Christian D Clark (NPI# 1649223710, PAC ID# 4082627468) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1649223710 |
| PAC ID by PECOS | 4082627468 |
| Professional Enrollment ID | I20100903000246 |
| Full Name | Christian D Clark |
| Organization Legal Name | ADULT GASTROENTEROLOGY ASSOCIATES INC |
| Address |
10507 E 91 St S Suite 270 Tulsa OK 74133-5589 |
| Phone Number | 9184387050 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | GASTROENTEROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 0840223921 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370237 | SAINT FRANCIS HOSPITAL VINITA, INC |
| 370218 | SAINT FRANCIS HOSPITAL SOUTH, LLC |
| 370049 | STILLWATER MEDICAL CENTER |
| 370210 | OKLAHOMA SURGICAL HOSPITAL, LLC |
| 370091 | SAINT FRANCIS HOSPITAL, INC |
| Address | Phone | Organization |
|---|---|---|
| 1301 W 6th Ave, 108 The Cancer Clinic Lower Level, Stillwater, OK 74074-4377 | 4057424930 | STILLWATER MEDICAL CENTER AUTHORITY |
| 10507 E 91 St S, Suite 270, Tulsa, OK 74133-5589 | 9184387050 | ADULT GASTROENTEROLOGY ASSOCIATES INC |
| 6465 S Yale Ave, Suite 1002, Tulsa, OK 74136-7812 | 9184387050 | ADULT GASTROENTEROLOGY ASSOCIATES INC |
| Organization Legal Name | ADULT GASTROENTEROLOGY ASSOCIATES INC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary L. Hills | Gastroenterology | Adult Gastroenterology Associates Inc | 1560 E 21 St, Suite 150, Tulsa, OK 74114-5644 |
| Brandon A Conkling | Gastroenterology | Adult Gastroenterology Associates Inc | 10507 E 91 St S, Suite 270, Tulsa, OK 74133-5589 |
| Markham L Nightengale | Gastroenterology | Adult Gastroenterology Associates Inc | 6465 S Yale Ave, Suite 1002, Tulsa, OK 74136-7812 |
| Aatish M Patel | Gastroenterology | Adult Gastroenterology Associates Inc | 6465 S Yale Ave, Suite 1002, Tulsa, OK 74136-7812 |
| Patrick R Volak | Gastroenterology | Adult Gastroenterology Associates Inc | 6465 S Yale Ave, Suite 1002, Tulsa, OK 74136-7812 |
| Douglas B Kliewer | Gastroenterology | Adult Gastroenterology Associates Inc | 6465 S Yale Ave, Suite 1002, Tulsa, OK 74136-7812 |
| Paul D Stanton | Gastroenterology | Adult Gastroenterology Associates Inc | 6465 S Yale Ave, Suite 1002, Tulsa, OK 74136-7812 |
| Jeffery J Blonsky | Gastroenterology | Adult Gastroenterology Associates Inc | 10507 E 91 St S, Suite 270, Tulsa, OK 74133-5589 |
| Kevin M Mcnamara | Gastroenterology | Adult Gastroenterology Associates Inc | 4150 Se Adams Rd, Bartlesville, OK 74006-8410 |
| Matt M Blankenship | Gastroenterology | Adult Gastroenterology Associates Inc | 1560 E 21 St, Suite 150, Tulsa, OK 74114-5644 |
| Street Address |
10507 E 91 ST S SUITE 270 |
| City | TULSA |
| State | OK |
| Zip | 74133-5589 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandon A Conkling | Gastroenterology | Adult Gastroenterology Associates Inc | 10507 E 91 St S, Suite 270, Tulsa, OK 74133-5589 |
| Jeffery J Blonsky | Gastroenterology | Adult Gastroenterology Associates Inc | 10507 E 91 St S, Suite 270, Tulsa, OK 74133-5589 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia Jumelle | Pain Management | St John Physicians Inc | 8131 S Memorial, Suite 100, Tulsa, OK 74133 |
| Timothy J Gibson | Certified Registered Nurse Anesthetist (crna) | South Tulsa Anesthesia LLC | 9840 E 81 St, Suite 200, Tulsa, OK 74133 |
| Bernard N Robinowitz | Dermatology | Ahs Oklahoma Physician Group LLC | 8804 S 101st E Ave, Suite 385, Tulsa, OK 74133 |
| Courtney E White | Physical Therapy | 7345 S 99th E Ave, Empowerme Woodland Hills, Tulsa, OK 74133-1001 | |
| Brett M Enyart | Optometry | Triad Eye Institute Pllc | 8023 E 63rd Pl, Suite 500, Tulsa, OK 74133-1209 |
| Rebekah S Nunn | Chiropractic | 7615 E 63rd Pl, Suite 104, Tulsa, OK 74133-1231 | |
| Sandra A Mackey | Optometry | 8925 E 61st St, Suite A, Tulsa, OK 74133-1308 | |
| Jess T Roy | Family Medicine | 8316 E 61st Street, Neighborhood Walk In Medical Clinic, Tulsa, OK 74133-1908 | |
| Angela Dawn July | Nurse Practitioner | Rodi LLC | 8316 E 61st Street, Tulsa, OK 74133-1908 |
| Jessica Lynn Montesano | Chiropractic | Health Wise Chiropractic Inc PC | 9104 E 62nd St, Tulsa, OK 74133-1915 |
| Find all physicians in zip 74133 | |||
| City | TULSA |
| Zip Code | 74133 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | TULSA + GASTROENTEROLOGY |
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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.