Katherine K Clark (NPI# 1043678170, PAC ID# 4880990373) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1043678170 |
| PAC ID by PECOS | 4880990373 |
| Professional Enrollment ID | I20160309001602 |
| Full Name | Katherine K Clark |
| Organization Legal Name | MOSES CONE MEDICAL SERVICES INC |
| Address |
940 Golf House Ct E Whitsett NC 27377-9296 |
| Phone Number | 3364499848 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2769395458 |
| Number of Group Practice Members | 184 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340070 | ALAMANCE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 940 Golf House Ct E, Whitsett, NC 27377-9296 | 3364499848 | MOSES CONE MEDICAL SERVICES INC |
| Organization Legal Name | MOSES CONE MEDICAL SERVICES INC |
| Physicians | 182 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Ruth Aaron | Physical Therapy | Moses Cone Medical Services Inc | 4443 Jessup Grove Rd, Greensboro, NC 27410-9934 |
| Bambi Gibson Cottle | Clinical Social Worker | Moses Cone Medical Services Inc | 606 B Walter Reed Dr, Greensboro, NC 27403-1114 |
| Leisa R Tapia | Physician Assistant | Moses Cone Medical Services Inc | 4901e Nc Hwy 150, Browns Summit, NC 27214-9719 |
| Renee Kuneff | Family Medicine | Moses Cone Medical Services Inc | 1427 Nc Hwy 68 N, Unit A, Oak Ridge, NC 27310-9889 |
| Hannah R Kim | Family Medicine | Moses Cone Medical Services Inc | 3803 Robert Porcher Way, Greensboro, NC 27410-2191 |
| William L Webster | Physician Assistant | Moses Cone Medical Services Inc | 401 Aw Decatur St, Madison, NC 27025-1913 |
| Charlene S Scott | Internal Medicine | Moses Cone Medical Services Inc | 1409 University Dr, Suite 105, Burlington, NC 27215-8787 |
| Graham S Duncan | Family Medicine | Moses Cone Medical Services Inc | 1126 N Church St, Suite 300, Greensboro, NC 27401-1037 |
| Mary M Martin | Nurse Practitioner | Moses Cone Medical Services Inc | 401 W Decatur St, Madison, NC 27025-1913 |
| Peter E Babcock | Nurse Practitioner | Moses Cone Medical Services Inc | 520 N Elam Ave, Greenboro, NC 27403-1127 |
| Street Address |
940 GOLF HOUSE CT E |
| City | WHITSETT |
| State | NC |
| Zip | 27377-9296 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David L Gutterman | Psychologist, Clinical | Moses Cone Medical Services Inc | 940 Golf House Ct E, Whitsett, NC 27377-9296 |
| Steven C Altabet | Psychologist, Clinical | Moses Cone Medical Services Inc | 940 Golf House Ct E, Whitsett, NC 27377-9296 |
| Jeanne E Anderson | Psychologist, Clinical | Moses Cone Medical Services Inc | 940 Golf House Ct E, Whitsett, NC 27377-9296 |
| Deborah B Gessner | Nurse Practitioner | Moses Cone Medical Services Inc | 940 Golf House Ct E, Whitsett, NC 27377-9296 |
| Allison C Bray | Psychologist, Clinical | Moses Cone Medical Services Inc | 940 Golf House Ct E, Whitsett, NC 27377-9296 |
| Jenna L Mendelson | Psychologist, Clinical | Moses Cone Medical Services Inc | 940 Golf House Ct E, Whitsett, NC 27377-9296 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy R Hager | Registered Dietitian Or Nutrition Professional | 941 Ctr Crest Dr A, Whitsett, NC 27377-8002 | |
| Rolitta Marshall Dawson | Certified Nurse Midwife (cnm) | The Moses H Cone Memorial Hospital Operating Corporation | 945 Golf House W Rd, Whitsett, NC 27377-9260 |
| James Gordon Arnold | Obstetrics/gynecology | The Moses H Cone Memorial Hospital Operating Corporation | 945 Golf House W Rd, Whitsett, NC 27377-9260 |
| Peggy Constant | Obstetrics/gynecology | The Moses H Cone Memorial Hospital Operating Corporation | 945 Golf House W Rd, Whitsett, NC 27377-9260 |
| Karen E Teague Clark | Physician Assistant | The Moses H Cone Memorial Hospital Operating Corporation | 945 Golf House W Rd, Whitsett, NC 27377-9260 |
| Neill J Bulakowski | Optometry | 6611 Burlington Rd, Whitsett, NC 27377-9748 |
| City | WHITSETT |
| Zip Code | 27377 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WHITSETT + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Katherine K 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.