Clark R Mckenzie (NPI# 1073506051, PAC ID# 1658308085) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL CARDIOLOGY.
| Nation Provider ID (NPI) | 1073506051 |
| PAC ID by PECOS | 1658308085 |
| Professional Enrollment ID | I20080708000020 |
| Full Name | Clark R Mckenzie |
| Organization Legal Name | HEART CARE SPECIALISTS LLC |
| Address |
450 N New Ballas Rd Suite 270 St Louis MO 63141-6835 |
| Phone Number | 3149916969 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | INTERVENTIONAL CARDIOLOGY |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY), NEPHROLOGY |
| Group Practice PAC ID | 2062774755 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260179 | ST LUKES HOSPITAL |
| 260163 | PARKLAND HEALTH CENTER |
| 260020 | MERCY HOSPITAL ST LOUIS |
| Address | Phone | Organization |
|---|---|---|
| 450 N New Ballas Rd, Suite 270, St Louis, MO 63141-6835 | 3149916969 | HEART CARE SPECIALISTS LLC |
| Organization Legal Name | HEART CARE SPECIALISTS LLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen J Pieper | Cardiac Electrophysiology | Heart Care Specialists LLC | 450 N New Ballas Rd, Suite 270, St Louis, MO 63141-6835 |
| Paul A Robiolio | Cardiovascular Disease (cardiology) | Heart Care Specialists LLC | 450 N New Ballas Rd, Suite 270, St Louis, MO 63141-6835 |
| Jackie L Grosklos | Cardiovascular Disease (cardiology) | Heart Care Specialists LLC | 450 N New Ballas Rd, Suite 270, St Louis, MO 63141-6835 |
| Allen D Soffer | Cardiovascular Disease (cardiology) | Heart Care Specialists LLC | 450 N New Ballas Rd, Suite 270, St Louis, MO 63141-6835 |
| William F Southworth | Cardiovascular Disease (cardiology) | Heart Care Specialists LLC | 450 N New Ballas Rd, Suite 270, St Louis, MO 63141-6835 |
| Jose M Sanchez | Cardiac Electrophysiology | Heart Care Specialists LLC | 450 N New Ballas Rd, Suite 270, St Louis, MO 63141-6835 |
| Joseph Craft Iii | Cardiovascular Disease (cardiology) | Heart Care Specialists LLC | 450 N New Ballas Rd, Suite 270, St Louis, MO 63141-6835 |
| Patricia L Cole | Cardiovascular Disease (cardiology) | Heart Care Specialists LLC | 450 N New Ballas Rd, Suite 270, St Louis, MO 63141-6835 |
| Street Address |
450 N NEW BALLAS RD SUITE 270 |
| City | ST LOUIS |
| State | MO |
| Zip | 63141-6835 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen J Pieper | Cardiac Electrophysiology | Heart Care Specialists LLC | 450 N New Ballas Rd, Suite 270, St Louis, MO 63141-6835 |
| David W Keetch | Urology | Urology of St. Louis, Inc | 450 N New Ballas Rd, Suite 70, St Louis, MO 63141-6883 |
| Brad C White | Urology | Urology of St. Louis, Inc | 450 N New Ballas Rd, Suite 70, St Louis, MO 63141-6883 |
| Matthew Spellman | Urology | Urology of St. Louis, Inc | 450 N New Ballas Rd, Suite 70, St Louis, MO 63141-6883 |
| Paul A Robiolio | Cardiovascular Disease (cardiology) | Heart Care Specialists LLC | 450 N New Ballas Rd, Suite 270, St Louis, MO 63141-6835 |
| Jackie L Grosklos | Cardiovascular Disease (cardiology) | Heart Care Specialists LLC | 450 N New Ballas Rd, Suite 270, St Louis, MO 63141-6835 |
| Allen D Soffer | Cardiovascular Disease (cardiology) | Heart Care Specialists LLC | 450 N New Ballas Rd, Suite 270, St Louis, MO 63141-6835 |
| William F Southworth | Cardiovascular Disease (cardiology) | Heart Care Specialists LLC | 450 N New Ballas Rd, Suite 270, St Louis, MO 63141-6835 |
| Jose M Sanchez | Cardiac Electrophysiology | Heart Care Specialists LLC | 450 N New Ballas Rd, Suite 270, St Louis, MO 63141-6835 |
| Joseph Craft Iii | Cardiovascular Disease (cardiology) | Heart Care Specialists LLC | 450 N New Ballas Rd, Suite 270, St Louis, MO 63141-6835 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren M Finnerty | Nurse Practitioner | Associated Physicians Group Ltd | 845 N New Ballas Court, Suite 120, Creve Couer, MO 63141 |
| Enos Moss | Nurse Practitioner | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Matthew Stewart Wilson | Psychiatry | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Erica Chick | Clinical Social Worker | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Thomas Horn | Psychiatry | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Tianyuan Yin Cornell | Psychiatry | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Patricia L Tracy | Physical Therapy | Associated Physicians Group, Ltd | 845 N New Ballas Court, Creve Couer, MO 63141 |
| Kevin O Easley | Gynecological Oncology | Mercy Clinic Gyn Oncology LLC | 607 S New Ballas Rd, Suite 2350, Saint Louis, MO 63141-0001 |
| Kelly L Ball | Nurse Practitioner | Mercy Clinic Gyn Oncology LLC | 607 S New Ballas Rd, Suite 2350, Saint Louis, MO 63141-0001 |
| Amy Kelly Neu | Clinical Social Worker | Fitzgibbons Psychological West County Psychological Associates | 12125 Woodcrest Exec Dr, Suite 110, St Louis, MO 63141-5009 |
| Find all physicians in zip 63141 | |||
| City | ST LOUIS |
| Zip Code | 63141 |
| Specialty | INTERVENTIONAL CARDIOLOGY |
| City + Specialty | ST LOUIS + INTERVENTIONAL CARDIOLOGY |
Please comment or provide details below to improve the information on Clark R Mckenzie.
| 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.