Tina Clark
HOLZER CLINIC LLC


Address: 500 Burlington Rd, Jackson, OH 45640-9360
Phone: 7403958420

Tina Clark (NPI# 1326583196, PAC ID# 8820371743) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1326583196
PAC ID by PECOS 8820371743
Professional Enrollment ID I20170220000198
Full Name Tina Clark
Organization Legal Name HOLZER CLINIC LLC
Address 500 Burlington Rd
Jackson
OH 45640-9360
Phone Number 7403958420
Gender F
Graduation Year 2016
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 5890606008
Number of Group Practice Members 247
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
361320 HOLZER MEDICAL CENTER JACKSON

Other Locations

Address Phone Organization
500 Burlington Rd, Jackson, OH 45640-9360 7403958420 HOLZER CLINIC LLC

Organization Information

Organization Legal Name HOLZER CLINIC LLC
Physicians 257

Physicians with the same organization

Name Specialty Organization Address
Mittra Esmaeili Family Medicine Holzer Clinic LLC 98 State St, Proctorville, OH 45669-8163
Antony Valentine Family Medicine Holzer Clinic LLC 1051 4th Ave, Gallipolis, OH 45631-1612
Mary Brown Nurse Practitioner Holzer Clinic LLC 88 E Memorial Dr, Pomeroy, OH 45769-9569
Wendi R Hanna Nurse Practitioner Holzer Clinic LLC 170 Jackson Pike, Gallipolis, OH 45631-1539
Rajesh Rajan Nephrology Holzer Clinic LLC 280 Pattonsville Rd, Jackson, OH 45640-9452
Sarah A Leger Nurse Practitioner Holzer Clinic LLC 41861 Pomeroy Pike, Pomeroy, OH 45769-9473
Eugenia Kay Mccoy Certified Registered Nurse Anesthetist (crna) Holzer Clinic LLC 100 Jackson Pike, Gallipolis, OH 45631-1560
Sirintra Parnichyakorn Physician Assistant Holzer Clinic LLC 204 2nd Ave, Gallipolis, OH 45631-1022
Carlton W Herald Internal Medicine Holzer Clinic LLC 500 Burlington Rd, Jackson, OH 45640-9360
Kenneth A Marshall Pain Management Holzer Clinic LLC 2131 E State St, Athens, OH 45701-2138

Office Location

Street Address 500 BURLINGTON RD
City JACKSON
State OH
Zip 45640-9360

Physicians in the same location

Name Specialty Organization Address
Carlton W Herald Internal Medicine Holzer Clinic LLC 500 Burlington Rd, Jackson, OH 45640-9360
Aasia Butt Internal Medicine Holzer Clinic LLC 500 Burlington Rd, Jackson, OH 45640-9360
Jonathan A Hess Family Medicine Holzer Clinic LLC 500 Burlington Rd, Jackson, OH 45640-9360
Edwin Hissa Orthopedic Surgery Holzer Clinic LLC 500 Burlington Rd, Jackson, OH 45640-9360
Joseph D Mcnamara Nurse Practitioner Holzer Clinic LLC 500 Burlington Rd, Jackson, OH 45640-9360
Sohail Qayyum Pathology Holzer Clinic LLC 500 Burlington Rd, Jackson, OH 45640-9360
Patricia Stiltner Nurse Practitioner Holzer Clinic LLC 500 Burlington Rd, Jackson, OH 45640-9360
Deron Hammack Family Medicine Holzer Clinic LLC 500 Burlington Rd, Jackson, OH 45640-9360
Russell A Hartwick Jr. Family Medicine 500 Burlington Rd, Suite 260, Jackson, OH 45640-9360
Paul Edmond Cowsar Nurse Practitioner Holzer Clinic LLC 500 Burlington Rd, Jackson, OH 45640-9360
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Jeanetta J Shriver Nurse Practitioner 170 Bridge St, Jackson, OH 45640-1144
David T Brown Optometry Craig R. Green, O.d. and Associates, Inc. 260 E Main St, Jackson, OH 45640-1745
Craig Roger Green Optometry Craig R. Green, O.d. and Associates, Inc. 260 E Main St, Jackson, OH 45640-1745
Deborah Mccartney Elliott Chiropractic 161 Pearl St, Jackson, OH 45640-1746
Richard Harris Billman II Ii Optometry 201 Columbia St, Jackson, OH 45640-1771
John Brooks Perry Physical Therapy 232 E Huron St, Jackson, OH 45640-2032
Joseph E Black Psychologist, Clinical 731 E Main St, Suite 13, Jackson, OH 45640-2100
Steven W Binns Optometry 731 E Main St, Suite 15, Jackson, OH 45640-2100
Hannah E Kitts Nurse Practitioner 731 E Main St, Suite 4, Jackson, OH 45640-2100
Leslie Risin Psychologist, Clinical 731 E Main St, Suite 13, Jackson, OH 45640-2100
Find all physicians in zip 45640

Competitor

Search similar physicians

City JACKSON
Zip Code 45640
Specialty NURSE PRACTITIONER
City + Specialty JACKSON + NURSE PRACTITIONER

Improve Information

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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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