Michael L Clark (NPI# 1457662280, PAC ID# 0143536847) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1457662280 |
| PAC ID by PECOS | 0143536847 |
| Professional Enrollment ID | I20161102001846 |
| Full Name | Michael L Clark |
| Organization Legal Name | JUPITER IMAGING ASSOCIATES INC |
| Address |
1210 S Old Dixie Hwy Jupiter FL 33458-7205 |
| Phone Number | 5617482889 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 5294629135 |
| Number of Group Practice Members | 35 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100253 | JUPITER MEDICAL CENTER |
| 100080 | JFK MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 830 N Mills Ave, Arcadia, FL 34266-8780 | 8634946599 | MILLENNIUM PHYSICIAN GROUP LLC |
| 1659 Us Hwy 27 N, Suite 102, Avon Park, FL 33825-2103 | 8636570710 | MILLENNIUM PHYSICIAN GROUP LLC |
| 24600 S Tamiami Trl, Suite 500, Bonita Springs, FL 34134-7025 | 2399483761 | MILLENNIUM PHYSICIAN GROUP LLC |
| 9400 Bonita Beach Serd, Bonita Springs, FL 34135-4520 | MILLENNIUM PHYSICIAN GROUP LLC | |
| 31075 Cortez Blvd, Brooksville, FL 34602-7542 | 3527965303 | MILLENNIUM PHYSICIAN GROUP LLC |
| 1528 Del Prado Blvd S, Cape Coral, FL 33990-3798 | 2394583338 | MILLENNIUM PHYSICIAN GROUP LLC |
| 3571 Del Prado Blvd S, Suite 2, Cape Coral, FL 33909-5287 | 2396566300 | MILLENNIUM PHYSICIAN GROUP LLC |
| 3000 S Mccall Rd, Englewood, FL 34224-8616 | 9414069029 | MILLENNIUM PHYSICIAN GROUP LLC |
| 10201 Arcos Ave, Suite 105, Estero, FL 33928-9460 | 2393332273 | MILLENNIUM PHYSICIAN GROUP LLC |
| 12995 S Cleveland Ave, Suite 184, Fort Myers, FL 33907-7703 | 2399392201 | MILLENNIUM PHYSICIAN GROUP LLC |
| 13813 Metro Pkwy, Fort Myers, FL 33912-4343 | 2399361343 | MILLENNIUM PHYSICIAN GROUP LLC |
| 4881 Palm Beach Blvd, Suite 100, Fort Myers, FL 33905-3217 | 2396939191 | MILLENNIUM PHYSICIAN GROUP LLC |
| 11513 N Main St, Jacksonville, FL 32218-4002 | 9047516200 | MILLENNIUM PHYSICIAN GROUP LLC |
| 1210 S Old Dixie Hwy, Jupiter, FL 33458-7205 | 5617482889 | JUPITER IMAGING ASSOCIATES INC |
| 606 Bald Eagle Dr, Marco Island, FL 34145-2766 | MILLENNIUM PHYSICIAN GROUP LLC | |
| 1009 Crosspointe Dr, Suite 2, Naples, FL 34110-0948 | 2393023295 | MILLENNIUM PHYSICIAN GROUP LLC |
| 1735 Sw Health Pkwy, Suite 201, Naples, FL 34109-0421 | 2392497800 | MILLENNIUM PHYSICIAN GROUP LLC |
| 400 8th St N, Naples, FL 34102-5519 | 2392615511 | MILLENNIUM PHYSICIAN GROUP LLC |
| 4330 Tamiami Trail E, Naples, FL 34112-6720 | 2393157115 | MILLENNIUM PHYSICIAN GROUP LLC |
| 88 12th St N, Naples, FL 34102-6230 | 2393157120 | MILLENNIUM PHYSICIAN GROUP LLC |
| 3434 Hancock Bridge Pkwy, Suite 301, North Fort Myers, FL 33903-7099 | 8778563774 | MILLENNIUM PHYSICIAN GROUP LLC |
| 13807 Tamiami Trl, Suite A, North Port, FL 34287-2069 | 9414264900 | MILLENNIUM PHYSICIAN GROUP LLC |
| 13815 Tamiami Trl, North Port, FL 34287-2069 | 9414264900 | MILLENNIUM PHYSICIAN GROUP LLC |
| 13823 Tamiami Trl, North Port, FL 34287-2069 | 9418880770 | MILLENNIUM PHYSICIAN GROUP LLC |
