Elise D Clark (NPI# 1184619595, PAC ID# 0345274478) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1184619595 |
| PAC ID by PECOS | 0345274478 |
| Professional Enrollment ID | I20050919000889 |
| Full Name | Elise D Clark |
| Organization Legal Name | FAMILY PHYSICIANS OF LIMA INC |
| Address |
2875 W Elm St Lima OH 45805-2510 |
| Phone Number | 4199917805 |
| Gender | F |
| Credential | NP |
| Medical School | MEDICAL COLLEGE OF OHIO AT TOLEDO |
| Graduation Year | 2001 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7719961481 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360066 | ST RITA'S MEDICAL CENTER |
| 360009 | LIMA MEMORIAL HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 2875 W Elm St, Lima, OH 45805-2510 | 4199917805 | FAMILY PHYSICIANS OF LIMA INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 100% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 79% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 98% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 70% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 13% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 100% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 9% |
| Organization Legal Name | FAMILY PHYSICIANS OF LIMA INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracy Lynn Sharp | Family Medicine | Family Physicians of Lima Inc | 2875 W Elm St, Lima, OH 45805-2510 |
| Karri L Krendl | Family Medicine | Family Physicians of Lima Inc | 2875 W Elm St, Lima, OH 45805-2510 |
| Street Address |
2875 W ELM ST |
| City | LIMA |
| State | OH |
| Zip | 45805-2510 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracy Lynn Sharp | Family Medicine | Family Physicians of Lima Inc | 2875 W Elm St, Lima, OH 45805-2510 |
| Karri L Krendl | Family Medicine | Family Physicians of Lima Inc | 2875 W Elm St, Lima, OH 45805-2510 |
| Lynn R Capone | Psychologist, Clinical | 2875 W Elm St, Lima, OH 45805-2510 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darryl M Haycock | Podiatry | 2311 Baton Rouge, Lima, OH 45805-1129 | |
| Mary Shenouda | Ophthalmology | Advanced Vision Care, Inc | 2300 Baton Rouge, Lima, OH 45805-1130 |
| Michael T Craig | Ophthalmology | Advanced Vision Care, Inc | 2300 Baton Rouge, Lima, OH 45805-1130 |
| Michael Griffith | Psychologist, Clinical | 3000 Elida Rd, Suite 2, Lima, OH 45805-1232 | |
| Michael Fishbaugh Jr. | Optometry | Michael A. Fishbaugh Jr. O.d. Inc. | 1301 N Cable Rd, Lima, OH 45805-1407 |
| Amy L Bankey | Optometry | Michael A. Fishbaugh Jr. O.d. Inc. | 1301 N Cable Rd, Lima, OH 45805-1407 |
| Ashley Nicole Schoenherr | Optometry | Michael A. Fishbaugh Jr. O.d. Inc. | 1301 N Cable Rd, Lima, OH 45805-1407 |
| John Gillis | Chiropractic | 1905 Latham Ave, Lima, OH 45805-1637 | |
| Matthew P Ziccardi | Clinical Psychologist | 1045 Mackenzie Dr, Lima, OH 45805-1660 | |
| Omar A Sweidan | Optometry | 2155 Allentown Rd, Lima, OH 45805-1705 | |
| Find all physicians in zip 45805 | |||
| City | LIMA |
| Zip Code | 45805 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LIMA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Elise D 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.