Christina F Clark (NPI# 1376966119, PAC ID# 0749403186) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1376966119 |
| PAC ID by PECOS | 0749403186 |
| Professional Enrollment ID | I20160120000258 |
| Full Name | Christina F Clark |
| Organization Legal Name | LEE MEMORIAL HEALTH SYSTEM |
| Address |
1682 Nepine Island Rd Cape Coral FL 33909-1756 |
| Phone Number | 2394241600 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8729996608 |
| Number of Group Practice Members | 539 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100012 | LEE MEMORIAL HOSPITAL |
| 210029 | JOHNS HOPKINS BAYVIEW MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1682 Nepine Island Rd, Cape Coral, FL 33909-1756 | 2394241600 | LEE MEMORIAL HEALTH SYSTEM |
| Organization Legal Name | LEE MEMORIAL HEALTH SYSTEM |
| Physicians | 712 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy A Dzen | Internal Medicine | Lee Memorial Health System | 23450 Via Coconut Pt, Estero, FL 34135-1877 |
| Lucia Fernanda Reyes | Family Medicine | Lee Memorial Health System | 8960 Colonial Ctr Dr, Suite 300, Fort Myers, FL 33905-7810 |
| Patricia Carolina Subnaik | Pediatric Medicine | Lee Memorial Health System | 15901 Bass Rd, Suite 102, Fort Myers, FL 33908-3838 |
| Samantha Head | Nurse Practitioner | Lee Memorial Health System | 5216 Clayton Ct, Fort Myers, FL 33907-2116 |
| Andrea Ossi Perkins | Nurse Practitioner | Lee Memorial Health System | 9131 College Pointe Ct, Fort Myers, FL 33919-3245 |
| Jane J Park | Internal Medicine | Lee Memorial Health System | 13279 N Cleveland Ave, North Fort Myers, FL 33903-4818 |
| Robert David Glassman | Cardiovascular Disease (cardiology) | Lee Memorial Health System | 16261 Bass Rd, Suite 300, Fort Myers, FL 33908-3671 |
| Justin Burkholder | Emergency Medicine | Lee Memorial Health System | 636 Del Prado Blvd S, Cape Coral, FL 33990-2668 |
| Kristin A Gustin | Nurse Practitioner | Lee Memorial Health System | 12651 Whitehall Dr, Fort Myers, FL 33907-3626 |
| Thomas Andrew Cappadona | Physician Assistant | Lee Memorial Health System | 1569 Matthew Dr, Fort Myers, FL 33907-1734 |
| Street Address |
1682 NEPINE ISLAND RD |
| City | CAPE CORAL |
| State | FL |
| Zip | 33909-1756 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie A Lage | Physician Assistant | Lee Memorial Health System | 1682 Nepine Island Rd, Cape Coral, FL 33909-1756 |
| Mauricio A Ramirez | Infectious Disease | Lee Memorial Health System | 1682 Nepine Island Rd, Cape Coral, FL 33909-1756 |
| Gweneth L Duttko | Nurse Practitioner | Lee Memorial Health System | 1682 Nepine Island Rd, Cape Coral, FL 33909-1756 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tricia L Betters Black | Clinical Social Worker | 1514 Ne 11th Terrace, Cape Coral, FL 33909-1547 | |
| Allison K Hyland | Nurse Practitioner | Lee Memorial Health System | 1682 Ne Pine Island Rd, Cape Coral, FL 33909-1730 |
| Trisha Lynn Kalamaras | Nurse Practitioner | Lee Memorial Health System | 1682 Ne Pine Island Rd, Cape Coral, FL 33909-1730 |
| Heidi Alexander | Nurse Practitioner | Lee Memorial Health System | 1682 Ne Pine Island Rd, Cape Coral, FL 33909-1730 |
| Hannah James | Internal Medicine | Lee Memorial Health System | 1682 Ne Pine Island Rd, Cape Coral, FL 33909-1730 |
| Christine A Orlowicz | Internal Medicine | Lee Memorial Health System | 1682 Ne Pine Island Rd, Cape Coral, FL 33909-1730 |
| Bharath Radhakrishna | Internal Medicine | Lee Memorial Health System | 1682 Ne Pine Island Rd, Cape Coral, FL 33909-1730 |
| Carolyn L Hoffman | Nurse Practitioner | Lee Memorial Health System | 1682 Ne Pine Island Rd, Cape Coral, FL 33909-1730 |
| Kimberly A Knight | Nurse Practitioner | Lee Memorial Health System | 1682 Ne Pine Island Rd, Cape Coral, FL 33909-1730 |
| Melissa S Green | Optometry | Doctor Smith Eyecare Pa | 1890 Ne Pine Island Rd, Cape Coral, FL 33909-1733 |
| Find all physicians in zip 33909 | |||
| City | CAPE CORAL |
| Zip Code | 33909 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | CAPE CORAL + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Christina F 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.