Amie M Clark (NPI# 1053617589, PAC ID# 7113102914) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST.
| Nation Provider ID (NPI) | 1053617589 |
| PAC ID by PECOS | 7113102914 |
| Professional Enrollment ID | I20161024000107 |
| Full Name | Amie M Clark |
| Organization Legal Name | METRO-WEST ANESTHESIA GROUP INC |
| Address |
10448 Old Olive St Rd Suite 100 Creve Coeur MO 63141-5927 |
| Phone Number | 3147438098 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
| Group Practice PAC ID | 2163329921 |
| Number of Group Practice Members | 135 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260104 | SSM DEPAUL HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 10448 Old Olive St Rd, Suite 100, Creve Coeur, MO 63141-5927 | 3147438098 | METRO-WEST ANESTHESIA GROUP INC |
| Organization Legal Name | METRO-WEST ANESTHESIA GROUP INC |
| Physicians | 141 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy D Kosanke | Certified Registered Nurse Anesthetist (crna) | Metro-west Anesthesia Group Inc | 1040 Old Des Peres Rd, Saint Louis, MO 63131-1865 |
| Trevor M Vaughn | Anesthesiology | Metro-west Anesthesia Group Inc | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 |
| Lynn A Whitmer | Anesthesiology | Metro-west Anesthesia Group Inc | 12266 Depaul Drive, Suite 10, Bridgeton, MO 63044-2514 |
| Eva C Schulte | Certified Registered Nurse Anesthetist (crna) | Metro-west Anesthesia Group Inc | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 |
| Julie Roach | Certified Registered Nurse Anesthetist (crna) | Metro-west Anesthesia Group Inc | 1015 Bowles Ave, Fenton, MO 63026-2394 |
| Christopher Hamlin | Anesthesiology | Metro-west Anesthesia Group Inc | 1015 Bowles Ave, Fenton, MO 63026-2394 |
| Kelsey E Westbrook | Certified Registered Nurse Anesthetist (crna) | Metro-west Anesthesia Group Inc | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 |
| Alicia M Ferguson | Certified Registered Nurse Anesthetist (crna) | Metro-west Anesthesia Group Inc | 12303 De Paul Dr, Bridgeton, MO 63044-2512 |
| Megan C Mccarthy | Certified Registered Nurse Anesthetist (crna) | Metro-west Anesthesia Group Inc | 12303 De Paul Dr, Bridgeton, MO 63044-2512 |
| John Long | Anesthesiology | Metro-west Anesthesia Group Inc | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
| Street Address |
10448 OLD OLIVE ST RD SUITE 100 |
| City | CREVE COEUR |
| State | MO |
| Zip | 63141-5927 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren M Finnerty | Nurse Practitioner | Associated Physicians Group Ltd | 845 N New Ballas Court, Suite 120, Creve Couer, MO 63141 |
| Enos Moss | Nurse Practitioner | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Matthew Stewart Wilson | Psychiatry | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Erica Chick | Clinical Social Worker | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Thomas Horn | Psychiatry | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Tianyuan Yin Cornell | Psychiatry | Mercy Clinic Adult Psychiatry LLC | 12125 Conway, Suite 160, St. Louis, MO 63141 |
| Patricia L Tracy | Physical Therapy | Associated Physicians Group, Ltd | 845 N New Ballas Court, Creve Couer, MO 63141 |
| Kevin O Easley | Gynecological Oncology | Mercy Clinic Gyn Oncology LLC | 607 S New Ballas Rd, Suite 2350, Saint Louis, MO 63141-0001 |
| Kelly L Ball | Nurse Practitioner | Mercy Clinic Gyn Oncology LLC | 607 S New Ballas Rd, Suite 2350, Saint Louis, MO 63141-0001 |
| Amy Kelly Neu | Clinical Social Worker | Fitzgibbons Psychological West County Psychological Associates | 12125 Woodcrest Exec Dr, Suite 110, St Louis, MO 63141-5009 |
| Find all physicians in zip 63141 | |||
| City | CREVE COEUR |
| Zip Code | 63141 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
| City + Specialty | CREVE COEUR + CERTIFIED REGISTERED NURSE ANESTHETIST |
Please comment or provide details below to improve the information on Amie 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.