Gary Wayne Clark (NPI# 1013987759, PAC ID# 9436237898) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1013987759 |
| PAC ID by PECOS | 9436237898 |
| Professional Enrollment ID | I20150827000323 |
| Full Name | Gary Wayne Clark |
| Organization Legal Name | MERCY MEDICAL CENTER, INC. |
| Address |
125 Canton Rd Nw Carrolton Health Ctr Carrolton OH 44615-1000 |
| Phone Number | 3308632793 |
| Gender | M |
| Graduation Year | 1988 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0547156796 |
| Number of Group Practice Members | 45 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360070 | MERCY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1320 Mercy Dr Nw, Mercy Multi Spec Ser, Canton, OH 44708-2641 | 3304928720 | MERCY MEDICAL CENTER, INC. |
| 125 Canton Rd Nw, Carrolton Health Ctr, Carrolton, OH 44615-1000 | 3308632793 | MERCY MEDICAL CENTER, INC. |
| Organization Legal Name | MERCY MEDICAL CENTER, INC. |
| Physicians | 55 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danielle R Wiseman | Physician Assistant | Mercy Medical Center, Inc. | 125 Canton Rd Nw, Carrolton Health Ctr, Carrolton, OH 44615-1000 |
| Marsha Meleacia Cobrand | Family Medicine | Mercy Medical Center, Inc. | 1031 W High Ave, New Philadelphia, OH 44663-2071 |
| Mark Hudak | Family Medicine | Mercy Medical Center, Inc. | 432 King Church Ave Sw, Mercy Hlth Ctr of Lake, Uniontown, OH 44685-5100 |
| Lisa Vaughn | Family Medicine | Mercy Medical Center, Inc. | 2638 Easton St Ne, Canton, OH 44721-2655 |
| Carla M Schaal | Nurse Practitioner | Mercy Medical Center, Inc. | 7337 Caritas Circle N W, Massillon, OH 44646-9118 |
| Thang N Dang | Family Medicine | Mercy Medical Center, Inc. | 7452 Fulton Dr, Mercy Health Center, Massillon, OH 44646-9393 |
| Vincent L Sudimak | Vascular Surgery | Mercy Medical Center, Inc. | 1320 Mercy Dr Nw, Mercy Regional Rehab, Canton, OH 44708-2641 |
| Erik D Schmeiser | Emergency Medicine | Mercy Medical Center, Inc. | 1320 Mercy Dr Nw, 200 Mercy Amb Care, Canton, OH 44708-2614 |
| Rama Narayanan | Internal Medicine | Mercy Medical Center, Inc. | 1320 Mercy Dr Nw, Mercy Medical Ctr Pr, Canton, OH 44708-2641 |
| Kimberly Rowe | Nurse Practitioner | Mercy Medical Center, Inc. | 125 Canton Rd Nw, Carrolton Health Ctr, Carrolton, OH 44615-1000 |
| Street Address |
125 CANTON RD NW CARROLTON HEALTH CTR |
| City | CARROLTON |
| State | OH |
| Zip | 44615-1000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danielle R Wiseman | Physician Assistant | Mercy Medical Center, Inc. | 125 Canton Rd Nw, Carrolton Health Ctr, Carrolton, OH 44615-1000 |
| Kimberly Rowe | Nurse Practitioner | Mercy Medical Center, Inc. | 125 Canton Rd Nw, Carrolton Health Ctr, Carrolton, OH 44615-1000 |
| Chelsea Delynn Prince | Physician Assistant | Mercy Medical Center, Inc. | 125 Canton Rd Nw, Carrolton Health Ctr, Carrolton, OH 44615-1000 |
| Kristen E Keyser | Nurse Practitioner | Mercy Professional Care Corp | 125 Canton Rd Nw, Suite A, Carrollton, OH 44615-1009 |
| Thomas H Naumoff | Family Medicine | Mercy Medical Center, Inc. | 125 Canton Rd Nw, Carrolton Health Ctr, Carrolton, OH 44615-1000 |
| Nikolay Gatalyak | Podiatry | 125 Canton Rd Nw, Carrollton, OH 44615-1009 | |
| Holly L Inman | Nurse Practitioner | Mercy Professional Care Corp | 125 Canton Rd Nw, Suite A, Carrollton, OH 44615-1009 |
| Matthew D Inman | Family Medicine | Mercy Professional Care Corp | 125 Canton Rd Nw, Suite A, Carrollton, OH 44615-1009 |
| Norman Warren | Family Medicine | Mercy Medical Center, Inc. | 125 Canton Rd Nw, Carrolton Health Ctr, Carrolton, OH 44615-1000 |
| Theresa Ann Waseity | Physician Assistant | Mercy Medical Center, Inc. | 125 Canton Rd Nw, Carrolton Health Ctr, Carrolton, OH 44615-1000 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Charles Valentino | Physician Assistant | Mercy Medical Center, Inc. | 125 Canton Rd Nw, Carrolton Health Ctr, Carrolton, OH 44615-1000 |
| Leonard Frabcis Dyko | Physician Assistant | Mercy Medical Center, Inc. | 125 Canton Rd Nw, Carrolton Health Ctr, Carrolton, OH 44615-1000 |
| Indira Nannapaneni | Obstetrics/gynecology | 125 Canton Rd Nw, Carrollton, OH 44615-1009 | |
| Gregory A Fair | Optometry | Fair Vision Inc | 70 N Lisbon St, Carrollton, OH 44615-1326 |
| Kelsea Diane Naylor | Optometry | Fair Vision Inc | 70 N Lisbon St, Carrollton, OH 44615-1326 |
| Sandra Lankford | Clinical Social Worker | Community Mental Healthcare, Inc | 331 W Main St, Carrollton, OH 44615-1347 |
| Megan Hawk | Nurse Practitioner | Community Mental Healthcare, Inc | 331 W Main St, Carrollton, OH 44615-1347 |
| Jillian Marie Berkshire | Nurse Practitioner | Ohio Physician Professional Corporation | 1020 Trump Rd Nw, Dba Family Medicine of Carrollton A Member of Au, Carrollton, OH 44615-8422 |
| Brendan Duffy | Interventional Cardiology | Ohio Physician Professional Corporation | 1020 Trump Nwrd, Carrollton, OH 44615-8422 |
| Carl Fry | Family Medicine | Ohio Physician Professional Corporation | 1020 Trump Rd Nw, Dba Family Medicine of Carrollton A Member of Au, Carrollton, OH 44615-8422 |
| Find all physicians in zip 44615 | |||
| City | CARROLTON |
| Zip Code | 44615 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CARROLTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Gary Wayne 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.