Jeremy Clark (NPI# 1902122443, PAC ID# 2062685548) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1902122443 |
| PAC ID by PECOS | 2062685548 |
| Professional Enrollment ID | I20160620001218 |
| Full Name | Jeremy Clark |
| Organization Legal Name | NORTH STAR CN LP |
| Address |
4780 N Josey Ln Carrollton TX 75010-4615 |
| Phone Number | 9724923846 |
| Gender | M |
| Medical School | THE UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 0547589376 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 670025 | THE HEART HOSPITAL BAYLOR PLANO |
| 450771 | TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO |
| 450890 | BAYLOR SCOTT & WHITE MEDICAL CENTER PLANO |
| 450403 | MEDICAL CENTER OF MCKINNEY |
| 450537 | METHODIST RICHARDSON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4780 N Josey Ln, Carrollton, TX 75010-4615 | 9724923846 | NORTH STAR CN LP |
| 201 Walls Dr, Texas Health Harris Methoidist Hospital Cleburne, Cleburne, TX 76033-4007 | 8176412551 | TEXAS RADIOLOGY ASSOCIATES LLP |
| 4951 Long Prairie Rd, Suite 105, Flower Mound, TX 75028-2709 | 9728995901 | NORTH STAR FM LP |
| 301 University Blvd, Galveston, TX 77555-5302 | 4097722222 | UTMB FACULTY GROUP PRACTICE |
| 1241 Campbell Rd, Houston, TX 77055-6453 | 7134613399 | MEMORIAL MRI AND DIAGNOSTIC LLC |
| 3700 W 15th St, Building D Suite 200, Plano, TX 75075-4736 | 9727589000 | NORTH STAR DIAGNOSTIC IMAGING, LLC |
| Organization Legal Name | NORTH STAR CN LP |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William G Schucany | Diagnostic Radiology | North Star Cn Lp | 4780 N Josey Ln, Carrollton, TX 75010-4615 |
| Anthony Charles Toppins | Diagnostic Radiology | North Star Cn Lp | 4780 N Josey Ln, Carrollton, TX 75010-4615 |
| Edwin Chu | Diagnostic Radiology | North Star Cn Lp | 4780 N Josey Ln, Carrollton, TX 75010-4615 |
| Heng-hsiao Edward Liu | Diagnostic Radiology | North Star Cn Lp | 4780 N Josey Ln, Carrollton, TX 75010-4615 |
| Preethi Ratakonda | Diagnostic Radiology | North Star Cn Lp | 4780 N Josey Ln, Carrollton, TX 75010-4615 |
| Zachary D Bailey | Diagnostic Radiology | North Star Cn Lp | 4780 N Josey Ln, Carrollton, TX 75010-4615 |
| Street Address |
4780 N JOSEY LN |
| City | CARROLLTON |
| State | TX |
| Zip | 75010-4615 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James R Heaberlin | Anesthesiology | U S Anesthesia Partners of Texas, Pa | 4780 N Josey Ln, Carrollton, TX 75010-4615 |
| Patsy A Hedges | Anesthesiology | U S Anesthesia Partners of Texas, Pa | 4780 N Josey Ln, Carrollton, TX 75010-4615 |
| Derek Smith | Physical Therapy | Orthotexas Physicians and Surgeons, Pllc | 4780 N Josey Ln, Carrollton, TX 75010-4615 |
| William G Schucany | Diagnostic Radiology | North Star Cn Lp | 4780 N Josey Ln, Carrollton, TX 75010-4615 |
| Kristin M Keesey | Occupational Therapy | Orthotexas Physicians and Surgeons, Pllc | 4780 N Josey Ln, Carrollton, TX 75010-4615 |
| Shikha Sethi | Physical Medicine and Rehabilitation | Orthotexas Physicians and Surgeons, Pllc | 4780 N Josey Ln, Carrollton, TX 75010-4615 |
| Julianne Joy Kucera | Physician Assistant | Orthotexas Physicians and Surgeons, Pllc | 4780 N Josey Ln, Carrollton, TX 75010-4615 |
| Anthony Charles Toppins | Diagnostic Radiology | North Star Cn Lp | 4780 N Josey Ln, Carrollton, TX 75010-4615 |
| Edwin Chu | Diagnostic Radiology | North Star Cn Lp | 4780 N Josey Ln, Carrollton, TX 75010-4615 |
| James A Guess | Orthopedic Surgery | Orthotexas Physicians and Surgeons, Pllc | 4780 N Josey Ln, Carrollton, TX 75010-4615 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Thuy-vi Luong | Optometry | Framed Eyecare, Pllc | 1016 E Hebron Pkwy, Suite 150, Carrollton, TX 75010-1021 |
| Bruce Luong | Optometry | Framed Eyecare, Pllc | 1016 E Hebron Pkwy, Suite 150, Carrollton, TX 75010-1021 |
| Amanda J Metcalf | Nurse Practitioner | Minuteclinic Diagnostic of Texas LLC | 4100 State Hwy 121, Carrollton, TX 75010-1118 |
| Mincy Mathews | Nurse Practitioner | Minuteclinic Diagnostic of Texas LLC | 4100 State Hwy 121, Carrollton, TX 75010-1118 |
| Kahini Shah | Physical Therapy | Vista Rehab Partners Lp | 1012 W Hebron Pkwy, 124 Elevate Physical Therapy, Carrollton, TX 75010-1123 |
| Nisha Mathews | Physical Therapy | Vista Rehab Partners Lp | 1012 W Hebron Pkwy, 124 Elevate Physical Therapy, Carrollton, TX 75010-1123 |
| Cynthia R Romig | Clinical Social Worker | Inspire Senior Care | 1800 King Arthur Blvd, Carrollton, TX 75010-2003 |
| Esther Nyamongo | Nurse Practitioner | Take Care Health Texas PC | 1804 E Hebron Pkwy, Take Care Health Services, Carrollton, TX 75010-2009 |
| Sherin Babu | Nurse Practitioner | Take Care Health Texas PC | 1804 E Hebron Pkwy, Take Care Health Services, Carrollton, TX 75010-2009 |
| Karen K Tri | Nurse Practitioner | Take Care Health Texas PC | 1804 E Hebron Pkwy, Take Care Health Services, Carrollton, TX 75010-2009 |
| Find all physicians in zip 75010 | |||
| City | CARROLLTON |
| Zip Code | 75010 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | CARROLLTON + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Jeremy 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.