Jason Clark (NPI# 1508033747, PAC ID# 9537302393) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1508033747 |
| PAC ID by PECOS | 9537302393 |
| Professional Enrollment ID | I20130826000753 |
| Full Name | Jason Clark |
| Organization Legal Name | CHIPPS, CAFFREY AND DUBILIER, P.S.C |
| Address |
290 Big Run Rd Lexington KY 40503-2903 |
| Phone Number | 8592789513 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 4688573900 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180143 | SAINT JOSEPH EAST |
| 180010 | SAINT JOSEPH HOSPITAL |
| 180049 | BAPTIST HEALTH RICHMOND |
| 180080 | BAPTIST HEALTH CORBIN |
| 180103 | BAPTIST HEALTH LEXINGTON |
| Address | Phone | Organization |
|---|---|---|
| 290 Big Run Rd, Lexington, KY 40503-2903 | 8592789513 | CHIPPS, CAFFREY AND DUBILIER, P.S.C |
| Organization Legal Name | CHIPPS, CAFFREY AND DUBILIER, P.S.C |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Harty E Ashby | Pathology | Chipps, Caffrey and Dubilier, P.s.c | 290 Big Run Rd, Lexington, KY 40503-2903 |
| Jessica L Howard | Pathology | Chipps, Caffrey and Dubilier, P.s.c | 290 Big Run Rd, Lexington, KY 40503-2903 |
| Ana Lidia Watts | Pathology | Chipps, Caffrey and Dubilier, P.s.c | 290 Big Run Rd, Lexington, KY 40503-2903 |
| Richard L Lozano | Pathology | Chipps, Caffrey and Dubilier, P.s.c | 290 Big Run Rd, Lexington, KY 40503-2903 |
| Cynthia A Forker | Pathology | Chipps, Caffrey and Dubilier, P.s.c | 290 Big Run Rd, Lexington, KY 40503-2903 |
| John F Jansen | Pathology | Chipps, Caffrey and Dubilier, P.s.c | 1740 Nicholasville Rd, Lexington, KY 40503-1424 |
| Terry D Clark | Pathology | Chipps, Caffrey and Dubilier, P.s.c | 290 Big Run Rd, Lexington, KY 40503-2903 |
| Christine A Meece | Pathology | Chipps, Caffrey and Dubilier, P.s.c | 290 Big Run Rd, Lexington, KY 40503-2903 |
| Edward J Tanous | Pathology | Chipps, Caffrey and Dubilier, P.s.c | 290 Big Run Rd, Lexington, KY 40503-2903 |
| Patrick Crowe | Pathology | Chipps, Caffrey and Dubilier, P.s.c | 290 Big Run Rd, Lexington, KY 40503-2903 |
| Street Address |
290 BIG RUN RD |
| City | LEXINGTON |
| State | KY |
| Zip | 40503-2903 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Harty E Ashby | Pathology | Chipps, Caffrey and Dubilier, P.s.c | 290 Big Run Rd, Lexington, KY 40503-2903 |
| Jessica L Howard | Pathology | Chipps, Caffrey and Dubilier, P.s.c | 290 Big Run Rd, Lexington, KY 40503-2903 |
| Ana Lidia Watts | Pathology | Chipps, Caffrey and Dubilier, P.s.c | 290 Big Run Rd, Lexington, KY 40503-2903 |
| Richard L Lozano | Pathology | Chipps, Caffrey and Dubilier, P.s.c | 290 Big Run Rd, Lexington, KY 40503-2903 |
| Cynthia A Forker | Pathology | Chipps, Caffrey and Dubilier, P.s.c | 290 Big Run Rd, Lexington, KY 40503-2903 |
| Terry D Clark | Pathology | Chipps, Caffrey and Dubilier, P.s.c | 290 Big Run Rd, Lexington, KY 40503-2903 |
| Christine A Meece | Pathology | Chipps, Caffrey and Dubilier, P.s.c | 290 Big Run Rd, Lexington, KY 40503-2903 |
| Edward J Tanous | Pathology | Chipps, Caffrey and Dubilier, P.s.c | 290 Big Run Rd, Lexington, KY 40503-2903 |
| Patrick Crowe | Pathology | Chipps, Caffrey and Dubilier, P.s.c | 290 Big Run Rd, Lexington, KY 40503-2903 |
| Daron G Davis | Pathology | Chipps, Caffrey and Dubilier, P.s.c | 290 Big Run Rd, Lexington, KY 40503-2903 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terence Conrad Ross | Cardiac Electrophysiology | New Lexington Clinic Psc | 100 N Eagle Creek Dr, 2nd Floor, Lexington, KY 40503 |
| Orla M Rooney | Podiatry | New Lexington Clinic Psc | 100 N Eagle Creek Dr, 2nd Floor, Lexington, KY 40503 |
| Nelson Lamkin Jr. | Allergy/immunology | New Lexington Clinic Psc | 100 N Eagle Creek Dr, 2nd Floor, Lexington, KY 40503 |
| Ian M Puntney | Chiropractic | 535 Wellington Way, Suite 270, Lexington, KY 40503-1331 | |
| Dawn Christine Stratton | Optometry | Dawn C Stratton Od Psc | 535 Wellington Way, Suite 160, Lexington, KY 40503-1387 |
| Christina Summer Nguyen-canter | Optometry | Dawn C Stratton Od Psc | 535 Wellington Way, Suite 160, Lexington, KY 40503-1387 |
| Danita Turpin | Optometry | Dawn C Stratton Od Psc | 535 Wellington Way, Suite 160, Lexington, KY 40503-1387 |
| Lisa Wang | Optometry | Dawn C Stratton Od Psc | 535 Wellington Way, Suite 160, Lexington, KY 40503-1387 |
| Samuel Haire | Optometry | Dawn C Stratton Od Psc | 535 Wellington Way, Suite 160, Lexington, KY 40503-1387 |
| Heechung Ko | Optometry | Dawn C Stratton Od Psc | 535 Wellington Way, Suite 160, Lexington, KY 40503-1387 |
| Find all physicians in zip 40503 | |||
| City | LEXINGTON |
| Zip Code | 40503 |
| Specialty | PATHOLOGY |
| City + Specialty | LEXINGTON + PATHOLOGY |
Please comment or provide details below to improve the information on Jason 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.