Mark L Clark (NPI# 1306921853, PAC ID# 8527967298) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1306921853 |
| PAC ID by PECOS | 8527967298 |
| Professional Enrollment ID | I20040102000233 |
| Full Name | Mark L Clark |
| Organization Legal Name | CONWAY REGIONAL MEDICAL CENTER INC |
| Address |
2200 Ada Ave Suite 305 Conway AR 72034-4986 |
| Phone Number | 5019320352 |
| Gender | M |
| Credential | CP |
| Graduation Year | 1989 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 3173428414 |
| Number of Group Practice Members | 87 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040029 | CONWAY REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2200 Ada Ave, Suite 305, Conway, AR 72034-4986 | 5019320352 | CONWAY REGIONAL MEDICAL CENTER INC |
| Organization Legal Name | CONWAY REGIONAL MEDICAL CENTER INC |
| Physicians | 86 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bhavana Sharma | Neurology | Conway Regional Medical Center Inc | 2200 Ada Ave, Suite 305, Conway, AR 72034-4986 |
| Adam D Cox | Internal Medicine | Conway Regional Medical Center Inc | 2526 Hwy 65 S, Suite 203, Clinton, AR 72031-6678 |
| Emily L Garza | Physician Assistant | Conway Regional Medical Center Inc | 110 N Broadview, Greenbrier, AR 72058-9475 |
| Kenneth B Turner Jr. | Internal Medicine | Conway Regional Medical Center Inc | 108 Skyline Dr, Russellville, AR 72801-3362 |
| Thaddeus Michael Stanton | General Surgery | Conway Regional Medical Center Inc | 525 Western Ave, Suite 203, Conway, AR 72034-4980 |
| John C Dobbs Jr. | Family Medicine | Conway Regional Medical Center Inc | 1 Medical Ln, Conway, AR 72034-4912 |
| Laura A Massey | Family Medicine | Conway Regional Medical Center Inc | 437 Denison St, Conway, AR 72034-6127 |
| Blair Greenwood | Internal Medicine | Conway Regional Medical Center Inc | 606 Hwy 365, Mayflower, AR 72106-9595 |
| Greg Kendrick | Internal Medicine | Conway Regional Medical Center Inc | 2526 Hwy 65 S, Suite 202, Clinton, AR 72031-6678 |
| Yalcin Hacioglu | Interventional Cardiology | Conway Regional Medical Center Inc | 2302 College Ave, Conway, AR 72034-6297 |
| Street Address |
2200 ADA AVE SUITE 305 |
| City | CONWAY |
| State | AR |
| Zip | 72034-4986 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bhavana Sharma | Neurology | Conway Regional Medical Center Inc | 2200 Ada Ave, Suite 305, Conway, AR 72034-4986 |
| Keith Oliver Schluterman | Neurology | 2200 Ada Ave, Suite 305, Conway, AR 72034-4986 | |
| Stephen W Stagg | Gastroenterology | Conway Regional Medical Center Inc | 2200 Ada Ave, Suite 201, Conway, AR 72034-4984 |
| Brandie Martin | Obstetrics/gynecology | Conway Womens Health Center, Pa | 2200 Ada Ave, Suite 301, Conway, AR 72032-4986 |
| Timothy E. Freyaldenhoven | Neurology | 2200 Ada Ave, Suite 305, Conway, AR 72034-4986 | |
| Debra Lawrence | Obstetrics/gynecology | Conway Womens Health Center, Pa | 2200 Ada Ave, Suite 301, Conway, AR 72032-4986 |
| Owen Maat | Gastroenterology | Conway Regional Medical Center Inc | 2200 Ada Ave, Suite 201, Conway, AR 72034-4984 |
| Savannah Bradbury | Physician Assistant | Conway Regional Medical Center Inc | 2200 Ada Ave, Suite 305, Conway, AR 72034-4986 |
| Rafael Marrero | Otolaryngology | Central Arkansas Ear Nose and Throat Clinic | 2200 Ada Ave, Suite 202, Conway, AR 72034-4984 |
| O T Gordon | Gastroenterology | Conway Regional Medical Center Inc | 2200 Ada Ave, Suite 201, Conway, AR 72034-4984 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Airiell M Schwab | Optometry | Shane E Ford Od Pa | 3005 Frountain Dr, Conway, AR 72034 |
| Elena Margarita Lopez | Optometry | Shane E Ford Od Pa | 3005 Frountain Dr, Conway, AR 72034 |
| Rhonda Love | Clinical Social Worker | Counseling Associates Inc | 1622 Donaghey Ave, Conway, AR 72034-3221 |
| Troy Michael E Marsden | Psychologist, Clinical | Counseling Associates Inc | 1622 Donaghey Ave, Conway, AR 72034-3221 |
| Monica A Dunn | Clinical Social Worker | Counseling Associates Inc | 1622 Donaghey Ave, Conway, AR 72034-3221 |
| Jeanne M Churchill | Nurse Practitioner | William H. Freeman, M.d., P.a. | 600 Club Ln, Conway, AR 72034-3624 |
| William H Freeman | Family Medicine | William H. Freeman, M.d., P.a. | 600 Club Ln, Conway, AR 72034-3624 |
| William A Freeman | Family Medicine | William H. Freeman, M.d., P.a. | 600 Club Ln, Conway, AR 72034-3624 |
| Amy M Burton | Nurse Practitioner | William H. Freeman, M.d., P.a. | 600 Club Ln, Conway, AR 72034-3624 |
| Mitchell Reynolds | Occupational Therapy | Conway Orthopaedic and Sports Medicine Clinic | 550 Club Ln, Suite 1, Conway, AR 72034-3681 |
| Find all physicians in zip 72034 | |||
| City | CONWAY |
| Zip Code | 72034 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | CONWAY + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Mark L 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.