Kristin Mj Clark
ADVANCED DIGESTIVE CARE LLC


Address: 2300 Opitz Blvd, Woodbridge, VA 22191-3311
Phone: 7035800181

Kristin Mj Clark (NPI# 1528291069, PAC ID# 4587701818) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.

Physician Overview

Nation Provider ID (NPI) 1528291069
PAC ID by PECOS 4587701818
Professional Enrollment ID I20110616000495
Full Name Kristin Mj Clark
Organization Legal Name ADVANCED DIGESTIVE CARE LLC
Address 2300 Opitz Blvd
Woodbridge
VA 22191-3311
Phone Number 7035800181
Gender F
Graduation Year 2008
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 3375857725
Number of Group Practice Members 47
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
490040 INOVA ALEXANDRIA HOSPITAL
490113 SENTARA NORTHERN VIRGINIA MEDICAL CENTER
490140 STAFFORD HOSPITAL, LLC

Other Locations

Address Phone Organization
2616 Sherwood Hall Ln, Suite 203, Alexandria, VA 22306-3154 7033600594 ADVANCED DIGESTIVE CARE LLC
422 Garrisonville Rd, Suite 109, Stafford, VA 22554-1573 5406599359 ADVANCED DIGESTIVE CARE LLC
14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4722 7035800181 ADVANCED DIGESTIVE CARE LLC
2300 Opitz Blvd, Woodbridge, VA 22191-3311 7035800181 ADVANCED DIGESTIVE CARE LLC

Organization Information

Organization Legal Name ADVANCED DIGESTIVE CARE LLC
Physicians 41

Physicians with the same organization

Name Specialty Organization Address
Eduardo C Noguera Gastroenterology Advanced Digestive Care LLC 11440 Commerce Dr Park, Suite Ll 4, Reston, DC 20191
Jack C Huang Gastroenterology Advanced Digestive Care LLC 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4722
Jacqueline Ramirez Physician Assistant Advanced Digestive Care LLC 8640 Sudley Rd, Suite 201, Manassas, VA 20110-4404
Myung Choi Gastroenterology Advanced Digestive Care LLC 8640 Sudley Rd, Suite 201, Manassas, VA 20110-4404
Crystal Mcgovern Nurse Practitioner Advanced Digestive Care LLC 8640 Sudley Rd, Suite 201, Manassas, VA 20110-4404
Nina Phatak Gastroenterology Advanced Digestive Care LLC 8640 Sudley Rd, Suite 201, Manassas, VA 20110-4404
Stafford S Goldstein Gastroenterology Advanced Digestive Care LLC 3301 Woodburn Rd, Suite 107, Annandale, VA 22003-1297
Darren S Baroni Gastroenterology Advanced Digestive Care LLC 8640 Sudley Rd, Suite 201, Manassas, VA 20110-4404
Ghazaleh Aram Gastroenterology Advanced Digestive Care LLC 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4722
Jin H Park Gastroenterology Advanced Digestive Care LLC 8640 Sudley Rd, Suite 201, Manassas, VA 20110-4404

Office Location

Street Address 2300 OPITZ BLVD
City WOODBRIDGE
State VA
Zip 22191-3311

Physicians in the same location

Name Specialty Organization Address
William J Dunwoody Diagnostic Radiology Association of Alexandria Radiologists PC 2300 Opitz Blvd, Woodbridge, VA 22191-3311
Lien B Nguyen Emergency Medicine Whipple Tree Emergency Physicians LLC 2300 Opitz Blvd, Woodbridge, VA 22191-3311
Paul Charles Dangelo Diagnostic Radiology Imrad of Virginia Pllc 2300 Opitz Blvd, Woodbridge, VA 22191-3311
Tairy Elaine Adams Physician Assistant Whipple Tree Emergency Physicians LLC 2300 Opitz Blvd, Woodbridge, VA 22191-3311
Donna D Clifton Certified Registered Nurse Anesthetist (crna) Sheridan Anesthesia Services of Virginia Inc 2300 Opitz Blvd, Woodbridge, VA 22191-3311
Teja Danda Hospitalist Sentara Medical Group 2300 Opitz Blvd, Suite 209, Woodbridge, VA 22191-3311
Alemayehu B Beze Internal Medicine Sentara Medical Group 2300 Opitz Blvd, Suite 209, Woodbridge, VA 22191-3311
John Whitcomb Dunkle Family Medicine Cornerstone Medical Services PC 2300 Opitz Blvd, Woodbridge, VA 22191-3311
Vyas Matt Ballal Emergency Medicine Whipple Tree Emergency Physicians LLC 2300 Opitz Blvd, Woodbridge, VA 22191-3311
Yonathan Habtemariam Emergency Medicine Whipple Tree Emergency Physicians LLC 2300 Opitz Blvd, Woodbridge, VA 22191-3311
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Physicians in the same zip code

Name Specialty Organization Address
Sebastian Cohen Physical Therapy Performance Physical Therapy LLC 13957 Jefferson Davis Hwy, Woodbridge, VA 22191-2010
Benjamin A Adewale Psychiatry 2133 Montgomery Ave, Woodbridge, VA 22191-2655
Abhay V Aggroia Internal Medicine Manbir Takhar, P.C. 14527 Jefferson Davis Hwy, Woodbridge, VA 22191-2817
Jeyoung Yun Chiropractic 14416 Jefferson Davis Hwy, Suite 15, Woodbridge, VA 22191-2890
Stuart A Meyers Cardiovascular Disease (cardiology) 1502 Featherstone Rd, Woodbridge, VA 22191-3100
Marc C Alembik Obstetrics/gynecology About Women Ob/gyn 2296 Opitz Blvd, Suite 440, Woodbridge, VA 22191-3300
Allyse L Weltman Obstetrics/gynecology About Women Ob/gyn 2296 Opitz Blvd, Suite 440, Woodbridge, VA 22191-3300
Jocelyn Kehinde Ajala Obstetrics/gynecology About Women Ob/gyn 2296 Opitz Blvd, Suite 440, Woodbridge, VA 22191-3300
Sally S Salib Physician Assistant Associates In Gastroenterology, P.C. 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22191-3300
Kelsey P Gaid Physician Assistant Associates In Gastroenterology, P.C. 14010 Smoketown Rd, Woodbridge, VA 22191-3300
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Competitor

Search similar physicians

City WOODBRIDGE
Zip Code 22191
Specialty PHYSICIAN ASSISTANT
City + Specialty WOODBRIDGE + PHYSICIAN ASSISTANT

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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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