Blair Clark (NPI# 1205199528, PAC ID# 2769759901) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1205199528 |
| PAC ID by PECOS | 2769759901 |
| Professional Enrollment ID | I20170518002135 |
| Full Name | Blair Clark |
| Organization Legal Name | WADE E YOUNG MD INC |
| Address |
60 Ashwood Dr Tiffin OH 44883-1908 |
| Phone Number | 4194488811 |
| Gender | F |
| Medical School | WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 4789719584 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360089 | MERCY TIFFIN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 60 Ashwood Dr, Tiffin, OH 44883-1908 | 4194488811 | WADE E YOUNG MD INC |
| Organization Legal Name | WADE E YOUNG MD INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wade E Young | Ophthalmology | Wade E Young Md Inc | 60 Ashwood Dr, Tiffin, OH 44883-1908 |
| Street Address |
60 ASHWOOD DR |
| City | TIFFIN |
| State | OH |
| Zip | 44883-1908 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wade E Young | Ophthalmology | Wade E Young Md Inc | 60 Ashwood Dr, Tiffin, OH 44883-1908 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry Rosenberger Ii | Nurse Practitioner | Northwest Ohio Orthopedics and Sports Medicine Inc | 3101 W Us, Suite 224, Tiffin, OH 44883 |
| Thomas J Chambers | Optometry | 2845 S State Route 100, Tiffin, OH 44883 | |
| Jana Marie Lortz | Occupational Therapy | Northwest Ohio Orthopedics and Sports Medicine Inc | 3101 W Us, Suite 224, Tiffin, OH 44883 |
| Kendra L Elchert | Occupational Therapy | Northwest Ohio Orthopedics and Sports Medicine Inc | 3101 W Us, Suite 224, Tiffin, OH 44883 |
| Julie Christine Boucher | Occupational Therapy | Northwest Ohio Orthopedics and Sports Medicine Inc | 3101 W Us, Suite 224, Tiffin, OH 44883 |
| Rudolph J Vela | Family Medicine | Northwest Ohio Orthopedics and Sports Medicine Inc | 3101 W Us, Suite 224, Tiffin, OH 44883 |
| David Verhoff | Physical Therapy | Northwest Ohio Orthopedics and Sports Medicine Inc | 3101 W Us, Suite 224, Tiffin, OH 44883 |
| Bruce Eric Heck | Orthopedic Surgery | Northwest Ohio Orthopedics and Sports Medicine Inc | 3101 W Us, Suite 224, Tiffin, OH 44883 |
| Douglas J Steiner | Orthopedic Surgery | Northwest Ohio Orthopedics and Sports Medicine Inc | 3101 W Us, Suite 224, Tiffin, OH 44883 |
| Meredith Kneeskern | Physical Therapy | Northwest Ohio Orthopedics and Sports Medicine Inc | 3101 W Us, Suite 224, Tiffin, OH 44883 |
| Find all physicians in zip 44883 | |||
| City | TIFFIN |
| Zip Code | 44883 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | TIFFIN + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Blair 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.