Jonathan T Clark (NPI# 1033437330, PAC ID# 2668789173) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1033437330 |
| PAC ID by PECOS | 2668789173 |
| Professional Enrollment ID | I20160817002939 |
| Full Name | Jonathan T Clark |
| Organization Legal Name | APPALACHIAN ORTHOPAEDIC ASSOCIATES PC |
| Address |
1 Medical Park Blvd 300e Bristol TN 37620-7497 |
| Phone Number | 4238446450 |
| Gender | M |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 1052225471 |
| Number of Group Practice Members | 34 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440012 | WELLMONT BRISTOL REGIONAL MEDICAL CENTER |
| 490002 | RUSSELL COUNTY MEDICAL CENTER |
| 490127 | BUCHANAN GENERAL HOSPITAL |
| 490060 | CLINCH VALLEY MEDICAL CENTER |
| 490001 | NORTON COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1 Medical Park Blvd, 300e, Bristol, TN 37620-7497 | 4238446450 | APPALACHIAN ORTHOPAEDIC ASSOCIATES PC |
| Organization Legal Name | APPALACHIAN ORTHOPAEDIC ASSOCIATES PC |
| Physicians | 39 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katie Elizabeth Farrell | Physician Assistant | Appalachian Orthopaedic Associates PC | 3 Professional Park Dr, Suite 21, Johnson City, TN 37604-6259 |
| Joshua Smith | Nurse Practitioner | Appalachian Orthopaedic Associates PC | 260 Midway Medical Park, 100 Suite 100, Bristol, TN 37620-1721 |
| James Haire | Physician Assistant | Appalachian Orthopaedic Associates PC | 3 Professional Park Dr, Suite 21, Johnson City, TN 37604-6259 |
| Billy J Earl Ii | Nurse Practitioner | Appalachian Orthopaedic Associates PC | 3 Professional Park Dr, Suite 21, Johnson City, TN 37604-6259 |
| Kristin Bounds Righi | Physician Assistant | Appalachian Orthopaedic Associates PC | 3 Professional Park Dr, Suite 21, Johnson City, TN 37604-6259 |
| Stephen Steffey | Physician Assistant | Appalachian Orthopaedic Associates PC | 3 Professional Park Dr, Suite 21, Johnson City, TN 37604-6259 |
| Thomas Huddleston | Orthopedic Surgery | Appalachian Orthopaedic Associates PC | 3 Professional Park Dr, Suite 21, Johnson City, TN 37604-6259 |
| Michael Fleenor | Orthopedic Surgery | Appalachian Orthopaedic Associates PC | 260 Midway Medical Park, 100 Suite 100, Bristol, TN 37620-1721 |
| Blakeley Elizabeth Burleson | Physician Assistant | Appalachian Orthopaedic Associates PC | 3 Professional Park Dr, Suite 21, Johnson City, TN 37604-6259 |
| John L Holbrook | Orthopedic Surgery | Appalachian Orthopaedic Associates PC | 3 Professional Park Dr, Suite 21, Johnson City, TN 37604-6259 |
| Street Address |
1 MEDICAL PARK BLVD 300E |
| City | BRISTOL |
| State | TN |
| Zip | 37620-7497 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cassondra Nichole Compton | Certified Registered Nurse Anesthetist (crna) | Wps Providers Inc | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
| David R Hudgens | Pathology | Highlands Pathology Consultants, P.C. | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
| Joe M Rupe | Internal Medicine | Wellmont Medical Associates Inc | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
| Hevti Joshi | Internal Medicine | Wellmont Medical Associates Inc | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
| Walter Davis Arnold Jr. | Internal Medicine | Southeastern Physician Services PC | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
| Michael Wayne Rentz | Pathology | Highlands Pathology Consultants, P.C. | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
| Joanne Viers | Nurse Practitioner | Wellmont Cardiology Services | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
| Roger J Mcsharry | Pulmonary Disease | Wellmont Medical Associates Inc | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
| Barbara Jo Smith | Nurse Practitioner | Wellmont Cardiology Services | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
| John E Hutchison Jr. | Diagnostic Radiology | Blue Ridge Radiology, P.C. | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott Fowler | Obstetrics/gynecology | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Tara D Spurling | Nurse Practitioner | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Stacie L Mccray | Nurse Practitioner | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Cynthia L Mcglothlin | Nurse Practitioner | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Nyela Aldridge Edwards | Certified Nurse Midwife (cnm) | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Jeffrey A Mcqueary | Obstetrics/gynecology | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Autumn R Hoover | Nurse Practitioner | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Alyssa Nicole Phelps | Obstetrics/gynecology | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Jeffrey R Looney | Obstetrics/gynecology | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Lynn H Couch | Certified Registered Nurse Anesthetist (crna) | Innovative Surgical Solutions, Pllc | 3185 W State St, Suite 2020, Bristol, TN 37620-1600 |
| Find all physicians in zip 37620 | |||
| City | BRISTOL |
| Zip Code | 37620 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | BRISTOL + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Jonathan T 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.