Steven L Clark (NPI# 1124125505, PAC ID# 4587847934) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1124125505 |
| PAC ID by PECOS | 4587847934 |
| Professional Enrollment ID | I20110323000492 |
| Full Name | Steven L Clark |
| Organization Legal Name | SACRED HEART MEDICAL GROUP URGENT CARE |
| Address |
6665 Pensacola Blvd Pensacola FL 32505-1705 |
| Phone Number | 8504162000 |
| Gender | M |
| Medical School | UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES |
| Graduation Year | 1995 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0244126621 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100025 | SACRED HEART HOSPITAL |
| 100292 | SACRED HEART HOSPITAL ON THE EMERALD COAST |
| Address | Phone | Organization |
|---|---|---|
| 36500 Emerald Coast Pkwy, Destin, FL 32541-4713 | 8504161575 | SACRED HEART HOSPITAL OF PENSACOLA |
| 6665 Pensacola Blvd, Pensacola, FL 32505-1705 | 8504162000 | SACRED HEART MEDICAL GROUP URGENT CARE |
| Organization Legal Name | SACRED HEART MEDICAL GROUP URGENT CARE |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott A Crawford | Physician Assistant | Sacred Heart Medical Group Urgent Care | 6665 Pensacola Blvd, Pensacola, FL 32505-1705 |
| Bradley B Hawkins | Family Medicine | Sacred Heart Medical Group Urgent Care | 6665 Pensacola Blvd, Pensacola, FL 32505-1705 |
| Eric Preston Waddington | Family Medicine | Sacred Heart Medical Group Urgent Care | 6665 Pensacola Blvd, Pensacola, FL 32505-1705 |
| Lacy N Bruster | Nurse Practitioner | Sacred Heart Medical Group Urgent Care | 6665 Pensacola Blvd, Pensacola, FL 32505-1705 |
| Jordan Kottler | Physician Assistant | Sacred Heart Medical Group Urgent Care | 6665 Pensacola Blvd, Pensacola, FL 32505-1705 |
| Richard Boyett | Family Medicine | Sacred Heart Medical Group Urgent Care | 6665 Pensacola Blvd, Pensacola, FL 32505-1705 |
| Fred Mixon | Family Medicine | Sacred Heart Medical Group Urgent Care | 6665 Pensacola Blvd, Pensacola, FL 32505-1705 |
| Cindy L Behrens | Family Medicine | Sacred Heart Medical Group Urgent Care | 6665 Pensacola Blvd, Pensacola, FL 32505-1705 |
| Bruce E Albrecht | Family Practice | Sacred Heart Medical Group Urgent Care | 6665 Pensacola Blvd, Pensacola, FL 32505-1705 |
| Street Address |
6665 PENSACOLA BLVD |
| City | PENSACOLA |
| State | FL |
| Zip | 32505-1705 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott A Crawford | Physician Assistant | Sacred Heart Medical Group Urgent Care | 6665 Pensacola Blvd, Pensacola, FL 32505-1705 |
| Bradley B Hawkins | Family Medicine | Sacred Heart Medical Group Urgent Care | 6665 Pensacola Blvd, Pensacola, FL 32505-1705 |
| Eric Preston Waddington | Family Medicine | Sacred Heart Medical Group Urgent Care | 6665 Pensacola Blvd, Pensacola, FL 32505-1705 |
| Lacy N Bruster | Nurse Practitioner | Sacred Heart Medical Group Urgent Care | 6665 Pensacola Blvd, Pensacola, FL 32505-1705 |
| Jordan Kottler | Physician Assistant | Sacred Heart Medical Group Urgent Care | 6665 Pensacola Blvd, Pensacola, FL 32505-1705 |
| Richard Boyett | Family Medicine | Sacred Heart Medical Group Urgent Care | 6665 Pensacola Blvd, Pensacola, FL 32505-1705 |
| Fred Mixon | Family Medicine | Sacred Heart Medical Group Urgent Care | 6665 Pensacola Blvd, Pensacola, FL 32505-1705 |
| Cindy L Behrens | Family Medicine | Sacred Heart Medical Group Urgent Care | 6665 Pensacola Blvd, Pensacola, FL 32505-1705 |
| Bruce E Albrecht | Family Practice | Sacred Heart Medical Group Urgent Care | 6665 Pensacola Blvd, Pensacola, FL 32505-1705 |
| Norma J Jones | Nurse Practitioner | Sacred Heart Hospital of Pensacola | 6665 Pensacola Blvd, Pensacola, FL 32505-1705 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott Durrance | Nurse Practitioner | Florida Therapy Services Inc | 6425 Pensacola Blvd, Suite 1 3, Pensacola, FL 32505-1701 |
| Sue C Singleton | Clinical Social Worker | Florida Therapy Services Inc | 6425 Pensacola Blvd, Suite 1 3, Pensacola, FL 32505-1701 |
| Tamara R Knibbs | Clinical Social Worker | Florida Therapy Services Inc | 6425 Pensacola Blvd, Suite 1 3, Pensacola, FL 32505-1701 |
| Kathleen R Vail | Clinical Social Worker | Florida Therapy Services Inc | 6425 Pensacola Blvd, Suite 1 3, Pensacola, FL 32505-1701 |
| Christopher H Rush | Family Medicine | Pensacola Primary Care Inc | 6431 N W St, Pensacola, FL 32505-1719 |
| Rex D Delaune | Family Medicine | Pensacola Primary Care Inc | 6431 N W St, Pensacola, FL 32505-1719 |
| Michael E Kasabian | Family Medicine | Pensacola Primary Care Inc | 6431 N W St, Pensacola, FL 32505-1719 |
| Lorrie A Knapp | Nurse Practitioner | Pensacola Primary Care Inc | 6431 N W St, Pensacola, FL 32505-1719 |
| Chester A Messick | Family Medicine | Pensacola Primary Care Inc | 6431 N W St, Pensacola, FL 32505-1719 |
| Phillip A Ham Jr. | Family Medicine | Pensacola Primary Care Inc | 6431 N W St, Pensacola, FL 32505-1719 |
| Find all physicians in zip 32505 | |||
| City | PENSACOLA |
| Zip Code | 32505 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PENSACOLA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Steven L 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.