Lin W Clark (NPI# 1396830477, PAC ID# 2163414129) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1396830477 |
| PAC ID by PECOS | 2163414129 |
| Professional Enrollment ID | I20040331000464 |
| Full Name | Lin W Clark |
| Organization Legal Name | PRIME HEALTHCARE KANSAS CITY - PHYSICIAN SERVICES LLC |
| Address |
930 Carondelet Dr Kansas City MO 64114-4698 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 7315267325 |
| Number of Group Practice Members | 55 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260193 | ST MARYS MEDICAL CENTER |
| 260095 | CENTERPOINT MEDICAL CENTER |
| 260138 | ST LUKES HOSPITAL OF KANSAS CITY |
| 260216 | SAINT LUKE'S EAST HOSPITAL |
| 260102 | TRUMAN MEDICAL CENTER LAKEWOOD |
| Address | Phone | Organization |
|---|---|---|
| 930 Carondelet Dr, Kansas City, MO 64114-4698 | PRIME HEALTHCARE KANSAS CITY - PHYSICIAN SERVICES LLC |
| Organization Legal Name | PRIME HEALTHCARE KANSAS CITY - PHYSICIAN SERVICES LLC |
| Physicians | 53 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth C Gatrost | Nurse Practitioner | Prime Healthcare Kansas City - Physician Services LLC | 100 Nw Mock Ave, Suite 200, Blue Springs, MO 64014-2500 |
| Lorna A Mccartney | Nurse Practitioner | Prime Healthcare Kansas City - Physician Services LLC | 11901 Wornall Rd, Kansas City, MO 64145-1007 |
| Andrea Rose | Nurse Practitioner | Prime Healthcare Kansas City - Physician Services LLC | 10601 Quivira Rd, Overland Park, KS 66215-2310 |
| Tammy L Osborn | Nurse Practitioner | Prime Healthcare Kansas City - Physician Services LLC | 205 Nw R D Mize Rd, Suite 400, Blue Springs, MO 64014-2527 |
| Maggie M Ngar | Family Medicine | Prime Healthcare Kansas City - Physician Services LLC | 302 Se Salem St, Oak Grove Medical Clinic, Oak Grove, MO 64075-9299 |
| John M Holkins | Cardiovascular Disease (cardiology) | Prime Healthcare Kansas City - Physician Services LLC | 3200 Ne Ralph Powell Rd, Kansas City Cardiology, Lees Summit, MO 64064-2301 |
| James Alfred Dangelo | Family Medicine | Prime Healthcare Kansas City - Physician Services LLC | 930 Carondelet Dr, Kansas City, MO 64114-4698 |
| Jacqueline L Shearer | Nurse Practitioner | Prime Healthcare Kansas City - Physician Services LLC | 801 Nw St Mary Dr, 101 Family Medical Care Associates, Kansas City, MO 64014-2539 |
| Parveen Kumar Khosla | Neurology | Prime Healthcare Kansas City - Physician Services LLC | 206 Nw Mock Dr, 200 St Joseph Specialty Clinic, Blue Springs, MO 64014-2530 |
| Laura B Ferguson | Nurse Practitioner | Prime Healthcare Kansas City - Physician Services LLC | 203 Nw R D Mize Rd, 200 Kansas City Cardiology, Blue Springs, MO 64014-2546 |
| Street Address |
930 CARONDELET DR |
| City | KANSAS CITY |
| State | MO |
| Zip | 64114-4698 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Alfred Dangelo | Family Medicine | Prime Healthcare Kansas City - Physician Services LLC | 930 Carondelet Dr, Kansas City, MO 64114-4698 |
| Steven Franklin Charochak | Family Medicine | Prime Healthcare Kansas City - Physician Services LLC | 930 Carondelet Dr, Kansas City, MO 64114-4698 |
| Stefanie A Neill | Nurse Practitioner | Prime Healthcare Kansas City - Physician Services LLC | 930 Carondelet Dr, Suite 201, Kansas City, MO 64114-4698 |
| Dennison Robert Hamilton | Orthopedic Surgery | 930 Carondelet Dr, Suite 302, Kansas City, MO 64114-4698 | |
| Jeffrey L Young | Gastroenterology | Gastrointestinal Associates LLC | 930 Carondelet Dr, Suite 103, Kansas City, MO 64114-4698 |
| Ahmad Al-mubaslat | Endocrinology | Prime Healthcare Kansas City - Physician Services LLC | 930 Carondelet Dr, Suite 201, Kansas City, MO 64114-4698 |
| Randal L Brown | Gastroenterology | Gastrointestinal Associates LLC | 930 Carondelet Dr, Suite 103, Kansas City, MO 64114-4698 |
| James A Mavec | Gastroenterology | Gastrointestinal Associates LLC | 930 Carondelet Dr, Suite 103, Kansas City, MO 64114-4698 |
| Nora P Gomez | Family Medicine | Prime Healthcare Kansas City - Physician Services LLC | 930 Carondelet Dr, Suite 304, Kansas City, MO 64114-4698 |
| Dushyant Singh | Gastroenterology | Gastrointestinal Associates LLC | 930 Carondelet Dr, Suite 103, Kansas City, MO 64114-4698 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judy I Moore | Psychologist, Clinical | 101 E Gregory Blvd, Kansas City, MO 64114-1119 | |
| Esther B Markus | Psychologist, Clinical | 101 E Gregory Blvd, Kansas City, MO 64114-1119 | |
| James Michael Lecluyse | Clinical Social Worker | 222 W Gregory Blvd, Suite 310, Kansas City, MO 64114-1127 | |
| Mark Thomas Mcgonigle | Clinical Social Worker | 222 W Gregory Blvd, Suite 310, Kansas City, MO 64114-1127 | |
| Arnold V Abels | Clinical Psychologist | Hutchinson and Associates LLC | 222 W Gregory Blvd, Suite 100, Kansas City, MO 64114-1127 |
| Marilyn A Hutchinson | Clinical Psychologist | Hutchinson and Associates LLC | 222 W Gregory Blvd, Suite 100, Kansas City, MO 64114-1127 |
| Lauren Alise Richerson | Clinical Psychologist | Hutchinson and Associates LLC | 222 W Gregory Blvd, Suite 100, Kansas City, MO 64114-1127 |
| Laverne A Berkel | Clinical Psychologist | Hutchinson and Associates LLC | 222 W Gregory Blvd, Suite 100, Kansas City, MO 64114-1127 |
| Denise L Gulledge | Clinical Psychologist | Hutchinson and Associates LLC | 222 W Gregory Blvd, Suite 100, Kansas City, MO 64114-1127 |
| Lester Blue Jr. | Clinical Psychologist | Hutchinson and Associates LLC | 222 W Gregory Blvd, Suite 100, Kansas City, MO 64114-1127 |
| Find all physicians in zip 64114 | |||
| City | KANSAS CITY |
| Zip Code | 64114 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | KANSAS CITY + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Lin W 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.