| 19531 Cochran Blvd, Port Charlotte, FL 33948-2081 | 9412553535 | MILLENNIUM PHYSICIAN GROUP LLC |
| 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 | 9416242704 | MILLENNIUM PHYSICIAN GROUP LLC |
| 2460 Tamiami Trl, Port Charlotte, FL 33952-3922 | 9412583294 | MILLENNIUM PHYSICIAN GROUP LLC |
| 2525 Harbor Blvd, Suite 104, Port Charlotte, FL 33952-5338 | 9416295757 | MILLENNIUM PHYSICIAN GROUP LLC |
| 3430 Tamiami Trl, Suite B, Port Charlotte, FL 33952-8148 | 9418838383 | MILLENNIUM PHYSICIAN GROUP LLC |
| 315 E Olympia Ave, Punta Gorda, FL 33950-3823 | 9412052600 | MILLENNIUM PHYSICIAN GROUP LLC |
| 2227 Us Hwy 27 S, Sebring, FL 33870-4936 | 8632028100 | MILLENNIUM PHYSICIAN GROUP LLC |
| 1287 Us Hwy 41 Byp S, Venice, FL 34285-5545 | 9412020500 | MILLENNIUM PHYSICIAN GROUP LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 95% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 95% | |
| MIPS_EC_147_overall | Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy | 98% | |
| MIPS_EC_147_overall | Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy | 98% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 100% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 100% | |
| MIPS_EC_225_overall | Radiology: Reminder System for Screening Mammograms | 100% | |
| MIPS_EC_225_overall | Radiology: Reminder System for Screening Mammograms | 100% | |
| MIPS_EC_405_overall | Appropriate Follow-up Imaging for Incidental Abdominal Lesions (100%: worst, 0% best) | 5% | |
| MIPS_EC_405_overall | Appropriate Follow-up Imaging for Incidental Abdominal Lesions (100%: worst, 0% best) | 5% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% |
| Organization Legal Name | JUPITER IMAGING ASSOCIATES INC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Denise Argus | Diagnostic Radiology | Jupiter Imaging Associates Inc | 1210 S Old Dixie Hwy, Jupiter, FL 33458-7205 |
| Madai Ortiz Santiago | Diagnostic Radiology | Jupiter Imaging Associates Inc | 1210 S Old Dixie Hwy, Jupiter, FL 33458-7205 |
| Juan F Gomez | Interventional Radiology | Jupiter Imaging Associates Inc | 1025 Military Trl, Suite 200, Jupiter, FL 33458-7040 |
| Nicholas M Gutierrez | Diagnostic Radiology | Jupiter Imaging Associates Inc | 1210 S Old Dixie Hwy, Jupiter, FL 33458-7205 |
| Jose Manuel Fragoso | Diagnostic Radiology | Jupiter Imaging Associates Inc | 1210 S Old Dixie Hwy, Jupiter, FL 33458-7205 |
| Lee A Fox | Diagnostic Radiology | Jupiter Imaging Associates Inc | 1210 S Old Dixie Hwy, Jupiter, FL 33458-7205 |
| Orna Hadar | Diagnostic Radiology | Jupiter Imaging Associates Inc | 1210 S Old Dixie Hwy, Jupiter, FL 33458-7205 |
| Andrew M. Hall | Interventional Radiology | Jupiter Imaging Associates Inc | 1210 S Old Dixie Hwy, Jupiter, FL 33458-7205 |
| Amir H Saghari | Diagnostic Radiology | Jupiter Imaging Associates Inc | 1210 S Old Dixie Hwy, Jupiter, FL 33458-7205 |
| Vincent J Turiano | Diagnostic Radiology | Jupiter Imaging Associates Inc | 1210 S Old Dixie Hwy, Jupiter, FL 33458-7205 |
| Street Address |
1210 S OLD DIXIE HWY |
| City | JUPITER |
| State | FL |
