Michael J Clark (NPI# 1275633513, PAC ID# 1254239692) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1275633513 |
| PAC ID by PECOS | 1254239692 |
| Professional Enrollment ID | I20040512000252 |
| Full Name | Michael J Clark |
| Organization Legal Name | ATHENS MEDICAL ASSOCIATES, LLC |
| Address |
75 Hospital Dr Suite 260 Athens OH 45701-2857 |
| Phone Number | 7405948819 |
| Gender | M |
| Credential | DO |
| Medical School | UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES |
| Graduation Year | 1977 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 9537112685 |
| Number of Group Practice Members | 89 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360014 | OHIOHEALTH O'BLENESS HOSPITAL |
| 360006 | RIVERSIDE METHODIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 75 Hospital Dr, Suite 260, Athens, OH 45701-2857 | 7405948819 | ATHENS MEDICAL ASSOCIATES, LLC |
| Organization Legal Name | ATHENS MEDICAL ASSOCIATES, LLC |
| Physicians | 81 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole Rae Humphrey | Nurse Practitioner | Athens Medical Associates, LLC | 207 5th St, Racine, OH 45771-5012 |
| Crystal Mills | Family Medicine | Athens Medical Associates, LLC | 1950 Mount Saint Marys Dr, Nelsonville, OH 45764-1280 |
| Earl L Driggs | Podiatry | Athens Medical Associates, LLC | 86 Columbus Cir, Suite 203, Athens, OH 45701-1371 |
| Mark N Rakowsky | Internal Medicine | Athens Medical Associates, LLC | 75 Hospital Dr, Suite 140, Athens, OH 45701-2858 |
| Frederick E. Soliman | Family Medicine | Athens Medical Associates, LLC | 75 Hospital Dr, Suite 350, Athens, OH 45701-2867 |
| Krista Duval | Family Medicine | Athens Medical Associates, LLC | 86 Columbus Cir, Suite 203, Athens, OH 45701-1371 |
| Melinda Eileen Ford | Family Medicine | Athens Medical Associates, LLC | 86 Columbus Cir, Suite 203, Athens, OH 45701-1371 |
| Regina Sayers | Nurse Practitioner | Athens Medical Associates, LLC | 75 Hospital Dr, Suite 140, Athens, OH 45701-2858 |
| Gina J Wilberger | Nurse Practitioner | Athens Medical Associates, LLC | 75 Hospital Dr, Suite 350, Athens, OH 45701-2867 |
| Beverly Anne Wood | Nurse Practitioner | Athens Medical Associates, LLC | 75 Hospital Dr, Suite 260, Athens, OH 45701-2857 |
| Street Address |
75 HOSPITAL DR SUITE 260 |
| City | ATHENS |
| State | OH |
| Zip | 45701-2857 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Craig H Dodrill | Ophthalmology | Eye Physicians and Surgeons of Athens Inc | 75 Hospital Dr, Suite 110, Athens, OH 45701-2858 |
| Mark N Rakowsky | Internal Medicine | Athens Medical Associates, LLC | 75 Hospital Dr, Suite 140, Athens, OH 45701-2858 |
| Frederick E. Soliman | Family Medicine | Athens Medical Associates, LLC | 75 Hospital Dr, Suite 350, Athens, OH 45701-2867 |
| Regina Sayers | Nurse Practitioner | Athens Medical Associates, LLC | 75 Hospital Dr, Suite 140, Athens, OH 45701-2858 |
| Gina J Wilberger | Nurse Practitioner | Athens Medical Associates, LLC | 75 Hospital Dr, Suite 350, Athens, OH 45701-2867 |
| Beverly Anne Wood | Nurse Practitioner | Athens Medical Associates, LLC | 75 Hospital Dr, Suite 260, Athens, OH 45701-2857 |
| Reginald Anunobi | General Surgery | Athens Medical Associates, LLC | 75 Hospital Dr, Suite 310, Athens, OH 45701-2857 |
| David D Howell Jr. | Radiation Oncology | Athens Medical Associates, LLC | 75 Hospital Dr, Suite 170, Athens, OH 45701-2865 |
| Jody Gerome | Obstetrics/gynecology | Athens Medical Associates, LLC | 75 Hospital Dr, Suite 260, Athens, OH 45701-2857 |
| Scott A Jenkinson | Pathology | Athens Medical Associates, LLC | 75 Hospital Dr, Athens, OH 45701-2857 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Whitney Territo | Optometry | Arnold P. Lagraff and Kathy Biddinger LLC | 199 Columbus Rd, Athens, OH 45701-1315 |
| Sanford L Golenberg | Chiropractic | Muntean Health Care | 141 Columbus Rd, Athens, OH 45701-1315 |
| Paul F Carey | Chiropractic | 147 Columbus Rd, Athens, OH 45701-1315 | |
| Sharon Pike Walker | Physical Therapy | 147 Columbus Rd, Athens, OH 45701-1315 | |
| Arnold P Lagraff | Optometry | Arnold P. Lagraff and Kathy Biddinger LLC | 199 Columbus Rd, Athens, OH 45701-1315 |
| Jeromy T Schultz | Physical Therapy | 147 Columbus Rd, Athens, OH 45701-1315 | |
| Kathy Biddinger | Optometry | Arnold P. Lagraff and Kathy Biddinger LLC | 199 Columbus Rd, Athens, OH 45701-1315 |
| Kelly M Moser | Optometry | Arnold P. Lagraff and Kathy Biddinger LLC | 199 Columbus Rd, Athens, OH 45701-1315 |
| Charles E Steiner | Family Practice | Muntean Health Care | 141 Columbus Rd, Athens, OH 45701-1315 |
| Gaylyn Jay Hosmer | Nurse Practitioner | Muntean Health Care | 141 Columbus Rd, Athens, OH 45701-1315 |
| Find all physicians in zip 45701 | |||
| City | ATHENS |
| Zip Code | 45701 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | ATHENS + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Michael J 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.