Clark R Mcdaniel (NPI# 1083726970, PAC ID# 1153465877) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1083726970 |
| PAC ID by PECOS | 1153465877 |
| Professional Enrollment ID | I20100219000049 |
| Full Name | Clark R Mcdaniel |
| Organization Legal Name | SMMC MEDICAL GROUP |
| Address |
1608 W Fm 700 Big Spring TX 79720-4113 |
| Phone Number | 4324662000 |
| Gender | M |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 1964 |
| Primary Specialty | GENERAL PRACTICE |
| Group Practice PAC ID | 2163326281 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450653 | SCENIC MOUNTAIN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1608 W Fm 700, Big Spring, TX 79720-4113 | 4324662000 | SMMC MEDICAL GROUP |
| 1608 W Fm 700, Family Medical Center Family Practice, Big Spring, TX 79720-4113 | 4324662000 | SMMC MEDICAL GROUP |
| Organization Legal Name | SMMC MEDICAL GROUP |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gerhard Moeller | Diagnostic Radiology | Smmc Medical Group | 2301 S Gregg St, Big Spring, TX 79720-5531 |
| Scott C Emerick | General Surgery | Smmc Medical Group | 2600 N State Hwy 118, Alpine, TX 79830-2002 |
| Sara Guidetti | Nurse Practitioner | Smmc Medical Group | 2600 N State Hwy 118, Alpine, TX 79830-2002 |
| Alan E Abel | General Surgery | Smmc Medical Group | 1501 W 11th Place, Suite 100, Big Spring, TX 79720-4122 |
| Street Address |
1608 W FM 700 |
| City | BIG SPRING |
| State | TX |
| Zip | 79720-4113 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ming S Whitten | Nurse Practitioner | Health and Human Services Commission | 1901 N Us Hwy 87, Big Spring State Hospital, Big Spring, TX 79720-0283 |
| Paul E Mclean Ii | Family Medicine | Health and Human Services Commission | 1901 N Us Hwy 87, Big Spring State Hospital, Big Spring, TX 79720-0283 |
| Tricia J Clay | Nurse Practitioner | Health and Human Services Commission | 1901 N Us Hwy 87, Big Spring State Hospital, Big Spring, TX 79720-0283 |
| Shiraj A Vahora | Psychiatry | Health and Human Services Commission | 1901 N Us Hwy 87, Big Spring State Hospital, Big Spring, TX 79720-0283 |
| Ann Chang | Nurse Practitioner | Health and Human Services Commission | 1901 N Us Hwy 87, Big Spring State Hospital, Big Spring, TX 79720-0283 |
| Lourie L Winegar | Nurse Practitioner | Health and Human Services Commission | 1901 N Us Hwy 87, Big Spring State Hospital, Big Spring, TX 79720-0283 |
| Feroz Yaqoob | Psychiatry | Health and Human Services Commission | 1901 N Us Hwy 87, Big Spring State Hospital, Big Spring, TX 79720-0283 |
| William P Phillips | General Practice | Health and Human Services Commission | 1901 N Us Hwy 87, Big Spring State Hospital, Big Spring, TX 79720-0283 |
| Tommy Y Chang | Nurse Practitioner | Health and Human Services Commission | 1901 N Us Hwy 87, Big Spring State Hospital, Big Spring, TX 79720-0283 |
| Guido G Spangher | Psychiatry | Health and Human Services Commission | 1901 N Us Hwy 87, Big Spring State Hospital, Big Spring, TX 79720-0283 |
| Find all physicians in zip 79720 | |||
| City | BIG SPRING |
| Zip Code | 79720 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | BIG SPRING + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Clark R Mcdaniel.
| 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.