, An Affiliate of Uab Health System | 985 9th Ave Sw, Suite 101, Bessemer, AL 35022-4527 |
| Jason K Willoughby | Nurse Practitioner | Medical West Hospital Authority, An Affiliate of Uab Health System | 985 9th Ave Sw, Suite 101, Bessemer, AL 35022-4527 |
| Ansley Oh Baccus | Family Medicine | Medical West Hospital Authority, An Affiliate of Uab Health System | 915 Medical Ctr Dr, Bessemer, AL 35022-6025 |
| John D Shugrue | Family Medicine | Medical West Hospital Authority, An Affiliate of Uab Health System | 985 9th Ave Sw, Suite 101, Bessemer, AL 35022-4527 |
| Jonathon Baccus | Internal Medicine | Medical West Hospital Authority, An Affiliate of Uab Health System | 915 Medical Ctr Dr, Bessemer, AL 35022-6025 |
| Michael A Moore | Internal Medicine | Medical West Hospital Authority, An Affiliate of Uab Health System | 985 9th Ave Sw, Suite 101, Bessemer, AL 35022-4527 |
| Street Address |
985 9TH AVE SW SUITE 101 |
| City | BESSEMER |
| State | AL |
| Zip | 35022-4527 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Teresa N Bondurant | Psychologist, Clinical | 985 9th Ave Sw, Suite 201, Bessemer, AL 35022-7810 | |
| Keith J Brown | Certified Registered Nurse Anesthetist (crna) | Medical West Hospital Authority, An Affiliate of Uab Health System | 985 9th Ave Sw, Suite 101, Bessemer, AL 35022-4527 |
| Rita J Armitage | Ophthalmology | University of Alabama Ophthalmology Services Foundation | 985 9th Ave Sw, Suite 310, Bessemer, AL 35022-7809 |
| James C Rains Jr. | Ophthalmology | 985 9th Ave Sw, Suite 401, Bessemer, AL 35022-7809 | |
| Amber Bratton | Physician Assistant | Medical West Hospital Authority, An Affiliate of Uab Health System | 985 9th Ave Sw, Suite 101, Bessemer, AL 35022-4527 |
| Jason K Willoughby | Nurse Practitioner | Medical West Hospital Authority, An Affiliate of Uab Health System | 985 9th Ave Sw, Suite 101, Bessemer, AL 35022-4527 |
| Justin D Moellinger | General Surgery | John O. Issis Md Surgery South LLC | 985 9th Ave Sw, Suite 507, Bessemer, AL 35022-7814 |
| John D Shugrue | Family Medicine | Medical West Hospital Authority, An Affiliate of Uab Health System | 985 9th Ave Sw, Suite 101, Bessemer, AL 35022-4527 |
| Michael A Moore | Internal Medicine | Medical West Hospital Authority, An Affiliate of Uab Health System | 985 9th Ave Sw, Suite 101, Bessemer, AL 35022-4527 |
| Wiley K Livingston | Internal Medicine | Medical West Hospital Authority, An Affiliate of Uab Health System | 985 9th Ave Sw, Suite 101, Bessemer, AL 35022-4527 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley Nicole Adams | Nurse Practitioner | Charles T Nevels Md PC | 995 9th Swave Medicalw, Bessemer, AL 35022-4527 |
| Andrew Posey | Family Medicine | Cahaba Medical Care Foundation | 995 9th Swave, Suite 507, Bessemer, AL 35022-4527 |
| Beatrice Chaicharncheep | Family Medicine | 995 9th Ave Sw, Bessemer, AL 35022-4527 | |
| Jody T St Clair | Physician Assistant | Michael A. Drummond Md PC | 995 9th Ave Sw, Suite 507, Bessemer, AL 35022-4527 |
| Brandon D White | Internal Medicine | Concentric Hospitalist Group PC | 995 9th Ave Sw, Bessemer, AL 35022-4527 |
| Jessica E Gill | Obstetrics/gynecology | Medical West Hospital Authority, An Affiliate of Uab Health System | 995 9th Ave Sw, Bessemer, AL 35022-4527 |
| Jeffery L Jones | Gastroenterology | Medical West Hospital Authority, An Affiliate of Uab Health System | 995 9th Ave Sw, Bessemer, AL 35022-4527 |
| Trisha A Reinhold | Certified Registered Nurse Anesthetist (crna) | Medical West Hospital Authority, An Affiliate of Uab Health System | 985 9th Ave Sw, Suite 101, Bessemer, AL 35022-4527 |
| Deborah L Copeland | Family Medicine | Medical West Hospital Authority, An Affiliate of Uab Health System | 985 9th Ave Sw, Suite 101, Bessemer, AL 35022-4527 |
| Robert D Kachelhofer | Diagnostic Radiology | West Jefferson Radiology LLC | 995 9th Ave Sw, Bessemer, AL 35022-4527 |
| Find all physicians in zip 35022 | |||
| City | BESSEMER |
| Zip Code | 35022 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BESSEMER + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jeremy L 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.