Randy Ray Clark (NPI# 1679781140, PAC ID# 7416127527) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1679781140 |
| PAC ID by PECOS | 7416127527 |
| Professional Enrollment ID | I20120809000659 |
| Full Name | Randy Ray Clark |
| Organization Legal Name | CENTRAL UTAH CLINIC P C |
| Address |
195 W Telegraph St Washington UT 84780-1675 |
| Phone Number | 4352150600 |
| Gender | M |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 7517868508 |
| Number of Group Practice Members | 333 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460021 | DIXIE REGIONAL MEDICAL CENTER |
| 460007 | CEDAR CITY HOSPITAL |
| 460026 | SEVIER VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 501 N Navajo Dr, Page, AZ 86040-0959 | 8014298000 | CENTRAL UTAH CLINIC P C |
| 1490 E Foremaster Dr, Suite 150, St George, UT 84790-4495 | 4356289393 | CENTRAL UTAH CLINIC P C |
| 195 W Telegraph St, Washington, UT 84780-1675 | 4352150600 | CENTRAL UTAH CLINIC P C |
| Organization Legal Name | CENTRAL UTAH CLINIC P C |
| Physicians | 327 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cameran Rachelle Wilson | Nurse Practitioner | Central Utah Clinic P C | 5896 S Ridgeline Dr, Suite B, South Ogden, UT 84405-4928 |
| Brandon Houtz Rawlings | Qualified Audiologist | Central Utah Clinic P C | 1175 E 50, Suite 211, American Fork, UT 84003-2845 |
| Vanessa May Dexter | Nurse Practitioner | Central Utah Clinic P C | 1152 E 200, American Fork, UT 84003-2004 |
| Arlene Johnston | Nurse Practitioner | Central Utah Clinic P C | 97 Professional Way, Suite 2, Payson, UT 84651-1680 |
| Drake Scott Mason | Nurse Practitioner | Central Utah Clinic P C | 568 S Main St, Monroe, UT 84754-4400 |
| Debra Ann Ledingham | Nurse Practitioner | Central Utah Clinic P C | 1886 W 800, Pleasant Grove, UT 84062-4097 |
| Evangeline K Lindorf | Nurse Practitioner | Central Utah Clinic P C | 159 N 400, Suite B 8, Orem, UT 84057-1909 |
| Nicholas Paul Wittwer | Physician Assistant | Central Utah Clinic P C | 1055 N 500, Provo, UT 84604-3305 |
| Ekaete Sunday Udodong | Nurse Practitioner | Central Utah Clinic P C | 4095 E Pony Express Pkwy, Suite 1, Eagle Mountain, UT 84005-5531 |
| Scott David Peterson | Family Medicine | Central Utah Clinic P C | 575 S State St, Orem, UT 84058-6303 |
| Street Address |
195 W TELEGRAPH ST |
| City | WASHINGTON |
| State | UT |
| Zip | 84780-1675 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Curtis Allan Carter | Family Medicine | Central Utah Clinic P C | 195 W Telegraph St, Washington, UT 84780-1675 |
| Howard L Chamberlain | Family Medicine | Central Utah Clinic P C | 195 W Telegraph St, Washington, UT 84780-1675 |
| Scott D Barton | Family Medicine | Central Utah Clinic P C | 195 W Telegraph St, Washington, UT 84780-1675 |
| Joseph Derit Te | Hematology/oncology | Central Utah Clinic P C | 195 W Telegraph St, Washington, UT 84780-1675 |
| Neal Christian Busk | Family Practice | Central Utah Clinic P C | 195 W Telegraph St, Washington, UT 84780-1675 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin Troy Allen | Chiropractic | 43 N 300 W B, Washington, UT 84780-1524 |
| City | WASHINGTON |
| Zip Code | 84780 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | WASHINGTON + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Randy Ray 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.