Douglas Clark (NPI# 1326038035, PAC ID# 1557490695) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1326038035 |
| PAC ID by PECOS | 1557490695 |
| Professional Enrollment ID | I20100527000384 |
| Full Name | Douglas Clark |
| Organization Legal Name | ARKANSAS DERMATOLOGY PLLC |
| Address |
15506 Hwy 5 Suite A Cabot AR 72023-7695 |
| Phone Number | 5019413101 |
| Gender | M |
| Graduation Year | 2000 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2466418470 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 15506 Hwy 5, Suite A, Cabot, AR 72023-7695 | 5019413101 | ARKANSAS DERMATOLOGY PLLC |
| 1075 Andrews Dr, Conway, AR 72032-4090 | 5015139700 | ARKANSAS DERMATOLOGY PLLC |
| 2645 Hwy 25b N, Heber Springs, AR 72543-6305 | 5013623100 | ARKANSAS DERMATOLOGY PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 100% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% |
| Organization Legal Name | ARKANSAS DERMATOLOGY PLLC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron Solomon Farberg | Dermatology | Arkansas Dermatology Pllc | 4261 Stockton Dr, Suite 200, North Little Rock, AR 72117-2962 |
| Jordan C Meeker | Physician Assistant | Arkansas Dermatology Pllc | 1604 E Moore Ave, Searcy, AR 72143-4633 |
| Katherine A Mccrady | Physician Assistant | Arkansas Dermatology Pllc | 1075 Andrews Dr, Conway, AR 72032-4090 |
| Michael F Osleber | Dermatology | Arkansas Dermatology Pllc | 15506 Hwy 5, Suite A, Cabot, AR 72023-7695 |
| Marcus B Webb | Physician Assistant | Arkansas Dermatology Pllc | 15506 Hwy 5, Suite A, Cabot, AR 72023-7695 |
| Michelle B Gaskin | Physician Assistant | Arkansas Dermatology Pllc | 15506 Hwy 5, Suite A, Cabot, AR 72023-7695 |
| Emilee Odom | Physician Assistant | Arkansas Dermatology Pllc | 15506 Hwy 5, Suite A, Cabot, AR 72023-7695 |
| Rebecca L Lard | Nurse Practitioner | Arkansas Dermatology Pllc | 4261 Stockton Dr, Suite 200, North Little Rock, AR 72117-2962 |
| Katlyn R Anderson | Physician Assistant | Arkansas Dermatology Pllc | 1075 Andrews Dr, Conway, AR 72032-4090 |
| Annaleigh V Harper | Physician Assistant | Arkansas Dermatology Pllc | 1075 Andrews Dr, Conway, AR 72032-4090 |
| Street Address |
15506 HWY 5 SUITE A |
| City | CABOT |
| State | AR |
| Zip | 72023-7695 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael F Osleber | Dermatology | Arkansas Dermatology Pllc | 15506 Hwy 5, Suite A, Cabot, AR 72023-7695 |
| Marcus B Webb | Physician Assistant | Arkansas Dermatology Pllc | 15506 Hwy 5, Suite A, Cabot, AR 72023-7695 |
| Michelle B Gaskin | Physician Assistant | Arkansas Dermatology Pllc | 15506 Hwy 5, Suite A, Cabot, AR 72023-7695 |
| Emilee Odom | Physician Assistant | Arkansas Dermatology Pllc | 15506 Hwy 5, Suite A, Cabot, AR 72023-7695 |
| Randall L Breau | Dermatology | Arkansas Dermatology Pllc | 15506 Hwy 5, Suite A, Cabot, AR 72023-7695 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brenda Ashley | Family Medicine | White County Medical Center | 1911 N 2nd St, Unity Health North Cabot Family Med, Cabot, AR 72023-2209 |
| Brenda L Thielemier | Chiropractic | 803 W Locust St, Cabot, AR 72023-2414 | |
| Timothy C Bryant | Chiropractic | 1014 W Main St, Bryant Neck and Back Pain Center, Cabot, AR 72023-2431 | |
| Timothy Chad Bryant | Chiropractic | 1014 W Main St, Cabot, AR 72023-2431 | |
| Glenda S Eversole | Clinical Social Worker | Growing Hope Counseling, Pllc | 500 E Mountain Springs Rd, Cabot, AR 72023-2435 |
| Robin M Jackson | Clinical Social Worker | Growing Hope Counseling, Pllc | 500 E Mountain Springs Rd, Cabot, AR 72023-2435 |
| Mark A Smith | Internal Medicine | 601 E Mountain Springs Rd, Cabot, AR 72023-2493 | |
| Jeffrey Walker | Clinical Social Worker | Professional Counseling Associates Inc | 405 N 2nd St, Cabot, AR 72023-2539 |
| Donna J Berryman | Clinical Social Worker | Professional Counseling Associates Inc | 405 N 2nd St, Cabot, AR 72023-2539 |
| Susan Rachelle Robinson | Nurse Practitioner | Urgent Team of Arkansas Physicians LLC | 402 W Main St, Cabot, AR 72023-2900 |
| Find all physicians in zip 72023 | |||
| City | CABOT |
| Zip Code | 72023 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | CABOT + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Douglas 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.