Chad M Clark (NPI# 1275517831, PAC ID# 6800862160) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1275517831 |
| PAC ID by PECOS | 6800862160 |
| Professional Enrollment ID | I20040908000607 |
| Full Name | Chad M Clark |
| Organization Legal Name | GASTON RADIOLOGY PA |
| Address |
620 Summit Crossing Place Suite 106 Gastonia NC 28054-2176 |
| Phone Number | 7048644378 |
| Gender | M |
| Credential | MD |
| Medical School | WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 4082680806 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340032 | GASTON MEMORIAL HOSPITAL, INC. |
| 340113 | CAROLINAS MEDICAL CENTER/BEHAV HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 620 Summit Crossing Place, Suite 106, Gastonia, NC 28054-2176 | 7048644378 | GASTON RADIOLOGY PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 91% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 100% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 90% |
| Organization Legal Name | GASTON RADIOLOGY PA |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John D Creasy | Diagnostic Radiology | Gaston Radiology Pa | 336 Burtonwood Dr, Gastonia, NC 28054-4054 |
| Christopher J Vandermeer | Diagnostic Radiology | Gaston Radiology Pa | 620 Summit Crossing Place, Suite 106, Gastonia, NC 28054-2176 |
| Mark T Edge | Diagnostic Radiology | Gaston Radiology Pa | 2525 Court Dr, Gastonia, NC 28054-2140 |
| Renee Raimondi Deweese | Diagnostic Radiology | Gaston Radiology Pa | 1212 Spruce St, Belmont, NC 28012-3385 |
| Myrosia T Mitchell | Diagnostic Radiology | Gaston Radiology Pa | 2525 Court Dr, Gastonia, NC 28054-2140 |
| Bryan J Barboza | Physician Assistant | Gaston Radiology Pa | 2525 Court Dr, Gastonia, NC 28054-2140 |
| Richard S Herring | Diagnostic Radiology | Gaston Radiology Pa | 209 Park St, Belmont, NC 28012-5205 |
| Robert W Miller | Diagnostic Radiology | Gaston Radiology Pa | 620 Summit Crossing Place, Suite 106, Gastonia, NC 28054-2176 |
| Stephen John Lostetter Jr. | Diagnostic Radiology | Gaston Radiology Pa | 620 Summit Crossing Place, Suite 106, Gastonia, NC 28054-2176 |
| Mark W Memolo | Diagnostic Radiology | Gaston Radiology Pa | 620 Summit Crossing Place, Suite 106, Gastonia, NC 28054-2176 |
| Street Address |
620 SUMMIT CROSSING PLACE SUITE 106 |
| City | GASTONIA |
| State | NC |
| Zip | 28054-2176 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher J Vandermeer | Diagnostic Radiology | Gaston Radiology Pa | 620 Summit Crossing Place, Suite 106, Gastonia, NC 28054-2176 |
| Robert W Miller | Diagnostic Radiology | Gaston Radiology Pa | 620 Summit Crossing Place, Suite 106, Gastonia, NC 28054-2176 |
| Stephen John Lostetter Jr. | Diagnostic Radiology | Gaston Radiology Pa | 620 Summit Crossing Place, Suite 106, Gastonia, NC 28054-2176 |
| Mark W Memolo | Diagnostic Radiology | Gaston Radiology Pa | 620 Summit Crossing Place, Suite 106, Gastonia, NC 28054-2176 |
| Gregory J Duellman | Diagnostic Radiology | Gaston Radiology Pa | 620 Summit Crossing Place, Suite 106, Gastonia, NC 28054-2176 |
| Annamarie Reddin Collier | Diagnostic Radiology | Gaston Radiology Pa | 620 Summit Crossing Place, Suite 106, Gastonia, NC 28054-2176 |
| Heidi J Hartman | Diagnostic Radiology | Gaston Radiology Pa | 620 Summit Crossing Place, Suite 106, Gastonia, NC 28054-2176 |
| George John Hatsios | Diagnostic Radiology | Gaston Radiology Pa | 620 Summit Crossing Place, Suite 106, Gastonia, NC 28054-2176 |
| Douglas Mark Johnson | Diagnostic Radiology | Gaston Radiology Pa | 620 Summit Crossing Place, Suite 106, Gastonia, NC 28054-2176 |
| Kevin Dul | Diagnostic Radiology | Gaston Radiology Pa | 620 Summit Crossing Place, Suite 106, Gastonia, NC 28054-2176 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Albert Whitaker Jr. | Family Medicine | 224 S New Hope Rd K, Gastonia, NC 28054-0020 | |
| Leanne R King | Nurse Practitioner | Caromont Medical Group Inc | 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460 |
| Kirsten G D Amore | Physical Medicine and Rehabilitation | Caromont Medical Group Inc | 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460 |
| Emily B Rayfield | Nurse Practitioner | Caromont Medical Group Inc | 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460 |
| James E Harris Jr. | Physician Assistant | Caromont Medical Group Inc | 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460 |
| Julie C Cornwell | Nurse Practitioner | Caromont Medical Group Inc | 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460 |
| Lisa B Wilbanks | Nurse Practitioner | Caromont Medical Group Inc | 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460 |
| Rebecca H Brown | Family Practice | Caromont Medical Group Inc | 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460 |
| Nora D Paysour | Nurse Practitioner | Caromont Medical Group Inc | 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460 |
| Sharon L Heinrich | Nurse Practitioner | Hospice of Gaston County Inc | 258 E Garrison Blvd, Gastonia, NC 28054-0460 |
| Find all physicians in zip 28054 | |||
| City | GASTONIA |
| Zip Code | 28054 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | GASTONIA + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Chad M 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.