John Douglas Clark


Address: 2030 N Church St Pl, Spartanburg, SC 29303-2706

John Douglas Clark (NPI# 1194798595, PAC ID# 8426074238) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PULMONARY DISEASE.

Physician Overview

Nation Provider ID (NPI) 1194798595
PAC ID by PECOS 8426074238
Professional Enrollment ID I20051020000955
Full Name John Douglas Clark
Address 2030 N Church St Pl
Spartanburg
SC 29303-2706
Gender M
Credential MD
Medical School UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE
Graduation Year 1985
Primary Specialty PULMONARY DISEASE
Secondary Specialties CRITICAL CARE (INTENSIVISTS), SLEEP MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
420007 SPARTANBURG MEDICAL CENTER
420103 PELHAM MEDICAL CENTER

Other Locations

Address Phone Organization
2030 N Church St Pl, Spartanburg, SC 29303-2706

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_EP_1 e-Prescribing 63%
ACI_EC_TRANS_MR_1 Medication Reconciliation 90%
ACI_EC_TRANS_PEA_1 Provide Patient Access 99%
ACI_EC_TRANS_PEA_2 View, Download, or Transmit (VDT) 3%
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PSE_1 Patient-Specific Education 4%
ACI_EC_TRANS_SM_1 Secure Messaging 2%
MIPS_EC_051_overall Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation 95%
MIPS_EC_052_overall Chronic Obstructive Pulmonary Disease (COPD): Long-Acting Inhaled Bronchodilator Therapy 91%

Organization Information

Office Location

Street Address 2030 N CHURCH ST PL
City SPARTANBURG
State SC
Zip 29303-2706

Physicians in the same location

Name Specialty Organization Address
Rico V I Mendoza Critical Care (intensivists) 2030 N Church St Pl, Spartanburg, SC 29303-2706

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Ashley Nicole Mckinney Nurse Practitioner Bg Neurology LLC 1071 Boiling Springs Rd, Spartanburg, SC 29303-2201
Bogdan P Gheorghiu Neurology Bg Neurology LLC 1071 Boiling Springs Rd, Spartanburg, SC 29303-2201
Roxanne Singer-gheorhiu Nurse Practitioner Bg Neurology LLC 1071 Boiling Springs Rd, Spartanburg, SC 29303-2201
Bill E Hannouche Chiropractic Hannouche Family Chiropractic Clinic Pa.. 1203 A Boiling Springs Rd, Spartanburg, SC 29303-2243
Nicholas J Hannouche Chiropractic Hannouche Family Chiropractic Clinic Pa.. 1203 A Boiling Springs Rd, Spartanburg, SC 29303-2243
Christina Garrett Nurse Practitioner Carolinas Center for Advanced Management of Pain, Pa 1330 Boiling Springs Rd, Suite 2700, Spartanburg, SC 29303-2244
Renju T Joseph Physical Medicine and Rehabilitation Carolinas Center for Advanced Management of Pain, Pa 1330 Boiling Springs Rd, Suite 2700, Spartanburg, SC 29303-2244
Charles David Tollison Psychologist, Clinical Carolinas Center for Advanced Management of Pain, Pa 1330 Boiling Springs Rd, Suite 2700, Spartanburg, SC 29303-2244
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Competitor

Search similar physicians

City SPARTANBURG
Zip Code 29303
Specialty PULMONARY DISEASE
City + Specialty SPARTANBURG + PULMONARY DISEASE

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Dataset Information

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.

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