Jack C Clark Jr. (NPI# 1427092857, PAC ID# 1850479908) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1427092857 |
| PAC ID by PECOS | 1850479908 |
| Professional Enrollment ID | I20100226000405 |
| Full Name | Jack C Clark Jr. |
| Organization Legal Name | DX MSO PLLC |
| Address |
6106 Kingston Pike Knoxville TN 37919-4019 |
| Phone Number | 4234765990 |
| Gender | M |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 7719131101 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6106 Kingston Pike, Knoxville, TN 37919-4019 | 4234765990 | DX MSO PLLC |
| Organization Legal Name | DX MSO PLLC |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Natasha Elizabeth Ballard | Dermatology | Dx Mso Pllc | 170 Mouse Creek Rd Nw, Cleveland, TN 37312-3840 |
| John W Mcmichen | Emergency Medicine | Dx Mso Pllc | 2037 Congress Pkwy S, Athens, TN 37303-2813 |
| Gordon Shafer | Nurse Practitioner | Dx Mso Pllc | 170 Mouse Creek Rd Nw, Cleveland, TN 37312-3840 |
| Matthew William Mcclanahan | Family Medicine | Dx Mso Pllc | 170 Mouse Creek Rd Nw, Cleveland, TN 37312-3840 |
| Vivak S Bhatt | Family Medicine | Dx Mso Pllc | 170 Mouse Creek Rd Nw, Cleveland, TN 37312-3840 |
| Charles Todd Rudolph | Family Medicine | Dx Mso Pllc | 170 Mouse Creek Rd Nw, Cleveland, TN 37312-3840 |
| Christine B Myers | Internal Medicine | Dx Mso Pllc | 170 Mouse Creek Rd Nw, Cleveland, TN 37312-3840 |
| Lana G Fox | Pediatric Medicine | Dx Mso Pllc | 170 Mouse Creek Rd Nw, Cleveland, TN 37312-3840 |
| Allan David Moser | Family Medicine | Dx Mso Pllc | 170 Mouse Creek Rd Nw, Cleveland, TN 37312-3840 |
| Cortney J Cash | Family Medicine | Dx Mso Pllc | 170 Mouse Creek Rd Nw, Cleveland, TN 37312-3840 |
| Street Address |
6106 KINGSTON PIKE |
| City | KNOXVILLE |
| State | TN |
| Zip | 37919-4019 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan F Carter | Clinical Social Worker | Susan Carter and Associates, Inc. | 4645 Newcome Ave, Knoxville, TN 37919 |
| Anne Whitney | Psychologist, Clinical | 1111 Northshore Dr, Suite S 490, Knoxville, TN 37919 | |
| Barbara J Godfrey | Clinical Social Worker | 1111 Northshore Dr, Knoxville, TN 37919 | |
| Elaine S Erickson | Clinical Psychologist | 515 Booth St, Knoxville, TN 37919-2306 | |
| Corey Cudzilo | Pulmonary Disease | Statcare Outpatient LLC | 2240 Sutherland Ave, Suite 103, Knoxville, TN 37919-2333 |
| Christian L Stauber | Pulmonary Disease | Statcare Outpatient LLC | 2240 Sutherland Ave, Suite 103, Knoxville, TN 37919-2333 |
| John William Swisher | Pulmonary Disease | Statcare Outpatient LLC | 2240 Sutherland Ave, Suite 103, Knoxville, TN 37919-2333 |
| Scott Luchsinger | Pulmonary Disease | Statcare Outpatient LLC | 2240 Sutherland Ave, Suite 103, Knoxville, TN 37919-2333 |
| Danielle Mote | Nurse Practitioner | Statcare Outpatient LLC | 2240 Sutherland Ave, Suite 103, Knoxville, TN 37919-2333 |
| Virginia L Brown | Nurse Practitioner | Statcare Outpatient LLC | 2240 Sutherland Ave, Suite 103, Knoxville, TN 37919-2333 |
| Find all physicians in zip 37919 | |||
| City | KNOXVILLE |
| Zip Code | 37919 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | KNOXVILLE + FAMILY PRACTICE |
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| 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.