Christopher D Roman
MCCLOW CLARK AND BERK PA


Address: 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804
Phone: 9044506940

Christopher D Roman (NPI# 1033266838, PAC ID# 1850482761) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.

Physician Overview

Nation Provider ID (NPI) 1033266838
PAC ID by PECOS 1850482761
Professional Enrollment ID I20070807000583
Full Name Christopher D Roman
Organization Legal Name MCCLOW CLARK AND BERK PA
Address 1786 Blanding Blvd
Suite K2 B
Middleburg
FL 32068-3804
Phone Number 9044506940
Gender M
Medical School GEORGETOWN UNIVERSITY OF MEDICINE
Graduation Year 1996
Primary Specialty DIAGNOSTIC RADIOLOGY
Group Practice PAC ID 4587607577
Number of Group Practice Members 18
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100040 ST VINCENT'S MEDICAL CENTER RIVERSIDE
100321 ST VINCENTS MEDICAL CENTER - CLAY COUNTY
100307 ST VINCENT'S MEDICAL CENTER SOUTHSIDE
100088 BAPTIST MEDICAL CENTER JACKSONVILLE
110025 SOUTHEAST GEORGIA HEALTH SYSTEM- BRUNSWICK CAMPUS

Other Locations

Address Phone Organization
1800 Barrs St, Jacksonville, FL 32204-4704 9043087300 MCCLOW CLARK AND BERK PA
3726 Planters Creek Cir W, Jacksonville, FL 32224-7660 9043886949 MCCLOW CLARK AND BERK PA
4201 Belford Rd, Jacksonville, FL 32216-1431 9042963700 MCCLOW CLARK AND BERK PA
6138 Kennerly Rd, Jacksonville, FL 32216-4393 9047337770 MCCLOW CLARK AND BERK PA
1670 St Vincent Way, Middleburg, FL 32068-8447 9043081219 MCCLOW CLARK AND BERK PA
1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804 9044506940 MCCLOW CLARK AND BERK PA

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_195_overall Radiology: Stenosis Measurement in Carotid Imaging Reports 100%
MIPS_EC_225_overall Radiology: Reminder System for Screening Mammograms 91%
MIPS_EC_436_overall Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques 85%

Organization Information

Organization Legal Name MCCLOW CLARK AND BERK PA
Physicians 17

Physicians with the same organization

Name Specialty Organization Address
Sherri Chafin Diagnostic Radiology Mcclow Clark and Berk Pa 105 Marsh Reed Ln, Ponte Vedra Beach, FL 32082-2173
Nathan T Roth Diagnostic Radiology Mcclow Clark and Berk Pa 1800 Barrs St, Jacksonville, FL 32204-4704
Zachary E Brown Diagnostic Radiology Mcclow Clark and Berk Pa 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804
Michael T Donohue Diagnostic Radiology Mcclow Clark and Berk Pa 1993 Salt Myrtle Ln, Fleming Island, FL 32003-7064
Joseph L Dunn Jr. Diagnostic Radiology Mcclow Clark and Berk Pa 1670 St Vincent Way, Middleburg, FL 32068-8447
Ario Rezaei Diagnostic Radiology Mcclow Clark and Berk Pa 1670 St Vincent Way, Middleburg, FL 32068-8447
Elizabeth A Bathala Diagnostic Radiology Mcclow Clark and Berk Pa 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804
James Wesley Carter Diagnostic Radiology Mcclow Clark and Berk Pa 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804
James M Russell Diagnostic Radiology Mcclow Clark and Berk Pa 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804
John L Mazzella Diagnostic Radiology Mcclow Clark and Berk Pa 1800 Barrs St, Jacksonville, FL 32204-4704

Office Location

Street Address 1786 BLANDING BLVD
SUITE K2 B
City MIDDLEBURG
State FL
Zip 32068-3804

Physicians in the same location

Name Specialty Organization Address
Zachary E Brown Diagnostic Radiology Mcclow Clark and Berk Pa 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804
Vanessa Seiglie Quinones Internal Medicine Mcci Group Holdings LLC 1786 Blanding Blvd, Suite 3, Middleburg, FL 32068-3804
Elizabeth A Bathala Diagnostic Radiology Mcclow Clark and Berk Pa 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804
James Wesley Carter Diagnostic Radiology Mcclow Clark and Berk Pa 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804
James M Russell Diagnostic Radiology Mcclow Clark and Berk Pa 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804
Alicia M Rivera Nurse Practitioner Mcci Group Holdings LLC 1786 Blanding Blvd, Suite 3, Middleburg, FL 32068-3804
Paul Byra Diagnostic Radiology Mcclow Clark and Berk Pa 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804
Kardelina Diaz Diagnostic Radiology Mcclow Clark and Berk Pa 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804
Michelle N Waters Nurse Practitioner Mcci Group Holdings LLC 1786 Blanding Blvd, Suite 3, Middleburg, FL 32068-3804

Physicians in the same zip code

Name Specialty Organization Address
Brittany M Mcnamee Physician Assistant Solantic of Jacksonville LLC 1708 Blanding Blvd, Middleburg, FL 32068-3836
Marcio M Correa Physician Assistant Solantic of Jacksonville LLC 1708 Blanding Blvd, Middleburg, FL 32068-3836
Karen Ann Stover Nurse Practitioner Solantic of Jacksonville LLC 1708 Blanding Blvd, Middleburg, FL 32068-3836
Brandon Hayes Conway Physician Assistant Solantic of Jacksonville LLC 1708 Blanding Blvd, Middleburg, FL 32068-3836
Kelly S Paradise Nurse Practitioner Solantic of Jacksonville LLC 1708 Blanding Blvd, Middleburg, FL 32068-3836
Phillip L Goldston Nurse Practitioner Solantic of Jacksonville LLC 1708 Blanding Blvd, Middleburg, FL 32068-3836
Jason S Misel Physician Assistant Solantic of Jacksonville LLC 1708 Blanding Blvd, Middleburg, FL 32068-3836
William D Speer Physician Assistant Solantic of Jacksonville LLC 1708 Blanding Blvd, Middleburg, FL 32068-3836
James Walter Hodges Family Medicine Solantic of Jacksonville LLC 1708 Blanding Blvd, Middleburg, FL 32068-3836
Cassandra Lee Dufano Physician Assistant Solantic of Jacksonville LLC 1708 Blanding Blvd, Middleburg, FL 32068-3836
Find all physicians in zip 32068

Competitor

Search similar physicians

City MIDDLEBURG
Zip Code 32068
Specialty DIAGNOSTIC RADIOLOGY
City + Specialty MIDDLEBURG + DIAGNOSTIC RADIOLOGY

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Dataset Information

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.

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