Stephen Clark (NPI# 1881676286, PAC ID# 0143290981) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1881676286 |
| PAC ID by PECOS | 0143290981 |
| Professional Enrollment ID | I20040728001422 |
| Full Name | Stephen Clark |
| Organization Legal Name | KANSAS IMAGING CONSULTANTS PA |
| Address |
1124 W 21st St Kansas Medical Center Andover KS 67002-5500 |
| Phone Number | 3163004000 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 8921082041 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170014 | RANSOM MEMORIAL HOSPITAL |
| 170049 | OLATHE MEDICAL CENTER |
| 260095 | CENTERPOINT MEDICAL CENTER |
| 170182 | MENORAH MEDICAL CENTER |
| 261324 | CASS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1124 W 21st St, Kansas Medical Center, Andover, KS 67002-5500 | 3163004000 | KANSAS IMAGING CONSULTANTS PA |
| 400 W 8th St, Mitchell County Hospital, Beloit, KS 67420-1605 | 7857382266 | KANSAS IMAGING CONSULTANTS PA |
| 1400 W 4th St, Coffeyville, KS 67337-3306 | 6202511200 | KANSAS IMAGING CONSULTANTS PA |
| 3251 N Rock Rd, Derby, KS 67037-3850 | 3164252400 | KANSAS IMAGING CONSULTANTS PA |
| 1000 Hospital Dr, Mcpherson, KS 67460-2326 | 6202412250 | KANSAS IMAGING CONSULTANTS PA |
| 3600 E Harry St, Wichita, KS 67218-3713 | 3166895050 | KANSAS IMAGING CONSULTANTS PA |
| 3601 N Webb Rd, Kansas Heart Hospital, Wichita, KS 67226-8129 | 3166305000 | KANSAS IMAGING CONSULTANTS PA |
| 929 N Saint Francis St, Wichita, KS 67214-3821 | 3166864150 | KANSAS IMAGING CONSULTANTS PA |
| Organization Legal Name | KANSAS IMAGING CONSULTANTS PA |
| Physicians | 29 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry Charles Graham Ii | Diagnostic Radiology | Kansas Imaging Consultants Pa | 1527 Madison St, Fredonia, KS 66736-1751 |
| Timothy C Benning | Diagnostic Radiology | Kansas Imaging Consultants Pa | 1527 Madison St, Fredonia, KS 66736-1751 |
| Patrick Craig | Diagnostic Radiology | Kansas Imaging Consultants Pa | 1527 Madison St, Fredonia, KS 66736-1751 |
| Jeffrey Mcpherson | Diagnostic Radiology | Kansas Imaging Consultants Pa | 1527 Madison St, Fredonia, KS 66736-1751 |
| Paul J Hutsey | Diagnostic Radiology | Kansas Imaging Consultants Pa | 1527 Madison St, Fredonia, KS 66736-1751 |
| Jessica B Tanner | Diagnostic Radiology | Kansas Imaging Consultants Pa | 1527 Madison St, Fredonia, KS 66736-1751 |
| Eddy D Lucas | Diagnostic Radiology | Kansas Imaging Consultants Pa | 1527 Madison St, Fredonia, KS 66736-1751 |
| Nicholas M Brewer | Diagnostic Radiology | Kansas Imaging Consultants Pa | 1527 Madison St, Fredonia, KS 66736-1751 |
| Ahmad Y Izard | Diagnostic Radiology | Kansas Imaging Consultants Pa | 3600 E Harry St, Wichita, KS 67218-3713 |
| Adam T Gregg | Diagnostic Radiology | Kansas Imaging Consultants Pa | 1527 Madison St, Fredonia, KS 66736-1751 |
| Street Address |
1124 W 21ST ST KANSAS MEDICAL CENTER |
| City | ANDOVER |
| State | KS |
| Zip | 67002-5500 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jill C Gallagher | Certified Registered Nurse Anesthetist (crna) | Kansas Medical Center LLC | 1124 W 21st St, Andover Anesthesia, Andover, KS 67002-5500 |
| Casandra Lea Butler | Internal Medicine | Kansas Medical Center LLC | 1124 W 21st St, Andover, KS 67002-5500 |
| Paige H Dodson | Family Medicine | Kansas Medical Center LLC | 1124 W 21st St, Emergency Medicine, Andover, KS 67002-5500 |
| Jeff Andrew Carpenter | Certified Registered Nurse Anesthetist (crna) | Kansas Medical Center LLC | 1124 W 21st St, Andover Anesthesia, Andover, KS 67002-5500 |
| Edward Wade | Anesthesiology | Kansas Medical Center LLC | 1124 W 21st St, Andover Anesthesia, Andover, KS 67002-5500 |
| Matthew T Reed | Nephrology | Kansas Nephrology Physicians, P.a. | 1124 W 21st St, Andover, KS 67002-5500 |
| Daniel Brendan Rice | Emergency Medicine | Kansas Medical Center LLC | 1124 W 21st St, Emergency Medicine, Andover, KS 67002-5500 |
| Luke Gregory Records | Family Medicine | Kansas Medical Center LLC | 1124 W 21st St, Emergency Medicine, Andover, KS 67002-5500 |
| Jamie Geier | Physician Assistant | Kansas Medical Center LLC | 1124 W 21st St, Andover, KS 67002-5500 |
| Joseph F Couey | Nurse Practitioner | Kansas Medical Center LLC | 1124 W 21st St, Emergency Medicine, Andover, KS 67002-5500 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Val Jean Brown Jr. | Internal Medicine | Kansas Medical Center LLC | 1124 W 21st St, Emergency Medicine, Andover, KS 67002-5500 |
| Martin E Sellberg | Emergency Medicine | Kansas Medical Center LLC | 1124 W 21st St, Emergency Medicine, Andover, KS 67002-5500 |
| Rahul P Singh | Emergency Medicine | Kansas Medical Center LLC | 1124 W 21st St, Andover Anesthesia, Andover, KS 67002-5500 |
| James T Prescott | Family Medicine | Kansas Medical Center LLC | 1124 W 21st St, Emergency Medicine, Andover, KS 67002-5500 |
| Tracy L Tucker | Emergency Medicine | Kansas Medical Center LLC | 1124 W 21st St, Andover Anesthesia, Andover, KS 67002-5500 |
| Kristine A Alvarez | Physician Assistant | Kansas Medical Center LLC | 1124 W 21st St, Andover, KS 67002-5500 |
| John P Weller | Certified Registered Nurse Anesthetist (crna) | Kansas Medical Center LLC | 1124 W 21st St, Andover Anesthesia, Andover, KS 67002-5500 |
| Catherine A Scheve | Physician Assistant | Kansas Medical Center LLC | 1124 W 21st St, Andover, KS 67002-5500 |
| Brook H Roberts | Certified Registered Nurse Anesthetist (crna) | Kansas Medical Center LLC | 1124 W 21st St, Andover, KS 67002-5500 |
| Bryon K Mcneil | Emergency Medicine | Kansas Medical Center LLC | 1124 W 21st St, Emergency Medicine, Andover, KS 67002-5500 |
| Find all physicians in zip 67002 | |||
| City | ANDOVER |
| Zip Code | 67002 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | ANDOVER + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Stephen 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.