Raymond Clark (NPI# 1750483699, PAC ID# 4688636665) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1750483699 |
| PAC ID by PECOS | 4688636665 |
| Professional Enrollment ID | I20110316000294 |
| Full Name | Raymond Clark |
| Address |
5330 Plantation Cv Conway AR 72034-8586 |
| Gender | M |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | PSYCHIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040002 | JOHNSON REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5330 Plantation Cv, Conway, AR 72034-8586 |
| Street Address |
5330 PLANTATION CV |
| City | CONWAY |
| State | AR |
| Zip | 72034-8586 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Airiell M Schwab | Optometry | Shane E Ford Od Pa | 3005 Frountain Dr, Conway, AR 72034 |
| Elena Margarita Lopez | Optometry | Shane E Ford Od Pa | 3005 Frountain Dr, Conway, AR 72034 |
| Rhonda Love | Clinical Social Worker | Counseling Associates Inc | 1622 Donaghey Ave, Conway, AR 72034-3221 |
| Troy Michael E Marsden | Psychologist, Clinical | Counseling Associates Inc | 1622 Donaghey Ave, Conway, AR 72034-3221 |
| Monica A Dunn | Clinical Social Worker | Counseling Associates Inc | 1622 Donaghey Ave, Conway, AR 72034-3221 |
| Jeanne M Churchill | Nurse Practitioner | William H. Freeman, M.d., P.a. | 600 Club Ln, Conway, AR 72034-3624 |
| William H Freeman | Family Medicine | William H. Freeman, M.d., P.a. | 600 Club Ln, Conway, AR 72034-3624 |
| William A Freeman | Family Medicine | William H. Freeman, M.d., P.a. | 600 Club Ln, Conway, AR 72034-3624 |
| Amy M Burton | Nurse Practitioner | William H. Freeman, M.d., P.a. | 600 Club Ln, Conway, AR 72034-3624 |
| Mitchell Reynolds | Occupational Therapy | Conway Orthopaedic and Sports Medicine Clinic | 550 Club Ln, Suite 1, Conway, AR 72034-3681 |
| Find all physicians in zip 72034 | |||
| City | CONWAY |
| Zip Code | 72034 |
| Specialty | PSYCHIATRY |
| City + Specialty | CONWAY + PSYCHIATRY |
Please comment or provide details below to improve the information on Raymond 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.