Andrea M Clark (NPI# 1063775427, PAC ID# 0042464497) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1063775427 |
| PAC ID by PECOS | 0042464497 |
| Professional Enrollment ID | I20151006001352 |
| Full Name | Andrea M Clark |
| Organization Legal Name | NORTON SOUND HEALTH CORPORATION |
| Address |
1000 Greg Kruschek Ave Nome AK 99762-0966 |
| Phone Number | 9074433311 |
| Gender | F |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 7517858137 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 021308 | NORTON SOUND REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1000 Greg Kruschek Ave, Nome, AK 99762-0966 | 9074433311 | NORTON SOUND HEALTH CORPORATION |
| Organization Legal Name | NORTON SOUND HEALTH CORPORATION |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Logan Huff | Family Medicine | Norton Sound Health Corporation | 1000 Greg Kruschek Ave, Nome, AK 99762-0966 |
| Kamey K Kapp | Optometry | Norton Sound Health Corporation | 1000 Greg Kruschek Ave, Nome, AK 99762-0966 |
| Marc W Levin | Family Medicine | Norton Sound Health Corporation | 1000 Greg Kruschek Ave, Nome, AK 99762-0966 |
| Ryan J Sherer | Family Medicine | Norton Sound Health Corporation | 1000 Greg Kruschek Ave, Nome, AK 99762-0966 |
| Terrence J O'malia | Family Medicine | Norton Sound Health Corporation | 1000 Greg Kruschek Ave, Nome, AK 99762-0966 |
| Cody M Augdahl | Family Practice | Norton Sound Health Corporation | 1000 Greg Kruschek Ave, Nome, AK 99762-0966 |
| Anne M Flint | Family Practice | Norton Sound Health Corporation | 1000 Greg Kruschek Ave, Nome, AK 99762-0966 |
| Peter C Schaab | Orthopedic Surgery | Norton Sound Health Corporation | 1000 Greg Kruschek Ave, Nome, AK 99762-0966 |
| Jacob W Read | Nurse Practitioner | Norton Sound Health Corporation | 1000 Greg Kruschek Ave, Nome, AK 99762-0966 |
| Kim I Matthews | Nurse Practitioner | Norton Sound Health Corporation | 1000 Greg Kruschek Ave, Nome, AK 99762-0966 |
| Street Address |
1000 GREG KRUSCHEK AVE |
| City | NOME |
| State | AK |
| Zip | 99762-0966 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Logan Huff | Family Medicine | Norton Sound Health Corporation | 1000 Greg Kruschek Ave, Nome, AK 99762-0966 |
| Kamey K Kapp | Optometry | Norton Sound Health Corporation | 1000 Greg Kruschek Ave, Nome, AK 99762-0966 |
| Marc W Levin | Family Medicine | Norton Sound Health Corporation | 1000 Greg Kruschek Ave, Nome, AK 99762-0966 |
| Ryan J Sherer | Family Medicine | Norton Sound Health Corporation | 1000 Greg Kruschek Ave, Nome, AK 99762-0966 |
| Terrence J O'malia | Family Medicine | Norton Sound Health Corporation | 1000 Greg Kruschek Ave, Nome, AK 99762-0966 |
| Cody M Augdahl | Family Practice | Norton Sound Health Corporation | 1000 Greg Kruschek Ave, Nome, AK 99762-0966 |
| Anne M Flint | Family Practice | Norton Sound Health Corporation | 1000 Greg Kruschek Ave, Nome, AK 99762-0966 |
| Peter C Schaab | Orthopedic Surgery | Norton Sound Health Corporation | 1000 Greg Kruschek Ave, Nome, AK 99762-0966 |
| Jacob W Read | Nurse Practitioner | Norton Sound Health Corporation | 1000 Greg Kruschek Ave, Nome, AK 99762-0966 |
| Kim I Matthews | Nurse Practitioner | Norton Sound Health Corporation | 1000 Greg Kruschek Ave, Nome, AK 99762-0966 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David M Head | Family Practice | Norton Sound Health Corporation | 1000 Greg Kruschek Ave, Nome, AK 99762-0966 |
| Sai-ling Liu | Family Practice | Norton Sound Health Corporation | 1000 Greg Kruschek Ave, Nome, AK 99762-0966 |
| Nicole R Thomas | Physician Assistant | Norton Sound Health Corporation | 1000 Greg Kruschek Ave, Nome, AK 99762-0966 |
| Karen F Oneill | Family Practice | Norton Sound Health Corporation | 1000 Greg Kruschek Ave, Nome, AK 99762-0966 |
| City | NOME |
| Zip Code | 99762 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | NOME + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Andrea M 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.