Joan Clark (NPI# 1710969498, PAC ID# 1658438205) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1710969498 |
| PAC ID by PECOS | 1658438205 |
| Professional Enrollment ID | I20090325000738 |
| Full Name | Joan Clark |
| Organization Legal Name | SSM MEDICAL GROUP INC |
| Address |
6400 Clayton Rd Suite 302 Richmond Heights MO 63117-1850 |
| Phone Number | 3146453370 |
| Gender | F |
| Graduation Year | 1976 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6608776299 |
| Number of Group Practice Members | 498 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260091 | SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS |
| Address | Phone | Organization |
|---|---|---|
| 6400 Clayton Rd, Suite 302, Richmond Heights, MO 63117-1850 | 3146453370 | SSM MEDICAL GROUP INC |
| Organization Legal Name | SSM MEDICAL GROUP INC |
| Physicians | 497 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jodi R Lutz | Nurse Practitioner | Ssm Medical Group Inc | 1650 Washington Ave, Alton, IL 62002-3931 |
| Anne Marie Maestas | Podiatry | Ssm Medical Group Inc | 400 1st Capitol Dr, Suite 301, Saint Charles, MO 63301-2883 |
| Alina V Adams | Nurse Practitioner | Ssm Medical Group Inc | 3555 Sunset Office Dr, Suite C100, Saint Louis, MO 63127-1014 |
| Jared Henrichs | Family Medicine | Ssm Medical Group Inc | 8670 A Big Bend Blvd, Saint Louis, MO 63119-3839 |
| Jamie L Partin | Nurse Practitioner | Ssm Medical Group Inc | 16105 Manchester Rd, Ellisville, MO 63011-2001 |
| Tyla A Johnson | Nurse Practitioner | Ssm Medical Group Inc | 190 N Florissant Rd, Ferguson, MO 63135-1942 |
| Ashfaq Ullah | Pulmonary Disease | Ssm Medical Group Inc | 12255 De Paul Dr, Suite 500, Bridgeton, MO 63044-2515 |
| Katherine E Galliers | Nurse Practitioner | Ssm Medical Group Inc | 8571 Watson Rd, Webster Groves, MO 63119-5218 |
| Kaci Briann Hale | Nurse Practitioner | Ssm Medical Group Inc | 1001 Bowles Ave, Fenton, MO 63026-2338 |
| Tuyche D Sang | Internal Medicine | Ssm Medical Group Inc | 30 Ronnies Plz, Saint Louis, MO 63126-3552 |
| Street Address |
6400 CLAYTON RD SUITE 302 |
| City | RICHMOND HEIGHTS |
| State | MO |
| Zip | 63117-1850 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allen M Jacobs | Podiatry | 6400 Clayton Rd, Suite 402, Saint Louis, MO 63117-1850 | |
| Piotr Kulikowski | Internal Medicine | Clayton Medical Center, LLC | 6400 Clayton Rd, Suite 303, Saint Louis, MO 63117-1850 |
| Mansoor Ui Haq | Hematology/oncology | Ssm Medical Group Inc | 6400 Clayton Rd, Suite 212, Richmond Heights, MO 63117-1850 |
| Jianmei Liu | Internal Medicine | 6400 Clayton Rd, Suite 401, Saint Louis, MO 63117-1850 | |
| Jyotsana Sinha | Hematology/oncology | Ssm Medical Group Inc | 6400 Clayton Rd, Suite 212, Richmond Heights, MO 63117-1850 |
| Raymond A Brickhouse Jr. | Podiatry | Raymond A Brickhouse Dpm LLC | 6400 Clayton Rd, Suite 412, Saint Louis, MO 63117-1850 |
| Anna Neimer | Qualified Audiologist | Sound Health Services PC | 6400 Clayton Rd, Suite 405, Saint Louis, MO 63117-1850 |
| Sandeep Sen | Medical Oncology | Ssm Medical Group Inc | 6400 Clayton Rd, Suite 302, Richmond Heights, MO 63117-1850 |
| Maria N Janardhan | Nurse Practitioner | Clayton Medical Center, LLC | 6400 Clayton Rd, Suite 303, Saint Louis, MO 63117-1850 |
| James G Glauber | Hematology/oncology | Ssm Medical Group Inc | 6400 Clayton Rd, Suite 212, Richmond Heights, MO 63117-1850 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia V Cooper | Clinical Psychologist | Ssm Select Rehab St Louis LLC | 12380 Depaul Dr, Saint Louis, MO 63117 |
| Melanie J Kramer | Nurse Practitioner | Brentwood Painstop LLC | 8225 Clayton Rd, Clayton, MO 63117-1107 |
| Roland S Van Nest | Physical Therapy | Sports Medicine and Training Center | 8235 Clayton Rd, Clayton, MO 63117-1107 |
| Barbara Yusen | Physical Therapy | Sports Medicine and Training Center | 8235 Clayton Rd, Clayton, MO 63117-1107 |
| Elena M Rodriguez | Physical Therapy | Sports Medicine and Training Center | 8235 Clayton Rd, Clayton, MO 63117-1107 |
| Bryan M Rasch | Chiropractic | Brentwood Painstop LLC | 8225 Clayton Rd, Clayton, MO 63117-1107 |
| Sarah E Beerntsen | Physical Therapy | Sports Medicine and Training Center | 8235 Clayton Rd, Clayton, MO 63117-1107 |
| Shannon Niere | Optometry | Antoine Eye Care, LLC | 2493 Saint Louis Galleria, Saint Louis, MO 63117-1113 |
| Michael Antoine | Optometry | Antoine Eye Care, LLC | 2493 Saint Louis Galleria, Saint Louis, MO 63117-1113 |
| Alexander R Bottini | Ophthalmology | Retina Consultants Ltd | 17 The Boulevard, Richmond Heights, MO 63117-1118 |
| Find all physicians in zip 63117 | |||
| City | RICHMOND HEIGHTS |
| Zip Code | 63117 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | RICHMOND HEIGHTS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Joan 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.