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.
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 |
Claim Control Number (CCN) | Legal Business Name |
---|---|
490040 | INOVA ALEXANDRIA HOSPITAL |
490113 | SENTARA NORTHERN VIRGINIA MEDICAL CENTER |
490140 | STAFFORD HOSPITAL, LLC |
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 Legal Name | ADVANCED DIGESTIVE CARE LLC |
Physicians | 41 |
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 |
Street Address |
2300 OPITZ BLVD |
City | WOODBRIDGE |
State | VA |
Zip | 22191-3311 |
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 |
Find all physicians in the same address |
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 |
Find all physicians in zip 22191 |
City | WOODBRIDGE |
Zip Code | 22191 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | WOODBRIDGE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kristin Mj Clark.
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.