| Zip | 33458-7205 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matteo J Rosselli | Anesthesiology | Jupiter Anesthesia Associates LLC | 1210 S Old Dixie Hwy, Jupiter, FL 33458-7205 |
| Domenica Marcantonio | Emergency Medicine | Sheridan Emergency Physician Services Inc | 1210 S Old Dixie Hwy, Jupiter, FL 33458-7205 |
| Lynn A Barnhart | Certified Registered Nurse Anesthetist (crna) | Jupiter Anesthesia Associates LLC | 1210 S Old Dixie Hwy, Jupiter, FL 33458-7205 |
| Shawn M Falitz | Anesthesiology | Jupiter Anesthesia Associates LLC | 1210 S Old Dixie Hwy, Jupiter, FL 33458-7205 |
| Daniel J Dolderer | Pathology | Treasure Coast Pathology, Pa | 1210 S Old Dixie Hwy, Jupiter, FL 33458-7205 |
| Christopher S Houser | Certified Registered Nurse Anesthetist (crna) | Jupiter Anesthesia Associates LLC | 1210 S Old Dixie Hwy, Jupiter, FL 33458-7205 |
| Sherri H Snell | Certified Registered Nurse Anesthetist (crna) | Jupiter Anesthesia Associates LLC | 1210 S Old Dixie Hwy, Jupiter, FL 33458-7205 |
| Brenton J Barnhart | Certified Registered Nurse Anesthetist (crna) | Jupiter Anesthesia Associates LLC | 1210 S Old Dixie Hwy, Jupiter, FL 33458-7205 |
| Aleisha A Canik | Internal Medicine | Accountable Care Hospitalist Group | 1210 S Old Dixie Hwy, Jupiter, FL 33458-7205 |
| Robert Rusnak | Certified Registered Nurse Anesthetist (crna) | Jupiter Anesthesia Associates LLC | 1210 S Old Dixie Hwy, Jupiter, FL 33458-7205 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Otero | Allergy/immunology | 500 University Blvd, Suite 116, Jupiter, FL 33458-2774 | |
| Marissa E Land | Qualified Audiologist | South Florida Ent Associates Inc | 500 University Blvd, Suite 208, Jupiter, FL 33458-2775 |
| Mark T Agrama | Otolaryngology | South Florida Ent Associates Inc | 500 University Blvd, Suite 208, Jupiter, FL 33458-2775 |
| Karen Lynn Riepe | Nurse Practitioner | South Florida Ent Associates Inc | 500 University Blvd, Suite 208, Jupiter, FL 33458-2775 |
| Gabriella Bonomo | Internal Medicine | 500 University Blvd, Suite 201, Jupiter, FL 33458-2775 | |
| Chauncey W Crandall | Cardiovascular Disease (cardiology) | Icahn School of Medicine At Mount Sinai | 600 University Blvd, Suite 200, Jupiter, FL 33458-2778 |
| Lia A Demeter | Nurse Practitioner | Jupiter Internal Medicine Associates Pa | 600 University Blvd, Suite 105, Jupiter, FL 33458-2778 |
| Burton Greenberg | Cardiovascular Disease (cardiology) | Icahn School of Medicine At Mount Sinai | 600 University Blvd, Suite 200, Jupiter, FL 33458-2778 |
| Katherine Jane Hnis | Nurse Practitioner | House Call Specialists LLC | 600 University Blvd, Suite 105, Jupiter, FL 33458-2778 |
| Elizabeth Hagan | Physician Assistant | Robert J. Anderson Md Pa | 600 University Blvd, Suite 101, Jupiter, FL 33458-2778 |
| Find all physicians in zip 33458 | |||
| City | JUPITER |
| Zip Code | 33458 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | JUPITER + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Michael L 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.