Gina L Clark (NPI# 1174912406, PAC ID# 0446576326) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1174912406 |
| PAC ID by PECOS | 0446576326 |
| Professional Enrollment ID | I20150312000921 |
| Full Name | Gina L Clark |
| Organization Legal Name | US PSYCHIATRY PLLC |
| Address |
5807 Harrods Glen Dr Prospect KY 40059-7650 |
| Phone Number | 5024190410 |
| Gender | F |
| Medical School | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4385937598 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180040 | JEWISH HOSPITAL & ST MARY'S HEALTHCARE |
| Address | Phone | Organization |
|---|---|---|
| 3903 Vantage Pl, Louisville, KY 40299-6801 | 5027443580 | EXTENDED CARE HEALTH PROFESSIONALS PLLC |
| 5807 Harrods Glen Dr, Prospect, KY 40059-7650 | 5024190410 | US PSYCHIATRY PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 99% |
| Organization Legal Name | US PSYCHIATRY PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine A Williamitis | Nurse Practitioner | Us Psychiatry Pllc | 2020 Newburg Rd, Louisville, KY 40205-1803 |
| Sunil Chhibber | Psychiatry | Us Psychiatry Pllc | 2020 Newburg Rd, Louisville, KY 40205-1803 |
| Street Address |
5807 HARRODS GLEN DR |
| City | PROSPECT |
| State | KY |
| Zip | 40059-7650 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clint M Tucker | Dermatology | Dr William M Parsley Md Psc | 10619 Meeting St, Suite 106, Prospect, KY 40059-6555 |
| Logan E Turner | Dermatology | Dr William M Parsley Md Psc | 10619 Meeting St, Suite 106, Prospect, KY 40059-6555 |
| William M Parsley | Dermatology | Dr William M Parsley Md Psc | 10619 Meeting St, Suite 106, Prospect, KY 40059-6555 |
| Kellie Sheehy | Nurse Practitioner | 9414 Norton Commons Blvd, Unit 201, Prospect, KY 40059-6573 | |
| Muhammad Yasin | Pulmonary Disease | 13304 Ridgemoor Dr, Prospect, KY 40059-7139 | |
| Vedad Seremet | Family Medicine | Town Family Doctor, Pllc | 9501 Norton Commons Blvd, Unit B, Prospect, KY 40059-7522 |
| Dzanan Gusic | Nurse Practitioner | Town Family Doctor, Pllc | 9501 Norton Commons Blvd, Unit B, Prospect, KY 40059-7522 |
| Andrea S Burch | Dermatology | Tamella Buss Cassis Md Pllc | 9301 Dayflower St, Suite 100, Prospect, KY 40059-7585 |
| Catherine B Booker | Physician Assistant | Tamella Buss Cassis Md Pllc | 9301 Dayflower St, Suite 100, Prospect, KY 40059-7585 |
| Heather Janes | Physician Assistant | Tamella Buss Cassis Md Pllc | 9301 Dayflower St, Suite 100, Prospect, KY 40059-7585 |
| Find all physicians in zip 40059 | |||
| City | PROSPECT |
| Zip Code | 40059 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PROSPECT + NURSE PRACTITIONER |
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| 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.