Kimberley A Clark (NPI# 1043872864, PAC ID# 4789911264) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1043872864 |
| PAC ID by PECOS | 4789911264 |
| Professional Enrollment ID | I20190806002917 |
| Full Name | Kimberley A Clark |
| Organization Legal Name | TRIAD HEALTH SERVICES LLC |
| Address |
7629 Market St Youngstown OH 44512-6051 |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9032367917 |
| Number of Group Practice Members | 50 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360352 | SURGICAL HOSPITAL AT SOUTHWOODS |
| Address | Phone | Organization |
|---|---|---|
| 7629 Market St, Youngstown, OH 44512-6051 | TRIAD HEALTH SERVICES LLC | |
| 8401 Market St, Youngstown, OH 44512-6725 | 3307292929 | TRIAD HEALTH SERVICES LLC |
| Organization Legal Name | TRIAD HEALTH SERVICES LLC |
| Physicians | 42 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah J Nichols | Nurse Practitioner | Triad Health Services LLC | 3304 Stones Throw Ave, Poland, OH 44514-4204 |
| Timothy Domer | Orthopedic Surgery | Triad Health Services LLC | 16687 Saint Clair Ave, Suite 101, East Liverpool, OH 43920-9401 |
| Richard J Marina | Gastroenterology | Triad Health Services LLC | 918 Trailwood Dr, Suite 1, Youngstown, OH 44512-5037 |
| Richard Griffin Nord | Urology | Triad Health Services LLC | 904 Sahara Trl, Youngstown, OH 44514-3695 |
| James R Stille | Urology | Triad Health Services LLC | 3915 E Market St, Warren, OH 44484-4710 |
| Jeffrey Halley | Cardiovascular Disease (cardiology) | Triad Health Services LLC | 425 W 5th St, East Liverpool, OH 43920-2405 |
| Raymond Scott Duffett | Orthopedic Surgery | Triad Health Services LLC | 1335 Belmont Ave, Youngstown, OH 44504-1135 |
| Douglas J Smith Behn | General Surgery | Triad Health Services LLC | 4308 Belmont Ave, Suite 3, Youngstown, OH 44505-1071 |
| James Nicholas Pantelakis | Orthopedic Surgery | Triad Health Services LLC | 6615 Clingan Rd A, Youngstown, OH 44514-2196 |
| Lauren Wire | Nurse Practitioner | Triad Health Services LLC | 425 W 5th St, East Liverpool, OH 43920-2405 |
| Street Address |
7629 MARKET ST |
| City | YOUNGSTOWN |
| State | OH |
| Zip | 44512-6051 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bridget D Romeo | Nurse Practitioner | Triad Health Services LLC | 7629 Market St, Suite 100, Youngstown, OH 44512-6051 |
| Jessica Sitler | Nurse Practitioner | Triad Health Services LLC | 7629 Market St, Youngstown, OH 44512-6051 |
| John Gianetti | Internal Medicine | Triad Health Services LLC | 7629 Market St, Suite 100, Youngstown, OH 44512-6051 |
| Alexandra N Butta | Nurse Practitioner | Triad Health Services LLC | 7629 Market St, Youngstown, OH 44512-6051 |
| Daniel J Anderson | Nurse Practitioner | Triad Health Services LLC | 7629 Market St, Suite 100, Youngstown, OH 44512-6051 |
| Edward J Miller | Internal Medicine | Triad Health Services LLC | 7629 Market St, Suite 100, Youngstown, OH 44512-6051 |
| Joseph F Zeno | Internal Medicine | Triad Health Services LLC | 7629 Market St, Suite 100, Youngstown, OH 44512-6051 |
| John Michael Koval | Internal Medicine | Triad Health Services LLC | 7629 Market St, Suite 100, Youngstown, OH 44512-6051 |
| Elaine Marie Greifenstein | Rheumatology | Prima Health Care LLC | 7629 Market St, Youngstown, OH 44512-6051 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah Louise Sano | Psychologist, Clinical | 7010 S Ave, Suite 5, Boardman, OH 44512 | |
| Charles E Wilkins | Geriatric Medicine | 4214 Market St, Youngstown, OH 44512-1118 | |
| Louis Michael Chiaro | Podiatry | 156 Overhill Rd, Boardman, OH 44512-1455 | |
| Tony T Deramo | Allergy/immunology | 5701 Market St, Youngstown, OH 44512-2603 | |
| Carl Franklin Ansevin | Neurology | 5701 Market St, Suite 101, Boardman, OH 44512-2603 | |
| Mary Newell Waller | Psychologist, Clinical | 5500 Market St, Suite 90, Youngstown, OH 44512-2616 | |
| Katharine Williams | Psychologist, Clinical | 5500 Market St, Suite 205, Boardman, OH 44512-2624 | |
| Patrick R Ranalli | Physical Therapy | 5500 Market St, Suite 127, Youngstown, OH 44512-2625 | |
| Christine L Fullerman | Audiologist | Youngstown Hearing and Speech Center | 6614 Southern Blvd, Youngstown, OH 44512-3455 |
| Andrew J Meyer | Anesthesiology | Children's Hospital Medical Center of Akron | 6505 Market St, Boardman, OH 44512-3457 |
| Find all physicians in zip 44512 | |||
| City | YOUNGSTOWN |
| Zip Code | 44512 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | YOUNGSTOWN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kimberley A 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.