Donald E Conklin (NPI# 1285613323, PAC ID# 9032133657) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1285613323 |
| PAC ID by PECOS | 9032133657 |
| Professional Enrollment ID | I20190709000733 |
| Full Name | Donald E Conklin |
| Organization Legal Name | TOWN SQUARE EMERGENCY ASSOCIATES PLLC |
| Address |
1600 N 2nd St Golden Valley Memorial Hospital Clinton MO 64735-1192 |
| Phone Number | 6608855511 |
| Gender | M |
| Credential | MD |
| Graduation Year | 2002 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 9931485604 |
| Number of Group Practice Members | 34 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 320038 | REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES |
| 260175 | GOLDEN VALLEY MEMORIAL HOSPITAL |
| 320086 | LOVELACE REGIONAL HOSPITAL - ROSWELL |
| Address | Phone | Organization |
|---|---|---|
| 1600 N 2nd St, Golden Valley Memorial Hospital, Clinton, MO 64735-1192 | 6608855511 | TOWN SQUARE EMERGENCY ASSOCIATES PLLC |
| Organization Legal Name | TOWN SQUARE EMERGENCY ASSOCIATES PLLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew W Turney | Emergency Medicine | Town Square Emergency Associates Pllc | 8960 Hillside Rd, Amarillo, TX 79119-7323 |
| Darrell I Morgan | Emergency Medicine | Town Square Emergency Associates Pllc | 8960 Hillside Rd, Amarillo, TX 79119-7323 |
| Rong N. Sun | Nurse Practitioner | Town Square Emergency Associates Pllc | 1600 N 2nd St, Golden Valley Memorial Hospital, Clinton, MO 64735-1192 |
| Stanley C Paetzold | Emergency Medicine | Town Square Emergency Associates Pllc | 8960 Hillside Rd, Amarillo, TX 79119-7323 |
| Shad Danial Newson | Family Medicine | Town Square Emergency Associates Pllc | 8960 Hillside Rd, Amarillo, TX 79119-7323 |
| Jesal S Amin | Emergency Medicine | Town Square Emergency Associates Pllc | 1600 N 2nd St, Golden Valley Memorial Hospital, Clinton, MO 64735-1192 |
| Scott M Campbell | Emergency Medicine | Town Square Emergency Associates Pllc | 1600 N 2nd St, Golden Valley Memorial Hospital, Clinton, MO 64735-1192 |
| Kurt Schelling | Emergency Medicine | Town Square Emergency Associates Pllc | 1600 N 2nd St, Golden Valley Memorial Hospital, Clinton, MO 64735-1192 |
| Cyril O Fider | Emergency Medicine | Town Square Emergency Associates Pllc | 1600 N 2nd St, Golden Valley Memorial Hospital, Clinton, MO 64735-1192 |
| Eman Gibral Spaulding | Emergency Medicine | Town Square Emergency Associates Pllc | 1600 N 2nd St, Golden Valley Memorial Hospital, Clinton, MO 64735-1192 |
| Street Address |
1600 N 2ND ST GOLDEN VALLEY MEMORIAL HOSPITAL |
| City | CLINTON |
| State | MO |
| Zip | 64735-1192 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karl J Haake | Anesthesiology | Golden Valley Memorial Hospital District | 1600 N 2nd St, Clinton, MO 64735-1192 |
| James C Clouse | Internal Medicine | Golden Valley Memorial Hospital District | 1600 N 2nd St, Clinton, MO 64735-1192 |
| Andrew D Rendoff | Physician Assistant | Golden Valley Memorial Hospital District | 1600 N 2nd St, Clinton, MO 64735-1192 |
| Ryan C Bartholomew | Certified Registered Nurse Anesthetist (crna) | Golden Valley Memorial Hospital District | 1600 N 2nd St, Clinton, MO 64735-1192 |
| Drew A Smith | Family Medicine | Golden Valley Memorial Hospital District | 1600 N 2nd St, Clinton, MO 64735-1192 |
| Daniel Clayton Searing | Certified Registered Nurse Anesthetist (crna) | Golden Valley Memorial Hospital District | 1600 N 2nd St, Clinton, MO 64735-1192 |
| Susyn M Sanders | Certified Registered Nurse Anesthetist (crna) | Golden Valley Memorial Hospital District | 1600 N 2nd St, Clinton, MO 64735-1192 |
| Mark D Vogt | Emergency Medicine | Golden Valley Memorial Hospital District | 1600 N 2nd St, Clinton, MO 64735-1192 |
| Michael A Gilbert | Diagnostic Radiology | Golden Valley Memorial Hospital District | 1600 N 2nd St, Clinton, MO 64735-1192 |
| Walter L Bender | Nephrology | Golden Valley Memorial Hospital District | 1600 N 2nd St, Clinton, MO 64735-1192 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brendan P Bagley | Family Medicine | Golden Valley Memorial Hospital District | 1602 N 2nd St, Golden Valley Medical Clinton, Clinton, MO 64735-1192 |
| Alice C Ruttinger | Internal Medicine | Golden Valley Memorial Hospital District | 1602 N 2nd St, Golden Valley Medical Clinton, Clinton, MO 64735-1192 |
| Daniel F Campbell | Certified Registered Nurse Anesthetist (crna) | Golden Valley Memorial Hospital District | 1600 N 2nd St, Clinton, MO 64735-1192 |
| Crystal L Jones | Family Medicine | Golden Valley Memorial Hospital District | 1602 N 2nd St, Golden Valley Medical Clinton, Clinton, MO 64735-1192 |
| Stephen T. Malutich | Internal Medicine | Golden Valley Memorial Hospital District | 1600 N 2nd St, Clinton, MO 64735-1192 |
| Marija Tonkovic Capin | Dermatology | Golden Valley Memorial Hospital District | 1602 N 2nd St, Golden Valley Medical Clinton, Clinton, MO 64735-1192 |
| James L Womack | Orthopedic Surgery | Golden Valley Memorial Hospital District | 1600 N 2nd St, Clinton, MO 64735-1192 |
| Rong N. Sun | Nurse Practitioner | Town Square Emergency Associates Pllc | 1600 N 2nd St, Golden Valley Memorial Hospital, Clinton, MO 64735-1192 |
| Richard H Woodland | Otolaryngology | Golden Valley Memorial Hospital District | 1600 N 2nd St, Clinton, MO 64735-1192 |
| Gus S Wetzel Ii | General Surgery | Golden Valley Memorial Hospital District | 1600 N 2nd St, Clinton, MO 64735-1192 |
| Find all physicians in zip 64735 | |||
| City | CLINTON |
| Zip Code | 64735 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CLINTON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Donald E Conklin.
| 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.