Mark E Van Wormer
CLAYTON HEALTH SYSTEMS INC


Address: 314 N 3rd Ave, Clayton, NM 88415-3302
Phone: 5053742273

Mark E Van Wormer (NPI# 1013919034, PAC ID# 4183785041) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.

Physician Overview

Nation Provider ID (NPI) 1013919034
PAC ID by PECOS 4183785041
Professional Enrollment ID I20081210000476
Full Name Mark E Van Wormer
Organization Legal Name CLAYTON HEALTH SYSTEMS INC
Address 314 N 3rd Ave
Clayton
NM 88415-3302
Phone Number 5053742273
Gender M
Graduation Year 1980
Primary Specialty GENERAL PRACTICE
Group Practice PAC ID 0941195895
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
321304 UNION COUNTY GENERAL HOSPITAL
450231 BAPTIST ST ANTHONY'S HOSPITAL

Other Locations

Address Phone Organization
314 N 3rd Ave, Clayton, NM 88415-3302 5053742273 CLAYTON HEALTH SYSTEMS INC

Organization Information

Organization Legal Name CLAYTON HEALTH SYSTEMS INC
Physicians 5

Physicians with the same organization

Name Specialty Organization Address
Jessie Jean Fluhman Nurse Practitioner Clayton Health Systems Inc 314 N 3rd Ave, Clayton, NM 88415-3302
Robert M Khanlian Emergency Medicine Clayton Health Systems Inc 314 N 3rd Ave, Clayton, NM 88415-3302
Jamie Armijo Nurse Practitioner Clayton Health Systems Inc 314 N 3rd Ave, Clayton, NM 88415-3302
Terry D Weaver Family Practice Clayton Health Systems Inc 314 N 3rd Ave, Clayton, NM 88415-3302

Office Location

Street Address 314 N 3RD AVE
City CLAYTON
State NM
Zip 88415-3302

Physicians in the same location

Name Specialty Organization Address
Jessie Jean Fluhman Nurse Practitioner Clayton Health Systems Inc 314 N 3rd Ave, Clayton, NM 88415-3302
Robert M Khanlian Emergency Medicine Clayton Health Systems Inc 314 N 3rd Ave, Clayton, NM 88415-3302
Jamie Armijo Nurse Practitioner Clayton Health Systems Inc 314 N 3rd Ave, Clayton, NM 88415-3302
Terry D Weaver Family Practice Clayton Health Systems Inc 314 N 3rd Ave, Clayton, NM 88415-3302

Physicians in the same zip code

Name Specialty Organization Address
Cled Triplett Click Optometry 315 N 3rd Ave, Clayton, NM 88415-3300

Competitor

Search similar physicians

City CLAYTON
Zip Code 88415
Specialty GENERAL PRACTICE
City + Specialty CLAYTON + GENERAL PRACTICE

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Dataset Information

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.

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