Matthew John Clark (NPI# 1902224231, PAC ID# 7214220714) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1902224231 |
| PAC ID by PECOS | 7214220714 |
| Professional Enrollment ID | I20170602001578 |
| Full Name | Matthew John Clark |
| Organization Legal Name | EMERGENCY MEDICINE SPECIALISTS SC |
| Address |
10625 W N Ave Suite 102 Milwaukee WI 53226-2315 |
| Phone Number | 4148775350 |
| Gender | M |
| Medical School | VANDERBILT UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 8729975461 |
| Number of Group Practice Members | 96 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520096 | WHEATON FRANCISCAN HEALTHCARE ALL SAINTS |
| Address | Phone | Organization |
|---|---|---|
| 10625 W N Ave, Suite 102, Milwaukee, WI 53226-2315 | 4148775350 | EMERGENCY MEDICINE SPECIALISTS SC |
| Organization Legal Name | EMERGENCY MEDICINE SPECIALISTS SC |
| Physicians | 98 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew T Konicek | Emergency Medicine | Emergency Medicine Specialists Sc | 10625 W N Ave, Suite 102, Milwaukee, WI 53226-2315 |
| Andrea M Kraus | Emergency Medicine | Emergency Medicine Specialists Sc | 10101 S 27th St, Franklin, WI 53132-7209 |
| Jeffrey Glinski | Emergency Medicine | Emergency Medicine Specialists Sc | 5000 W Chambers St, Milwaukee, WI 53210-1650 |
| Adrian K Stull | Emergency Medicine | Emergency Medicine Specialists Sc | 3237 S 16th St, Milwaukee, WI 53215-4526 |
| Gary L Swart | Emergency Medicine | Emergency Medicine Specialists Sc | 19333 W N Ave, Brookfield, WI 53045-4132 |
| Jessica N Rezmer | Emergency Medicine | Emergency Medicine Specialists Sc | 3237 S 16th St, Milwaukee, WI 53215-4526 |
| Nicole E. Forbord | Physician Assistant | Emergency Medicine Specialists Sc | 3237 S 16th St, Milwaukee, WI 53215-4526 |
| Karly D Wilkins | Physician Assistant | Emergency Medicine Specialists Sc | 3237 S 16th St, Milwaukee, WI 53215-4526 |
| Matthew Peter Mokrohisky | Emergency Medicine | Emergency Medicine Specialists Sc | 10101 S 27th St, Franklin, WI 53132-7209 |
| Eric J Kortbein | Physician Assistant | Emergency Medicine Specialists Sc | 3237 S 16th St, Milwaukee, WI 53215-4526 |
| Street Address |
10625 W N AVE SUITE 102 |
| City | MILWAUKEE |
| State | WI |
| Zip | 53226-2315 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew T Konicek | Emergency Medicine | Emergency Medicine Specialists Sc | 10625 W N Ave, Suite 102, Milwaukee, WI 53226-2315 |
| Allison E Grace | Emergency Medicine | Emergency Medicine Specialists Sc | 10625 W N Ave, Suite 102, Milwaukee, WI 53226-2315 |
| Neelam S Patel | Nurse Practitioner | Emergency Medicine Specialists Sc | 10625 W N Ave, Suite 102, Milwaukee, WI 53226-2315 |
| Benjamin Krause | Emergency Medicine | Emergency Medicine Specialists Sc | 10625 W N Ave, Suite 102, Milwaukee, WI 53226-2315 |
| Jill K Wanggaard | Nurse Practitioner | Emergency Medicine Specialists Sc | 10625 W N Ave, Suite 102, Milwaukee, WI 53226-2315 |
| Joel D Smukowski | Emergency Medicine | Emergency Medicine Specialists Sc | 10625 W N Ave, Suite 102, Milwaukee, WI 53226-2315 |
| Susan E Good | Emergency Medicine | Emergency Medicine Specialists Sc | 10625 W N Ave, Suite 102, Milwaukee, WI 53226-2315 |
| Katie Jo Merideth | Emergency Medicine | Emergency Medicine Specialists Sc | 10625 W N Ave, Suite 102, Milwaukee, WI 53226-2315 |
| Joseph T Humphrey | Emergency Medicine | Emergency Medicine Specialists Sc | 10625 W N Ave, Suite 102, Milwaukee, WI 53226-2315 |
| Jonathan B Amrhein | Emergency Medicine | Emergency Medicine Specialists Sc | 10625 W N Ave, Suite 102, Milwaukee, WI 53226-2315 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bernadette A Demuri | Psychiatry | Associated Mental Health Consultants Inc | 2600 N Mayfair, Suite 305, Wauwatosa, WI 53226-1303 |
| Kristi L Reynolds | Clinical Social Worker | County of Walworth | 2600 N Mayfair Rd, Suite 305, Wauwatosa, WI 53226-1303 |
| Mariellen Fischer | Psychologist, Clinical | Associated Mental Health Consultants Inc | 2600 N Mayfair, Suite 305, Wauwatosa, WI 53226-1303 |
| Sarah J Ford | Clinical Social Worker | Associated Mental Health Consultants Inc | 2600 N Mayfair, Suite 305, Wauwatosa, WI 53226-1303 |
| Nicole E Heinrich | Clinical Social Worker | County of Walworth | 2600 N Mayfair Rd, Suite 305, Wauwatosa, WI 53226-1303 |
| Ilya Melina Ray | Nurse Practitioner | County of Walworth | 2600 N Mayfair Rd, Suite 305, Wauwatosa, WI 53226-1303 |
| Jennifer K Cicero | Clinical Social Worker | Associated Mental Health Consultants Inc | 2600 N Mayfair, Suite 305, Wauwatosa, WI 53226-1303 |
| Barbara J Reinke | Psychologist, Clinical | Associated Mental Health Consultants Inc | 2600 N Mayfair, Suite 305, Wauwatosa, WI 53226-1303 |
| Mark O Pease | Nurse Practitioner | County of Walworth | 2600 N Mayfair Rd, Suite 305, Wauwatosa, WI 53226-1303 |
| Laura C Liguori | Psychologist, Clinical | Associated Mental Health Consultants Inc | 2600 N Mayfair, Suite 305, Wauwatosa, WI 53226-1303 |
| Find all physicians in zip 53226 | |||
| City | MILWAUKEE |
| Zip Code | 53226 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | MILWAUKEE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Matthew John 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.